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Regular Member

Date Joined Jun 2005
Total Posts : 462
   Posted 11/29/2009 6:11 PM (GMT -6)   
cry   I need some advice before I see my Pulmonary Dr-this week-!
I know there are many of you out there in HW, that are going thru what I am, & if I can have any added suggestions--I would greatly appreciate it! smilewinkgrin
From my earlier posts, some of you know--I'm getting the "Methacholine challenge" test this Wed-(I'm a bit "scared" of this!  smhair Tho my dr. says it's really nothing!
Thursday--I will see my pulmonary Dr-  She suspects -as I do, that I have "Cough Variant Asthma"-(which I think i've had many yrs---since the mid 1970s---)--but it ONLY comes on after a cold or, in this case- The "Flu" that I had 6 weeks ago!  (The flu came & went--this darn cough is STILL with me!---It is driving me nuts!)-- shocked
Now---If the results come back that I DO have CVA.....I do NOT want to take ANY inhaler that would adversely affect my heartbeat!  nono   (I suffer from an irregular heartbeat--& some episodes of SVT--I stay away from caffeine, decongestants-- etc--I can not "irritate" my heart!  I am seeing a cardiologist & have had many "event monitors"....where my SVTs have been caught!)
Some of these "Beta 2 Antagonists...like Xopenex...etc......AND Bronchodiltors tell you--on their monograph--"Can cause irregular heartbeat...changes in EKG etc"-  these are NOT for me! smhair
It seems like the ONLY thing I can take...that helps my bronchial inflammation with NO cardiac side effects....are steroidal meds--(Like the Medrol pack...oral pills) & inhalers like Flovent & some others!
--**What I would like--is to hear from some of you--who have  "Cough Variant Asthma"....(or even regular asthma)--& who have it treated with steroidal inhalers ONLY (& maybe with anti-allergic meds like Allegra....Claritan...etc)- & which have been EFFECTIVE in getting rid of the "asthmatic cough".....while staying OFF these..."beta 2 antagonists & bronchodilators that adversely affect heart rhythm-! smilewinkgrin
Thanks so much!   Once Again---I am a firm believer that we patients should be as informed as well as possible to be our own advocates!   
I am also taking Omega 3---Marine oil capsules..(that seem to help as they have anti inflammitory qualities)--Garlic.....hot herbal teas----& my wife just today ordered a room air purifier....a UV unit ---that removes dust--pollen --molds--dander--bacteria--etc--!  I'm hoping this helps--it should come by Friday!  (Anyone have one of these? Do they help? )-- wink -Thanks to all.....I do hope I hear from as many people as possible!   I value your inputs! :-)       Kindest regards---Robert

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Date Joined Apr 2004
Total Posts : 23361
   Posted 11/29/2009 7:48 PM (GMT -6)   
I do not have asthma but my son has CVA. He controlled his with Asmanex and Allegra. I think that he is outgrowing it now since he hasn't had any issues in the past year or so. But when he was on Asmanex and Allegra, it controlled it fairly well and when he still had coughing spells, I would give him Robitussin DM (per his docs orders). He also had the back up inhaler Albuterol for when he had trouble breathing.
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Date Joined Apr 2004
Total Posts : 1539
   Posted 11/29/2009 8:58 PM (GMT -6)   
Most meds for Asthma will effect the heartbeat....Even when 02 drops way down the heart speeds up.......

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Date Joined Aug 2007
Total Posts : 4389
   Posted 12/1/2009 3:04 AM (GMT -6)   
My Husband has Asthma and SVT, but he seems to do ok with Xopenex as a rescue inhaler. He is taking Singulair & Zyrtec daily, also, for maintenance.  None of his medications for Asthma seem to bother his SVT.

In my case, I have Cough-Variant Asthma and PVC/PAC's (premature heartbeats). I was using MaxAir for rescue, but don't like to anymore because it makes me so jittery. I have no problem tolerating Pulmicort (as an inhaler or via nebulizer), and also do fine with Advair. Daily Claritin helps some, but not enough to avoid using the inhalers. My Allergist also mentioned that controlling nasal allergy symptoms with a nasal steroid can also help reduce Asthma symptoms, and so I use Pulmicort nebulizer solution sprayed up my nose daily. When I miss my nasal inhaler doses, my Asthma is definately aggravated.  My PVC/PAC's aren't aggravated by any of the Asthma medications I've been using.  I do find Proventil bothers my PVC/PAC's, hence my doctor recommended MaxAir to me instead. 

Good luck,

Chronic Lyme Disease, Chronic Bartonella (clinical dx only), Gluten & Sulfite Sensitivity, Many Food/Inhalant/Medication/Chemical Allergies & Intolerances, Asthma, Gut issues (dysmotility, non-specific inflammation), UCTD ("Secondary Lupus-Like Syndrome"), Osteoporosis, chronic Lymphopenia, etc.; G-Tube; Currently trying to wean off TPN.
Meds:  Pulmicort, IV Ceftazidime, Heparin (to flush PICC line), Claritin, Domperidone, Colloidal Silver (used topically), probiotics, Milk Thistle, Ailanthus, homeopathy.

Post Edited (Razzle) : 12/1/2009 1:07:04 AM (GMT-7)

Veteran Member

Date Joined Apr 2004
Total Posts : 1539
   Posted 12/1/2009 6:40 AM (GMT -6)   
I use Performist in a nebulizer Comivent inhaler,Singulair without any problems......Also have Albuterol for nebulizer.........

Regular Member

Date Joined Jun 2005
Total Posts : 462
   Posted 12/1/2009 7:24 PM (GMT -6)   
My pulmonary Dr. has told me that "Cough Variant Asthma" can be treated with steroid inhalers....(Like Flovent or Azmacort...& others)--Also- "antihisimines" to help with allergies..(Allegra--Zyrtec)-Just as long as I stay away from "beta agonists"...(Albuterol-Xopenex etc--)---

My only symptoms are chronic cough & inflammation....which can be treated w steroidal inhalers. Robert

Elite Member

Date Joined Jul 2009
Total Posts : 14365
   Posted 12/1/2009 8:40 PM (GMT -6)   
I was on Azmacort for several years for my asthma. I'm presently taking Advair and Zyrtec. I feel better controlled on the Advair than on Azmacort.
I hope your able to find something to help you with your CVA that won't hurt your heart.
It's such a pain to have a condition that if you treat it, causes problems with another condition.

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