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Old 06-05-2007, 12:56 PM   #1
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davidjay HB User
Singulair as ongoing prophylaxis

My first post! Hi, all. My asthma is triggered by colds, flus and chest infections. It does not seem to be triggered by anything in the air, though I do have allergies to grass pollen. Thus, I don't have asthma all of the time. However, in the last few years, it always seems to be just below the surface, ready to pop out! The last respirologist I saw said that I should take a low dose of corticosteroids daily (and up the dose during asthma attacks). I had a flu recently that just wouldn't quit, which means that my asthma wouldn't quit either. I have been on 1500 mcg of corticosteroids daily for five weeks (1000 mcg of Advair, 500 mcg of Flovent). My voice has been hoarse for weeks (my doctor says it is the steroids that causes this). I have been on Singulair all of this time as well. I don't like the idea of being on corticosteroids continuously. My question is: Are other adults using Singulair on an ongoing basis as a prophylaxis? Have they found it to be effective?

 
Old 06-10-2007, 05:25 PM   #2
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kimberly89 HB User
Re: Singulair as ongoing prophylaxis

Hi David,

I actually posted to you on another thread then saw this. I have what sounds exactly like your condition. For several years, after being diagnosed with cough variant asthma, I took Allegra-D and Singulair every day. It worked great! then after having a REALLY GOOD YEAR last year, I told my allergist I wanted to go off all drugs. Plus, I wanted to try to get pregnant, which meant I couldn't take either drug. So, I was just taking loratadine, which eventually didn't do the trick anymore, so I went without.

Well, we eventually realized I couldn't get pregnant, plus my allergies were getting bad again, so I went back on the Allegra-D, but not the Singulair.

Two weeks ago, I felt like I was going to get a cold (headache and body aches), except it never happened. What I did get, though, is the cough that I normally get after I have a cold or flu. I am currently on Advair 250/100 twice daily, Rhinocort and Allegra-D. It's not helping yet. I cannot stop coughing.

Anyway, that's my story - more than you asked for. Singulair worked great for me, and I experience no side effects. I'm going to ask about it again this week when I see my allergist. In the meantime, if you have any other suggestions, I would love to hear them.

Thanks so much,
Kimberly

 
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Old 08-28-2007, 08:14 PM   #3
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arychel HB User
Re: Singulair as ongoing prophylaxis

Quote:
Originally Posted by davidjay View Post
My first post! Hi, all. My asthma is triggered by colds, flus and chest infections. It does not seem to be triggered by anything in the air, though I do have allergies to grass pollen. Thus, I don't have asthma all of the time. However, in the last few years, it always seems to be just below the surface, ready to pop out! The last respirologist I saw said that I should take a low dose of corticosteroids daily (and up the dose during asthma attacks). I had a flu recently that just wouldn't quit, which means that my asthma wouldn't quit either. I have been on 1500 mcg of corticosteroids daily for five weeks (1000 mcg of Advair, 500 mcg of Flovent). My voice has been hoarse for weeks (my doctor says it is the steroids that causes this). I have been on Singulair all of this time as well. I don't like the idea of being on corticosteroids continuously. My question is: Are other adults using Singulair on an ongoing basis as a prophylaxis? Have they found it to be effective?
I tried singulair alone and in combination with serevent to avoid steroids. It turns out that it wasn't enough for me, and I was reacting badly to the serevent, so now I just take Flovent, that is all. I like only taking one drug as it is simpler and cheaper, and I also think it is more effective than the singulair.

 
Old 08-28-2007, 09:48 PM   #4
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Re: Singulair as ongoing prophylaxis

Hi. Welcome to the board. My asthma is the cough variant type also. It flares up with sinus infections (which I usually get several times a year) very cold air and extreme pollution. At some points of the year none of those are a problem. I have had to work for years to get the cough under control. I have been concerned about the high dosages of medication I am on year-round for the asthma, even during months when I am not displaying any symptoms. When I spoke to my doctor about cutting back on my medications she strongly discouraged it. By maintaining my current course of treatment, I am being proactive in preventing, or at least limiting, the bad flare-ups that take forever to get under control. My current treatment includes: Advair 500/50, Singulair and Albuterol as needed for the asthma and Allegra, Astelin and Flonase for the allergies. I added the Singulair last about 1 1/2 years ago and it has helped me. I am not sure it would be as effective alone, but in conjunction with the other medications it has helped.

 
Old 08-29-2007, 05:37 AM   #5
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Re: Singulair as ongoing prophylaxis

I also take singulair daily. My coughing was continuous last summer so my PCP sent me to a pulmonologist who diagnosed that I had asthma after he had me take a methacholine challenge test. Since then I have also been prescribed advair 500/50,albuterol as needed, protonix, zyrtec and flonase. I am highly sensitive to irritants, temperature changes and aerobic activity. Because of irritant exposure at work I ultimately had to retire after 4 trips to the ER in a year.
My coughing is much improved but still is bothersome. Now my pulmonologist has me seeing an asthma specialist at the Washington University Lung Center. I'm hoping to achieve total control but maybe I have improved as much as I'm going to.
All the medications have made daily life much better than it was though.

 
Old 08-30-2007, 01:08 AM   #6
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miyu HB Usermiyu HB User
Re: Singulair as ongoing prophylaxis

Kimberly:
Hey, I just want to say one thing to you. I too am trying to get preg with no luck, but I remember when I started I asked if I took alergra or Benadryl if that was ok when pregnant. And she opened a book and looked it up in front of me. She said one was ok, and one was not, but I canít remember which because it was such a long time ago I actually thought I would get preg. But now.. I just take whatever I feel like I need which is Allegra d every day, and some Benadryl when that doesnít work. So just so you know... some meds are ok when you get pregnant.
To OP:

Wow.. it seems like we are all feeling about the same way. And it seems like everyone is on advair. I too take 500 mg of Advair twice a day. But when I feel better I tend to lower it... then I just get bad again. and its frustrating because I really HATE taking so much steroids. I too am on some crazy meds. But what I canít stand the most taking my emergency puffer way to much. For me an asthma attack is everyday. And when I get sick, it goes straight to my lungs.. then Iím really bad. I jsut got back from the hospital because I couldnít get my asthma to stop even with puffers. At the hospital they really druged me up. And sent me home with something for 6 days.. and I just know its a steroid. ďPrednisone?Ē so because I know nothing about it. Iím freaked and donít want to take it... but then I keep telling myself its only 6 days... but why would they only give it to me for 6 days?? How does it work? What is it?? I hate doctors sometimes...

 
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