Dulera vs symbicort - advice for LABA

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Contentprof
Regular Member


Date Joined May 2014
Total Posts : 412
   Posted 2/13/2015 6:33 PM (GMT -6)   
I'm looking for a LABA & steroid combo to help with inflammation and reactive airway from allergic asthma. I already take xolair, allergy shots, and zyrtec. Albuterol inhaler is not helping. Pulmicort was useless.

Has anyone had success with Dulera? Is it better than Symbicort? Breo is new, I am told, and not covered by my insurance. Also wondering about side effects - sore throat, thrush, etc.? I tend to get sore throats despite using chamber & rinsing / gargling after.

Thanks in advance for your thoughts.
55 yrs old. UC >12 yrs after proctitus. For flares failed prednisone, cortenemas (too little too late), mesalamines (hives, fever), 6mp (fever), Uceris (no effect). 12/13: remicade stopped severe flare! 6/14: i stopped remicade due to debilitating joint pains & weakness. Dx: Anti-TNF Induced Lupus; polyneuropathy; recovered w/prednisone (40mg then very slow taper ~ 4 months). Next UC meds?

super20dan
Veteran Member


Date Joined Sep 2014
Total Posts : 1018
   Posted 2/16/2015 7:24 PM (GMT -6)   
life long asthma patient here . i have experience with all you mention. breo works best with dulera a close second. symbicort was least effective. advair is still very good but expencive. heck they all are expencive. advair was worse on side effects like horseness and sore throat etc.

Contentprof
Regular Member


Date Joined May 2014
Total Posts : 412
   Posted 2/18/2015 12:16 AM (GMT -6)   
Thank you! I've been looking for reviews online. Not many folks reporting, so I really appreciate hearing your experience.

Toussa
Regular Member


Date Joined Oct 2014
Total Posts : 44
   Posted 2/18/2015 10:40 AM (GMT -6)   
Hi there, I have used both. However, I was not able to deal with Dulera side effects, made it almost too dificult for me to talk, really hurt my vocal cohrds. I tried symbicort, no side effects at all, lower dose and helped quite a bit. I tried the higher dose, it killed me, i had terrible pain my lungs and it was difficult to sleep...i hope this helps.

super20dan
Veteran Member


Date Joined Sep 2014
Total Posts : 1018
   Posted 2/18/2015 8:33 PM (GMT -6)   
i found that keeping the dose down really helps avoid side effects. for instance once you get your symptoms under control use the med only once a day vs 2x a day. this stuff all contains steriods of one form or another and its powerfull stuff.

Contentprof
Regular Member


Date Joined May 2014
Total Posts : 412
   Posted 2/18/2015 9:07 PM (GMT -6)   
Thanks. Good idea -lowest dose once it's under control.

If it's helpful to anyone:
I started with Dulera. It was ok for a day and then i got these strong waves of fatigue. Like Toussa said.
My sense is that it isn't the steroid that I have trouble with (I've had lots of them in different forms), but it's the long acting beta antagonist drugs - that they make some of us feel completely out of it.
Just today I switched to symbicort. So far so good.
I want to try the Breo but I'm afraid of side effects. So i'll see how symbicort goes. Fingers crossed!
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