nelle-@earthlink.net
TO clarify one thing, Advair/Flovent/Albuterol are not interchangeable.
Advair is a combination of inhaled steroid like Flovent and a
bronchdilator like Albuterol.
Advair can be used twice a day in place of Flovent only. Inhaled
steroid is first line but all treatment depends on your history and
symtoms. Someone mentioined that Flovent does not help in acute attacks
and this is correct. THat is where Albuterol is useful. NO one should
be using just Albuterol to treat attacks, however. THis medicine is now
considered treatment for acute attacks, not everyday problems. If you
have any further questions, you should discuss them with your doctor.
I would be pleased to address them with individuals also.
Ellen Michaelson,MD
(503)243-6614
Schreck, George wrote:
Advair, Flovent and Albuterol are all permitted medications, but a
form must be filed. The from must be completed by your doctor and
then you send it to WADA. You are supposed to keep a copy of the form
you filed with you at all races to demonstrate compliance if you are
tested. Failure to file the form or have a copy of the filed from
with you, can subject you to the same penalties as exist for illegal
drugs.
If you go to the USA cycling website and find the section on drugs, it
will link you to the WADA site and you can get a copy of the form and
mailing instructions.
You will find that Advair or Flovent will make a significant
difference throughout the day and will prevent most attacks, but you
still should carry albuterol as you can still have an attack.
George Schreck
Phone: (503) 813-7211
Fax: (503) 813-7190
-----Original Message-----
From: Steve-@clark.wa.gov [mailto:Steve-@clark.wa.gov]
Sent: Wednesday, February 25, 2004 1:24 PM
To: thob-@hotmail.com; ob-@topica.com
Subject: RE: [OBRA Chat] Any asthma sufferers in OBRA land?
that should be easy enough to get if your doctor put you on the stuff.
Especially since asthma can be life threatening.
-----Original Message-----
From: Tony Hobkirk [mailto:thob-@hotmail.com]
Sent: Wednesday, February 25, 2004 1:24 PM
To: ob-@topica.com
Subject: RE: [OBRA Chat] Any asthma sufferers in OBRA land?
It should be noted that most asthma medications are restricted by WADA
regulations. I am by no means an expert, but in general, I believe one
needs a medical certificate on file to compete while using them.
Not sure where OBRA stands on this.
Nicholas Perera wrote:
Hey Keith, the great thing about inhaled steroids is
that they are being delivered exactly where you need
them. Before the advent of inhaled steroids serious asthmatics had to
take prednisone pills which can cause (among many other things) an
increase in body fat and muscle breakdown. Steroids for asthma are not
in the same class as the steroids you hear about
weightlifters (or cyclists) taking to gain muscle
mass. In general the dose one takes with inhaled
steroids is too low to notice systemic ("whole-body")
side effects. If you're worried about this, swish and
gargle some water after puffing and spit it out, this
will reduce the amount of drug you end up swallowing.
I've been taking advair (the same drug, fluticasone,
with salmeterol, a long acting bronchodilator) for
years and have only noticed an improvement in my
cycling. Be sure to continue to carry your albuterol
(ventolin or other brand) inhaler with you though in
case you have a "breakthrough" asthma attack. The
steroid inhaler does not work well in case of an acute
attack.
-Nick
--- "Keith A. Prior" <toka-@ix.netcom.com> wrote:
Hello:
I was an asthmatic from age 5 to age 19. I have not
had any attacks until
just this past summer at age 33. They have
become worse since October of '03. Needless to say
this put a damper on my
cycling and was even difficult to even pick
up my son at times as I would be out of breath.
After suffering form months
and having attacks that lasted for
days I decided to see my doctor. She prescribed a
inhaled corticosteroid
called Flovent. I do 2 puffs in the morning
and 2 at night and since starting on this
medication have not had on e
single attack or sign of bronchial constriction.
And feel 100% better. I have also not noticed any
side effects and am quite
peased with what it is doing even though I
am not crazy about being on medication of any kind.
While I feel that I have found a 'miracle drug' I
wonder what long term
effects it might have particularly as an athlete.
If anyone in OBRA land has had experience with
asthma, Flovent or any other
asthma medication I would love to hear your
stories.
Thank You,
Keith Prior
Team Los Ciclistas
=====
------------------------------------------------
Nicholas Perera
Case Western Reserve University
School of Medicine
http://home.cwru.edu/~nmp8 <http://home.cwru.edu/%7Enmp8>
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