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Why are relievers standard with preventers.

Kurty2 profile image
17 Replies

Hi,I was wondering why it seems that we are given symbicort or fostair to take every morning and night regardless of wether we need a reliever at that time or not. It's my understanding that taking relievers all the time can harm the lungs?

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17 Replies
Troilus profile image
Troilus

My understanding is that inflammation builds up over time causing swelling and reduced air flow. The steroid element in the preventer inhaler is to minimise this, hopefully preventing it altogether.

IncognitoC profile image
IncognitoC

I got given Fostair in replacement for ventolin. My GP will not prescribe any relievers while I’m on Fostair. This is for the exact reason that you mentioned but I was using an inhaler every 2 weeks or less.

Troilus profile image
Troilus in reply toIncognitoC

I think you should have a blue inhaler(a reliever) as well as your Fostair, Incognito. It is still possible to have an attack while using a preventer. I know the Fostair 100 can be used as a reliever, but it is wise (I think) to have a blue inhaler handy just in case.

IncognitoC profile image
IncognitoC in reply toTroilus

I totally agree, but my doctor is not prescribing me any. I do however have an appointment with respiratory at the hospital in a couple of weeks to see why my asthma is so bad.

SuziElley profile image
SuziElley in reply toIncognitoC

I take Fostair twice a day as preventer but can take UP to four extra puffs during the day as a reliever. Once I go above the four puffs I need to use Salamol instead, i.e. blue inhaler

peege profile image
peege

A reliever is just that, for relief. It give almost immediate relief if your airways close unexpectedly. Sometimes our preventer isn't enough at particular times (like this heatwave). A lot of people are prescribed it to use before using their preventer to open the always to better receive the preventer, perhaps that's you, perhaps there isn't a steroid in your preventer. To many it's an essential piece of kit. Perhaps you dont need yours as much as others do.

Where did you get the information that using relievers can harm your lungs? Use of steroids over time can thin skin and bones though.

I certainly don't need to take mine often because my preventer works very well. I might order 4 per year which is sufficient (and I dont order just to throw away, they're expensive) . We're all different it has to be said

shat1 profile image
shat1

I agree, why can we not have ventolin anymore? I was forced onto symbicort, even though I did not want it , a lot of BS about how the bronchodilater works for 10 hours, does it heck, the ONLY thing that helps is ventolin, at the risk of sounding dramatic its as if they do not want us to feel better.

Mandevilla profile image
Mandevilla

Because you never know when you will need a reliever? I'm really careful to take my preventer at the same time each day, but I still need a reliever sometimes.

Kurty2 profile image
Kurty2 in reply toMandevilla

What do you mean? are you aware that fostair and simbicort contain a reliever AND a preventer?

Superzob profile image
Superzob in reply toKurty2

That’s only half true. The “reliever” in Symbicort and Fostair is a long-acting bronchodilator (LABA), whereas conventional relievers like Ventolin are short-acting. The main purpose of these preventer inhalers is to build up the body’s ability to expand the airways (the LABA component) and improve the elasticity of the alveoli to exhale more effectively (the corticosteroid component); this normally takes time but, as luck would have it, the LABAs in Symbicort and Fostair can have a short-term benefit - provided they are used within the guidelines, this shouldn’t be any more of a problem than using the traditional short-term reliever for the same purpose.

Kurty2 profile image
Kurty2

Looking at all the replies so far it seems like nobody else is any the wiser why we are taking relievers unnecessarily when we don't necessarily need them and also some replies have shown that we are sometimes taking excess preventer at a time when we are requiring more reliever.

peege profile image
peege in reply toKurty2

I certainly don't take relievers unnecessarily thanks, my skin is thin enough and easily damaged already. The point is:

your own personal instructions on the medication label and how you personally have been instructed to take your preventive and reliever .

There are nearly 50,000 members here so you cannot possibly conduct a survey on 13 replies and your conclusion could cause unnecessary anxiety to newly diagnosed people &/or new inexperienced members.

Superzob profile image
Superzob in reply toKurty2

This should help explain it: asthma.org.uk/symptoms-test...

Patk1 profile image
Patk1

Inflammation in the lungs and airways cause irreparable damage - steroid inhalers aims to stop/ reduce that.personally ventolin alone didn't adequately control my asthma so preventer was prescribed soon after,many years moons ago

Kurty2 profile image
Kurty2 in reply toPatk1

Surely it would make more sence to take just a steroid (either budesonide or beclomethasone) every morning and night. This should be enough to control the asthma, and if on occasion you need some relief then this is when you could use the reliever (formeterol). Overuse of unnecessary medicines is obviously bad and going to cause harm long term.

Lysistrata profile image
LysistrataAdministratorCommunity Ambassador in reply toKurty2

What makes sense varies by individual. Not everyone is on both the steroid preventer and a long-acting reliever, but for those who are, they need it to control *their* asthma. Inhaled steroid is definitely *not* enough to control everyone's asthma - that's why there are options beyond and in addition to that.

What is enough to control someone's asthma is between them and their medical team. It's not for other users to suggest what people should be doing, what is enough to control someone else's asthma and what is unnecessary. Please avoid telling other users what medication they should take.

I'm going to turn off replies to this now.

Patk1 profile image
Patk1

That iss the case with most asthmatics.i don't believe most people overuse their necessary inhalers - the damage from inflammation has b well researched + documented.higher use of inhalers is necessary in difficult asthma eg severe asthma

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