Which is the best inhaler?
ฝัง
- เผยแพร่เมื่อ 26 ก.ย. 2024
- In this video I discuss about choosing an inhaler which is adapted to each patient. There are many inhalers for asthma and COPD available, however some people find some devices hard to use and therefore have poor inhaler technique. This results in suboptimal benefits despite using the newest inhalers available.
Having the right inhaler for each patient is more important than having the best inhaler.
SEE ALSO
How to use a spacer for your inhaler (Volumatic device)?
• How to use a spacer fo...
✔️Videos on my channel are free to watch, but your support is very appreciated! A "virtual" coffee helps a lot☕ www.buymeacoff...
📺 If you found this video useful, please consider subscribing to the channel. Any questions, please leave a comment below!
All my videos and more on toplunghealth....
#inhaler
Been using Ventolin brand blue inhaler for 43 years. Have tried other suggested brands and types over the decades but find sll others tend exacerbate my difficulties. I find Ventolin works right for me. Accept no substitute.
Ventolin is a rescue inhaler. I use Trelegy every day to try to keep from having asthma attacks, and Ventolin for breakthrough attacks.
New non cfc ones don’t work and are dangerous. Put two people I know in hospital!!
@@carolemassey4000what does that mean? what does a rescue inhaler mean
I've finally gotten an inhaler as an adult after I stopped using it as a kid and it really does help when I'm having a flair up. I used to suffer for the evening or the entire day with severe tightness but now it can be not so bad
Which one you are using bro?
Which one you using
Which inhaler are you using I sure want to know ?
I have been prescribed multiple inhalers both rescue and maintenance. To start with the abuterol inhalers don't work for me at all. Neither did the normal rescue inhalers. Eventually I tried the trelegy inhalers and they worked but not the way you're supposed to use them. If I used them daily they really didn't help much but if I used them as a rescue inhaler they worked pretty well. My doctor decided a nebulizer would be more appropriate. Still doesn't work with albuterol but the trelegy ampules in the nebulizer will stop an asthma attack in minutes.
Sir,I am suffering from severe emphysema,I have learnt several things from your video.thank you.
Why would we need complicated when we have done well with ventolin and flute as one…..no side effects…..the three drug things sound like a nail in my coffin….
That big bottle looks like the question….”why…..”
Hi Dr, I suffer a lot of phlegm, it gets on my chest and as I run 6 times a week and race 5K every week, my doc gave me Anoro Ellipta to take before my run, I run for two miles before the race to clear my chest and then race, Is it the C.O.P.D that produces so much phlegm ? My brother suffers the same phlegm problem, he is a non runner, so is it possible a virus could have started it for both of us ? We both got the problem at the same time, Thanks, great video ! 👍
Did you ever catch covid? It very well could just be exposure to contaminants in your environment. High quality air filters & maybe supplemention of NAC would help.
I had the same problem. Those helped alot, over time.
No not had covid, cheers for that 👍@@caitlinrose1361
@@caitlinrose1361what’s NAC please
thank you sir l appreciate you passing on your specialist knowledge and experience
Thank you Doctor. It really boils down to what the insurance company will cover. Mine no longer covers Advair but covers Dulera which is basicaly the same two drugs. I do much better with hfa inhalers rather than dry powder types. The one that works best as a bronchodilator for me is Combivent.
My insurance just stopped covering advair and I switched to symbacort and I've been noticing my asthma symptoms again so I'm wondering if I need to try another one or wait longer to see if it will work better with more time
@bonitagirlyy Advair hfa worked. Symbicort didn't work for me. Duelera seems to have the same, if not better effect as Advair
.
@@24hourgmtchannel64 okay I'll see if I can do that one instead. Thanks for the advice!
@@bonitagirlyy see if your doctor can give you a sample and give it at least a week
@@24hourgmtchannel64 that's a good idea! I forget about samples
Stop smoking, avoid triggers, eat healthier, supplements, exercise, breathing exercises, lose weight.
Does it make ashtma go away
@@shylynnh2971 much much more than if you do the opposite.
@@shylynnh2971 it helps a lot
@@shylynnh2971 this guy‘s not even talking about making it go away he’s talking about just being overall healthier well while you still suffer with asthma the rest of your life the slightest dust particle can trigger an asthma attack. Whether you’re skinny or fat I would know because I have been both.
avoid women who smell of poison gas*,
thank you doctor for the insightful data 😊🎉
i agree 😂😂😂❤❤❤🪟🎉🎉🎉 my azthma is very bad and the best inhaler really helps🔑 joe bass id your asthma? ? being grewyings from island -bjoro
Thank you Dr for your valuable suggestions. On Dr. Recommendation, Recently I started using synchronised inhealer, given good results.
Very good information for all thank u sir
4:38 Me who has another asthma attack after I use my inhaler 45 minutes ago 💀
Hello Doctor and thank-you 🙌 for the informative content!
What are differentiating efficacy outcome factors when beclomethasone dipropionate is administered via nasal vs oral inhalation?
Is it advantageous to shake the medicine containing canister and wipe orifice nozzle before each spray is administered?
Thanks Doctor for your video ❤
Hi doctor
Does sinuses excrete into lungs?
I have a condition which my doctor said it's your sinuses problem and not lungs
Can someone maybe explain to me how this little inhaler of atrovent hfc costs $570.00?? Does it contain some kind of rare element? Cuz that price is asinine.... seriously? I think the pharms really take advantage of medicare and medicaid. Do they really think a person can just fork over that much money for a tiny little canister of this crap? Thanks for reading my post.
Listen brother I've suffered from asthma my whole life. Have weeks of wheezing. Smoke ganja daily. No inhaler works. I bought a primatene Inhaler at walgreens. Changed my life. Some states it's banned. Look it up. Primatene spray
@@TheUnabomberFN old primetime mist CFC worked best the new primatene mist uses a chemical to dispell the epinephrine,. It helps some but not like the old one I still feel super tired never like the old primatene. I switched to asthmanephrine but sadly there has been a shortage / backorder for months now and I am finally running out, I used to smoke ganja everyday too but since I get really sick and ran out of asthmanefrin I stopped.
Use a Canadian pharmacy 30% of the US price, or get on one that has a generic.
Sir which is the best generic name for mild astama
I've always used the Ventolin blue inhaler (via a spacer with a mask) as a reliver & a Fluitiform inhaler as a preventer. I was recently switched to the fostair inhaler, initially to replace the fluitiform & then to use as both a reliver & preventer (instead of the blue one). I have been struggling with it a lot. I'm meant to take 1 puff in the Am & PM (instead of x2) & use it inbetween as needed. I've now been switched to the fostair Nextinhaler (which can't be used with a spacer). I'm struggling even more and it doesn't seem as good as the ventolin when using as a reliver when im wheezy. I'm struggling a lot to get used to having to put my lips around it and with how hard a breath you have to take to get it in. I feel like im ending up with powder in my mouth. Im bed bound & and my head cant be raised which complicates things as well I think, and i can't have my mouth swished round with water afterwards (due to the choking risk due to my dispashia). Advice would be greatly appreciated. Any tips on using the Foastair nextair? I feel like i cant do a deep / quick enough breath in with it especially after its clicked. I struggle to hold it in afterwards too.
Do you mean you have the Pink Fostair 100/6 micrograms? I use this one with a spacer. AirChamber. I use two puffs which is much easier. One puff using the chamber then you inhale slowly 3 times. Then you press again and inhale slowly 3 times. When you breath out you do that through your nose. I hope you can understand me.
@@starflower9015 Yes. I was originally on the aerosol version of it too with my areochamber spacer, same as you, but they switched me to the powder version of it called the Fostair NEXThaler, which is the one I'm struggling greatly with. They said it's 'better for the environment' than the aerosol version. You have to breath it in very quick / deeply, instead of like with a areochamber where you can take slower breaths in as it can't be used with a spacer. I end up with powder in my mouth and many more side effects than I had with the other version of it. My doctor has finally agreed after 2 months of struggling to switch me back to the aerosol one though, thank god.
This is the one: www.asthma.org.uk/advice/inhaler-videos/nexthaler/
I'm using Trelegy Ellipta. Ihe powder you feel in your mouth, I get that too. My Dr. told me to make sure I rinse inside my mouth and my lips after I use it. Since you can't do that I would talk to the Dr about it making sure you're alright not rinsing. He didn't tell me why you rinse. Just said it was important that I do.
@@thatgirlthatsme It's because corticosteroids, including ones that come in powder or aerosol form i.e. for asthma, if you don't rinse and end up with powder or the aerosol in your mouth or the back of your throat it can cause a hoarse voice (+ if that's happening it means the correct dose is not getting all in your lungs) and mainly as it is a steroid it "reduces" or better turns down the response of a part of your immune system response, locally, promoting relatively unharmful microorganisms from thriving and since the immune system can't keep a control of it due to the nature of the steroid oral thrush commonly caused by Candida albicans, can occur.
Reference: Biomedical Science graduate & fellow asthmatic. Hope this clarifies. :) I'm on Flutiform 125/5 and Ventolin although haven't been called for a asthma review in quite some time. Have to see them about that actually.
Love,
Mila.
@@LittleCutieABDL That was some great info and something I was curious to know. Thank you so much for explaining.
Exactly. There's no money in curing. That's why it will never happen.
Yea sure edgelord
@@shy6892he’s right though.
@@Michellesvintagelibraryokay you can't just take a pill or get surgery and make things (diseases) go away, though
I saw somewhere they've created, or are at least working on a vaccine! So a permanent solution to it! Could be years away before it gets popular though. Might not fully do it either.
A vaccine for asthma? It's not a virus@@stuartjenkins9339
My doctor give me first time a Foster inhaler which had some side effects on me (a lot of caughing) and after he give me Revinity Ellipta and now it s way better.
Thanks for your video, I have in last few months changed to fostair been good for asthma, can’t find anywhere for sure but can these have side effect of nose bleeds at all, maybe unlikely but timing does seem about the same time as I changed to that one.
This is really simple and calming, but you can’t forget there are 4 main classes of drugs for COPD and asthma. Everyone with Asthma should have a rescue inhaler which is a bronco dialator or beta antoginst like albuterol as the key drug. But for each of these drug families (saba, Laba, lama and inhaled steroids) there are lots of different drugs all with side effects. You will need to work with your doctor to pick the best for you
Nice comment, i always try to convey the same message that although there are many options picking a treatment requires an honest and open conversation with your doctor to make sure you are getting the treatment that is best suited for your case (this may not always be the latest inhaler)
@@DrStefanCristianStanel greeting Dr.
My doctor used to subscribe me dulera for last 10 years, suddenly he subscribe me breztri aerosphere which i dont understand why as the otherone was fine except was charging my insurance 827.00 each inhaler
Excellent information
Thank you very much from the heart❤️ your a ⭐️
My grandma is suffering from COPD-emphysema but she also has dimentia and she doesn't know how to use these inhalers. I keep on teaching her how but it doesn't work. 🥺 I hope there are some more alternatives. 🥺
Use the extension for the inhalwr.
theres injectable asthma controls. i did clinical trials for one for awhile and it was greatl lol
Hi doc, watching from Phlippines. Is seretide inhaler and seretide diskus are the same?
yes just different devices
Thank you
Ventolin gives me shakes and weaknesses
I used to have one of those inhalers because I had a Symtom of not breathing enough 😭 I thought it was something like asthma,but no it’s because a build up of something in my lungs not making me breath 😭
Which is better transcap or simply inhaler because there used to be so much left ofter poweder in my mouth after i inhaled using revolizer
Not me watching while I have an asthma attak
Thank you so much
I think that this question was well done, but if you break this into a tier list it may reach more people, and hence help more of us!
What about using a Nebulizer if the inhalers are can't properly be used?
It depends. I use both. You can't carry nublizers on the go so always need to have your portable inhaler handy with you. Also if your doctor allows try a simple steam inhlaer when you feel congested. It also helps besides nublizers. Wish you a speedy recovery.
Very informative video
From Pakistan
What alternative inhaler to Flovent diskus 250 please?
I am using Bufomix easyhaler. I give it a shake. Do one click. Inhale and exhale my breath. Insert mouthpiece and inhale deeply and hold my breath for 10 seconds and exhale slowly but once I am done using I don't find any taste in my mouth or even feel I breath in any powder. Is it normal for Bufomix to not feel anything after using it?
sir is in hailer harmful for our health ? i felt it's eddecting on my face mean it's occurring of weakness
Title which is better? Same shix. Thanks a lot.
i have breathing problem mosty in wheat crops cultivation so , what should i do..?
Bentilin I’ve used since a child but it makes me shaken but it works well…
Hi respected Doc.
Can u please tell me what's the best inhaler for difficult breathing? Breathing is not sastified
Thanks
Hi doc. Just want to ask if seretide is okay? My brother told me to stop salbutamol for a moment because sometimes my salbutamol ihaler won't work thinking I might be immune to it and it will not work for me anymore. Is it a good decision to use seretide (evohaler) salmeterol (as xinafoate) 25/125? My asthma is not that serious if it is summer but when nov to feb it is sometimes bad. Thank you so much
Hi I'm in stage 4 copd and dr need to change inhalers every 3 months at the moment im on seebri capsules and vsn air inhaler but I still battle with shortness of breath please which inhaler can i use?
Hello Doctor, I hope you notice my comment. I havw asthma since birth but it gone when I'm around 11-17 years old then it came back 1 month before my 18 birthday. From 18-24 years old Im being admitted yearly.
My last admission was year 2019 (Diagnosed as Bronchial Asthma in acute exacerbation and they prescribe me to use inhaler but i did not follow and just tryng to be healthy)and gone for almost 5 years.
Now, I'm 29. My asthma came back last 2 weeks. My doctor told me to use 2x a day as a maintenance. But I forgot to ask my doctor huhu.
Can I inhale diskus seretide when it flares up? Or just follow the doctors intructions? To use 6am-6pm method.
What If I have attacks in between? Can I still use it? Huhu pls answer and thank you. Godbless.
sometimes my inhaler doesnt work for me what do i do!
I would first recommend discussing the matter with your doctor for advice which applies to you. But would think about 1) is the inhaler appropriate for your condition (i.e. Do you understand your diagnosis and why the inhaler was given in the first place?) 2) are you using it correctly? 3) would you need a second inhaler? - for asthma for example there is often need for a controller inhaler which is taken regularly (but not the blue one/ventolin).
See your doctor asap for reevaluation. Your condition may have worsened. Or perhaps you're not using it correct therefore not getting the most benefit from the drug in the inhaler.
What drug is equivalent to Qvar for my 11 year old who uses only during allergy season?
How many people are having side effects from the dry inhalers?
Dry powder inhalers (DPIs) can have a variety of side effects, including serious and less serious ones:
Serious side effects
These can include signs of infection, such as a high temperature, chills, a very sore throat, ear or sinus pain, a cough, or coughing up more mucus. They can also include signs of adrenal gland problems, such as a very upset stomach, vomiting, dizziness, muscle weakness, fatigue, mood changes, loss of appetite, and weight loss.
Less serious side effects
These can include a change in taste, dry mouth, headache, hoarseness, sore throat, tremors or shaking, and trouble sleeping. They can also include allergic reactions, such as skin rash, itching, hives, or swelling of the face, lips, tongue, or throat.
Whats best for copd emhasyemia, laba or lama, i read they different, i have trouble getting air into bottom half of lungs
Some studies sugest that LAMA works better, however some individuals may benefit more from LABA. As a pharmacist in belgium I can say that the guideline is as follow for COPD treatment: SABA/SAMA as rescue for mild COPD. If your COPD get worse LAMA or LABA is used (again, some studies suggest that LAMA may work better). If your COPD is still not under control or get worse, combination therapy is given (bitherapy or even triple therapy) such as: LAMA + LABA, LABA + corticosteroids (ICS) or LAMA + LABA + ICS. The pneumologist will look for the best treatment and may not follow the guidelines I wrote, because experience can be more worth than just guidelines. Moreover, as the doctor mentioned in the video, correct use is the most important step, so contact your doctor or pharmacist few times to make sure you use the device with medication properly, if you have more questiones, feel welcome.
Dont they make it in pill form sometimes the med don't get inhaler right do to breathing issues
Hi why do I get shaky and have blurry vision when I take symbicort
Hello Doc can I ask a question? please tell me what is the most recommended inhaler to bring like when having an asthma attack
will reply in a short video soon
Somewhat not true....I had a bad reaction on a generic Albuterol Sulfate (generic??)
than I did with ProAir HFA
After five days I could hardly move, and I felt like I was breathing in/out through a folded towel.
It took my insurance co about 3 weeks to approve the one O had which was perfect....It was like not having breathing problems at all.
Dr, please I have a very severe asthma.
Which inhaler do you suggest I use.
My seretide isn't helping anymore
maybe try the hospital, they could give you a very strong one or even tablets but hospital is better than yt they could prescribe u something
I use my ventolin and advair
To anyone who finds my comment please try yoga, meditation, Herb's a plant based diet and drink herbel teas, Blessed be.
I Don't have Healthcare insurance in the USA i have asthma and high blood pressure. I usually use Primatene Mist. How dangerous is this. I have to use it 3 to 4 times a Day
My asthma got worse on that, please tell Dtr that you don’t have insurance. They can set you up with either samples, use generics, or use a Canadian pharmacy, Symbicort in the US ~$400 each, from Canada its $78 each. Have your Dtr write you a paper Rx.
@@gdiup9241thanks I’ll look into it.
It's a hit & miss strategy, which does not address the underlying issues.
Sir am suffering from cold always falling the water by nose and the suffering from cough and chest pain which inhellers is best for antiallegy I am watching from Kuwait
u should go seek a doctor
I cant seem to breathe,i dont have enough money,i have this asthma for 1 year
Advair don't help me at all. but symbicort help me
I have listened to three videos now. My first guess is that your mother tongue is Romanian. You sound like a pastor from there who leads a food distribution program for the poor in Canada. You do not speak a Slavic language but you are from Eastern or S.E
Europe. So, that leaves only one language. It is not so much your slight accent as your manner of speaking.
Primetime mist CFC worked best
🙏🙏🙏❤
Taro ent is really bad, I have never had reactions to puffers but atrovent has affected my eyesight, has given me muscle tension in my neck and shoulders, I’m really really tight since taking it….i have been feeling foggy and confused….and generally feeling very bad all round. I started feeling a little better and I noticed my chest was a bit tight so I took the puffer and within minutes ALL OF THESE SYMPTOMS BLEW UP, so I will not take it again…it also affects my heart. I take one puff a day sometimes twice.
Hey everyone, I have no experience with inhalers except for wn I was pregnant losing breath near due date from a bad cold. Been trying to watch diet to reduce inflammation but wn I get colds a lot I’ll get them in 3 rounds for a couple of months in a row. I’ll get so much mucus that I’ll kind of even choke on it from time to time randomly with a sudden deep chest cough and the weeks (on and off) of coughing, causes me to have to cancel many singing gigs as well as obviously scuffing up my voice making my voice kinda hoarse for a while. I do not think it I get infections - I think it’s a combination of maybe sometimes lingering cold symptoms combined with allergies and have always had a sensitive respiratory tract and wn sick feel like my respiratory connections are restricted. I don’t seem to have trouble breathing wn not sick. What can open up my lungs some wn I’m sick and cause less mucus so I have less vocal damage and can get back to singing more quickly without having to take something all the time?
Thank you for the information…how interesting 🤔 😮
Some are better long term to be used everyday and some are better for emergency short term
Yes, true, but controller and reliever inhalers are different types. When it comes to comparing controller inhalers between themselves, the differences are not that dramatic
Hello Dr. Stanel,
Thank you so much for these videos. It is clear how much you care for people.
My question is somewhat simple I hope… I am currently on Breo, but I find that when I take it, I feel a little anxious and my heart speeds up for almost the whole day, and even part of the day after. I tried it again yesterday and didn’t particularly enjoy it, so I decided not to take it today. However, I felt pretty crappy today. Is there another medication out there without the jittery and anxious side effects? I take it for allergenic asthma. Thank you again. 🙏
Thanks so much !😊
A spacer has helped me to correctly use my inhaler. Now my asthma is under control. 😊
i use the blue one
What is best
Hello
👍♥️