new to Copd

[MrsP70]

I have had Asthma for years but have now been diagnosed with COPD I have been prescribed Trimbow twice a day and my usual salermol my question is how long will it take to benefit from the Trimbow as I am still out of breath and taking the salermol , the Dr said I wouldn’t need the salermol if taking the Trimbow ..but I do need it.

[peege]

Inhalers usually take some time to kick in, up to 3 weeks for some. I'm sorry I know nothing about Trimbow although do have a thorough read of the leaflet it may tell you how long before it works. Luckily you have the Salamol to help keep you going. Good luck, P

[MrsP70 in reply to peege]

Thankyou

[MrsP70 in reply to peege]

It says two to three minutes but that’s not happening I have an asthma check in March so I will tell them

[peege in reply to MrsP70]

That may be after the medication has finally kicked in? Hopefully other members with experience of trimbow will be along soon.

[Bingofox007]

I’ve always been told that regular inhalers take a good couple of weeks to reach their therapeutic dose in the system so to keep taking regularly twice a day as prescribed. If you are needing to take your salamol throughout the day then taking it regularly 4 times a day until your trimbow kicks in may help. Hopefully by the time you have yr review you’ll be getting the full benefit if yr new inhaler. Take care 🦊x

[MrsP70 in reply to Bingofox007]

Thank you for the reply I am hoping it will be ok I have had to use the salermol as well ,twice yesterday.

[Biker88]

my understanding is that people with asthma are being advised that the preventer inhaler should be sufficient for all day and they won’t need the Ventolin/salamol inhaler. I have emphysema (COPD) and I use a preventer (Sebri Breeze Haler) first thing in the morning and plenty of Salamol during the day as and when I get breathless. I get prescribed two Salamol inhalers a month with no suggestion of reducing it. I think the impact of asthma and emphysema on the lungs is different so there may be different advice for each

[MrsP70 in reply to Biker88]

Interesting, Thank you for the reply.

[Bingofox007 in reply to Biker88]

Glad your regime works for you but if you’re using a lot of salamol then surely a long acting bronchodilator should be used along with your long acting seebri glycopyronium instead? A LAMA/LABA combo? Just saying what I was advised. I know with asthma that symptoms should be controlled with correct preventer and use of salamol should be minimal and this differs with copd/emphysema/etc. one size doesn’t fit all for sure! Take care 🦊x

[gingermusic]

I use Trimbow two puffs twice a day and have done for some time now but I also find that I need my Salamol inhaler as well at times. Mention at your next appointment that you do not feel Trimbow is helping you a great deal. Best wishes Ruth

[MrsP70 in reply to gingermusic]

Thank you I will

[Wheezysister]

Trimbow is a good drug. Been using it a couple of years now. I'd say it took me 4 or 5 weeks to settle into it.

[MrsP70 in reply to Wheezysister]

Hope It will be ok thanks for the reply

[Timberman]

Welcome to our sad little club! But I am 80 now, had it for 20 years, now severe and on oxygen but hanging in. First however - your GP is WRONG! The Salbutamol is a reliever and if you have an event, whether COPD or asthma you will still need to use it! And use it well; follow the rules - shake, rattle and roll!

The Trimbow will take a little time to have any effect. But on my experience it will.

Now I do not wish to disparage your GP but a family doctor is exactly that and must be - a 'general' practitioner. That means he or she knows a lot about a lot but not a lot about anything in particular; for that you need a specialists clinician. Doctor or nurse it matters not - until they have specialised in what they know and who they treat they remain unspecialised.

So I strongly urge you to find your local COPD team and get in touch with them. I have worked for two decades first with the Norfolk team and now with Essex and they are brilliant. They know us and our disease and what can and cannot be done.

[MrsP70 in reply to Timberman]

What a lovely informative post thankyou and I will take on board what you and every one kind enough to respond has said this Dr I had never seen before he is new to the surgery.

[leo60 in reply to Timberman]

Sorry, but "sad little club"? Helpful. informative, supportive, funny . . . . .

[Timberman in reply to leo60]

It was a term of endearment! But I agree...

[leo60 in reply to Timberman]

😁👍 xx

[Patk1]

As u have an appointment at drs soon,I'd see how u go & discuss with them. Make a note of how you are,if trimbows helping/ or not,symptoms, salbutamol use etc also what YOU think about what you need.it helps to steer conversation& get best from appointment x

[MrsP70 in reply to Patk1]

Good advice thank you.

[leo60]

In my (COPD) experience with Trimbow, I have always needed (and have been encouraged to) use the salbutamol. I have just been put on the higher dose Trimbow and am waiting (hoping) for an improvement soon.

Good luck with your appointment. I have found that being on this forum has given me extra information and confidence which helps in asking questions and getting the most from these appointments. xx

[MrsP70 in reply to leo60]

This forum is so helpful, thankyou

[leo60 in reply to MrsP70]

I have found it invaluable, supportive and FUN!! xx

[HelNel7 in reply to leo60]

I so agree! I felt very lost and lonely when I was presented with the results of my chest x-ray and realised what I was dealing with. I'm not sure I could have got this far without the forum, so much knowledge and support, plenty of laughter as well as tears, it's amazing! xx

[MrsP70 in reply to HelNel7]

😊