How dangerous is it to mix advair, inhaler, and smoke?

Question

I was recently told that I have minor Asthma, and my doctor gave me Advair to treat it. She also gave me an inhaler just in case I need it. My first question is: if I recently had a dose of Advair, but feel like I need to use my inhaler, should I not? I'm worried that I shouldn't mix the two.

My next question includes that I smoke hooka everynow and then. Although I haven't quit, I have cut back. And I know that the healthiest thing to do is quit altogether. Still, I'd like to know: are there any adverse effects when somebody smokes while on advair, or using an inhaler?

I'd like to quit right now...but as anybody knows, it's a process!

Answer 1

Smoking does not have either a direct nor an indirect effect on Advair but smoking may aggravate the underlying condition for which the Advair was prescribed. Thus smoking may increase your need for your 'rescue' inhaler. The other inhaler which you refer to should be albuterol (Proventil) or its active moiety levalbuterol (Xopenex). Yes there is a concern for using rescue inhalers in addition to Advair but this generally refers to the overuse of such inhalers. To understand this you must appreciate the two medications in Advair which are fluticasone and salmeterol. Fluticasone is an anti inflammatory and as 'asthma' is an inflammatory disorder this is first line therapy. Montelukast (Singulair) is an oral anti inflammatory which works by a different mechanism and may be combined with fluticasone. You will note that albuterol, levalbuterol, and salmeterol all have similar names as they are related drugs. They all contain warnings about the possibility of harm but as above this generally applies using them too often. It was a great development when we developed inhalers that asthmatics could carry with them and it took some time before the obvious sank in. Some patients use their inhalers more and more often as breathing declines and this has resulted in some people seeking medical attention 'too late' resulting in deaths. Nonetheless for periodic use the combination is not only appropriate but may delay symptoms so that you are able to seek medical treatment. Although some people will offer 'rules' as to how many doses per week of rescue inhaler should trigger a call to their physician I have not found this helpful. All asthmatics should have a peak flow meter where you blow into a mouthpiece that measures how much are you are able to exhale. These numbers are then used to tell someone when to restrict activities or environmental exposure, when to use rescue inhalers, and when to visit the physician. Peak flow meters are inexpensive and last indefinitely. I hope that this is helpful and good luck with your smoking cessation efforts. I wish you the very best of health.

Answer 2

Smoking Inhaler

Answer 3

You can use your reliever (blue/red) up to 10 or more times a day regardless of what other medications you are taking (although seriously, if you use it this much you need to see your GP ASAP) and you re right to quit smoking but it s safe to use all three within a short space of time as they have no interactions usually.

One thing I would question though..why has your doc given you Advair for mild asthma?! Advair is a combination inhaler only for people whose asthma is not controlled by steroid inhalers alone. These people have more severe asthma (moderate/moderate-severe/severe asthma) whereas you have mild asthma so I would question why your doctor has given you a more potent inhaler when you only have mild asthma. Did he/she even try you on just a steroid inhaler?

Answer 4

I know I am not a good roll model here, but i take a rescue inhaler and advair for allergy asthma..and i smoke. smoking anything is bad..and horrible for your breathing. But there are no adverse side effects that anyone knows of yet anyway..beleive it or not there are millions of people with asthma doing the same thing right now.

Answer 5

Advair has been linked to an increased risk of sudden death in patients with asthma; not because of the steroid but because of the specific long-acting bronchodilator it contains. It used to be sold on its own as Serevent but after a safety review it was found that asthma patients taking Serevent had a statistically significant increase in the risk of sudden death. It is a low risk, but it is still present nonetheless. If you have not been prescribed Advair specifically, I would avoid it and stick with the steroid alone. In some asthma patients, Advair is necessary and worth the risk. In most asthma patients it is not and there are other medications that we can use that do not have the same risk. You need your doctor to assess the severity of your disease and help determine whether it is right for YOU and your specific disease.

Answer 6

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My husband has used Advair for years now. His asthma was bad. Now he can run half marathons. No sign of asthma, but if you aren't absolutely sure that's what you have, you shouldn't take Advair or Cortisone. If you have an infection like bronchitis, both these inhalers could possibly suppress your immune system.

Answer 7

I think advair is a dangerous drug. What is the other inhaler? There have been cases where advair has made asthma worse. Why didn't he just give you albuterol, since your asthma is minor?

Answer 8

does using an inhaler right before smoking affect power of cigerette

Answer 9

you can use both ,there are no adverse effects with using both meds ,as for smoking it wont affect the use of your inhaler or the advair but it will aggravate your asthma and probably increase your need to use the inhaler.so try to quit and good luck.

Answer 10

well, there's no problem using the advair and the inhaler, but smoking can make ur lungs go weak and you might need to use ur inhaler more often.