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Asthma/chronic asthma

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Expert: - 1/12/2010


Question
i am now taking foracort 400 2 inhalations and budacort 200 , 2 inhalations along with doxophylline and brinanyl durules orally.
they alone are of limited use.
methyl prednisolone 16 mg , 2 times is helpful.
how long can i take methyl prednisolone safely since it has many side effects?
i am a 65 year male patient and have been suffering from asthma for the last 40 years?
can you assist, please?

Answer
Hi Thomas

The guideline for short-term treatment which does not require tapering is 14 days.

Has the doctor approached the possibility that your asthma may have progressed to COPD (bronchitis/emphysema)?

If you go back to my personal information, I request background information to give me better insight into your problem. A lot has to do with the surroundings in which you live and work. Please review that, and get back to me with more detailed information. Also, what is your kitchen like? Open flame cooking, electric stove, etc.?

I am working long hours this week, and should be able to respond no later than next Tuesday.

Thanks!

Sincerely,

Marc

Asthma

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Volunteer

Marc Rubin, RPh Asthma Educator

Expertise

I have worked directly with patients as well as caregivers for over 30 years. Have made presentations throughout Illinois educating school nurses as well as the teaching and coaching staff of public schools about asthma, and how they should respond to these students needs. Presented a public education program on asthma through the US Department of Public Health. Specialize in helping guide asthmatic patients to take control of their disease in order to live a near-normal, fully active life.

Experience

Practicing pharmacist for 34 years, specializing in asthma for past 7 years. Statewide education to nurses, teachers and athletic coaches regarding asthma. In addition, and closer to home. my wife and daughter both have asthma, and my son has exercise induced bronchospasm. I'm also on the advisory board of a medical education company, Emmi Solutions, and directly involved in the creation of public education programs for asthma, COPD and diabetes.

Organizations
American Academy of Allergy, Asthma and Immunology (AAAAI) / Sports Medicine Committee, American Thoracic Society (ATS). Chicago Asthma Consortium / Professional Development Committee, Respiratory Health Association of Metropolitan Chicago: Development Committee for AE-C prep class, and presenter.

Publications
AAAAI PowerPoint on the new guidelines for EIB (Exercise Induced Bronchospasm)

Education/Credentials
BScPharm, RPh, AE-C (NAECB Certified asthma educator), NIPCO Certified Respiratory Care Pharmacist

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