| Subject: | Re: Any asthma sufferers in OBRA land? |
| Date: | 02/25/2004 03:28 AM |
| From: | nelle-@earthlink.net |
|
TO clarify one thing, Advair/Flovent/Albuterol are not interchangeable. Advair is a combination of inhaled steroid like Flovent and a bronchdilator like Albuterol. Advair can be used twice a day in place of Flovent only. Inhaled steroid is first line but all treatment depends on your history and symtoms. Someone mentioined that Flovent does not help in acute attacks and this is correct. THat is where Albuterol is useful. NO one should be using just Albuterol to treat attacks, however. THis medicine is now considered treatment for acute attacks, not everyday problems. If you have any further questions, you should discuss them with your doctor. I would be pleased to address them with individuals also. Ellen Michaelson,MD (503)243-6614 Schreck, George wrote: Advair, Flovent and Albuterol are all permitted medications, but a form must be filed. The from must be completed by your doctor and then you send it to WADA. You are supposed to keep a copy of the form you filed with you at all races to demonstrate compliance if you are tested. Failure to file the form or have a copy of the filed from with you, can subject you to the same penalties as exist for illegal drugs. If you go to the USA cycling website and find the section on drugs, it will link you to the WADA site and you can get a copy of the form and mailing instructions. You will find that Advair or Flovent will make a significant difference throughout the day and will prevent most attacks, but you still should carry albuterol as you can still have an attack. George Schreck Phone: (503) 813-7211 Fax: (503) 813-7190 -----Original Message----- From: Steve-@clark.wa.gov [mailto:Steve-@clark.wa.gov] Sent: Wednesday, February 25, 2004 1:24 PM To: thob-@hotmail.com; ob-@topica.com Subject: RE: [OBRA Chat] Any asthma sufferers in OBRA land? that should be easy enough to get if your doctor put you on the stuff. Especially since asthma can be life threatening. -----Original Message----- From: Tony Hobkirk [mailto:thob-@hotmail.com] Sent: Wednesday, February 25, 2004 1:24 PM To: ob-@topica.com Subject: RE: [OBRA Chat] Any asthma sufferers in OBRA land? It should be noted that most asthma medications are restricted by WADA regulations. I am by no means an expert, but in general, I believe one needs a medical certificate on file to compete while using them. Not sure where OBRA stands on this. Nicholas Perera wrote: Hey Keith, the great thing about inhaled steroids is that they are being delivered exactly where you need them. Before the advent of inhaled steroids serious asthmatics had to take prednisone pills which can cause (among many other things) an increase in body fat and muscle breakdown. Steroids for asthma are not in the same class as the steroids you hear about weightlifters (or cyclists) taking to gain muscle mass. In general the dose one takes with inhaled steroids is too low to notice systemic ("whole-body") side effects. If you're worried about this, swish and gargle some water after puffing and spit it out, this will reduce the amount of drug you end up swallowing. I've been taking advair (the same drug, fluticasone, with salmeterol, a long acting bronchodilator) for years and have only noticed an improvement in my cycling. Be sure to continue to carry your albuterol (ventolin or other brand) inhaler with you though in case you have a "breakthrough" asthma attack. The steroid inhaler does not work well in case of an acute attack. -Nick --- "Keith A. Prior" <toka-@ix.netcom.com> wrote: Hello: I was an asthmatic from age 5 to age 19. I have not had any attacks until just this past summer at age 33. They have become worse since October of '03. Needless to say this put a damper on my cycling and was even difficult to even pick up my son at times as I would be out of breath. After suffering form months and having attacks that lasted for days I decided to see my doctor. She prescribed a inhaled corticosteroid called Flovent. I do 2 puffs in the morning and 2 at night and since starting on this medication have not had on e single attack or sign of bronchial constriction. And feel 100% better. I have also not noticed any side effects and am quite peased with what it is doing even though I am not crazy about being on medication of any kind. While I feel that I have found a 'miracle drug' I wonder what long term effects it might have particularly as an athlete. If anyone in OBRA land has had experience with asthma, Flovent or any other asthma medication I would love to hear your stories. Thank You, Keith Prior Team Los Ciclistas ===== ------------------------------------------------ Nicholas Perera Case Western Reserve University School of Medicine http://home.cwru.edu/~nmp8 <http://home.cwru.edu/%7Enmp8> __________________________________ Do you Yahoo!? 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