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Asthma, Advair and Pregnancy
I have just become pregnant and have been using Advair for the last
year. Since the last posting to this the kids.pregnancy and support.asthma groups in December 2003, has anyone else gained first-hand experience or solid information regarding the use of Advair either before or during pregnancy? |
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Asthma, Advair and Pregnancy
"Colleen" wrote in message om... I have just become pregnant and have been using Advair for the last year. Since the last posting to this the kids.pregnancy and support.asthma groups in December 2003, has anyone else gained first-hand experience or solid information regarding the use of Advair either before or during pregnancy? My asthma doc said no... use flovent and albuterol instead because the long-acting seravent has a longer half-life. Then again, I've found my inhaler use drops radically when I up my magnesium and vitamin C--I went from needing advair *and* albuterol *and* singulair *and* zyrtec to just singulair and zyrtec. Singulair was not one she was comfortable with, but it's category B vs. the cat C for the inhalers. Magnesium (citrate, 300 mg once a day or 200 mg twice a day when it's bad out) has made an incredible difference in how well controlled my asthma is. |
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Asthma, Advair and Pregnancy
Jenrose wrote:
"Colleen" wrote in message om... I have just become pregnant and have been using Advair for the last year. Since the last posting to this the kids.pregnancy and support.asthma groups in December 2003, has anyone else gained first-hand experience or solid information regarding the use of Advair either before or during pregnancy? My asthma doc said no... use flovent and albuterol instead because the long-acting seravent has a longer half-life. Hemmm, I took Serevent through three pregnancies and no one ever said boo to me about it. Since albuterol has such a long history of use in pregnancy without any noticeable increase in teratogenic effects, and since Serevent is just a long-acting form of albuterol, I don't think it's worth avoiding Advair to avoid the Serevent component if you get better control with Advair than you can get with other drugs. Of course, if you can get good control with other drugs, no problem, but I personally don't think the risk of Serevent is *near* high enough to justify taking a chance. The fetus is at *far* greater risk of negative side effects if asthma spirals out of control and the mother can't breathe than from Serevent. -- Be well, Barbara Mom to Sin (Vernon, 2), Misery (Aurora, 4), and the Rising Son (Julian, 6) Aurora (in the bathroom with her dad)--"It looks like an elephant, Daddy." Me (later)--"You should feel flattered." All opinions expressed in this post are well-reasoned and insightful. Needless to say, they are not those of my Internet Service Provider, its other subscribers or lackeys. Anyone who says otherwise is itchin' for a fight. -- with apologies to Michael Feldman |
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Asthma, Advair and Pregnancy
I took advair and albuteral during my pregnancy last year and I have a
healthy 10 month old. Unfortunatly though she does have asthma as well and has to have the occasional liquid dose of albuteral. but other then that she is very healthy. Jennifer Ariana 8/17/03 "Colleen" wrote in message om... I have just become pregnant and have been using Advair for the last year. Since the last posting to this the kids.pregnancy and support.asthma groups in December 2003, has anyone else gained first-hand experience or solid information regarding the use of Advair either before or during pregnancy? |
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Asthma, Advair and Pregnancy
I took flixotide (flovent) and serevent, prednison, ventolin and atrovent
through out both of my pregnancies and both kids are just fine. It is very important to keep your asthma under control throughout the pregnancy and I was advised not to stop or reduced any of my medication. Hope it helps. Renae "Colleen" wrote in message om... I have just become pregnant and have been using Advair for the last year. Since the last posting to this the kids.pregnancy and support.asthma groups in December 2003, has anyone else gained first-hand experience or solid information regarding the use of Advair either before or during pregnancy? --- Outgoing mail is certified Virus Free. Checked by AVG anti-virus system (http://www.grisoft.com). Version: 6.0.688 / Virus Database: 449 - Release Date: 18/05/2004 |
#6
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Asthma, Advair and Pregnancy
Advair is a combination of fluticasone and salmeterol, and is rated
Pregnancy Category C. The safest steroid inhaler is Pulmicort [budesonide], which has now had its safety rating raised to Category B. See: http://www.pulmicortinfo.com/safety/index.asp "Pulmicort Turbuhaler is the ONLY inhaled corticosteroid with a pregnancy Category B rating" If you switch to Pulmicort, you may also need to add a bronchodilator to replace the Serevent [long acting bronchodilator]. Ellis Colleen wrote: I have just become pregnant and have been using Advair for the last year. Since the last posting to this the kids.pregnancy and support.asthma groups in December 2003, has anyone else gained first-hand experience or solid information regarding the use of Advair either before or during pregnancy? |
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Asthma, Advair and Pregnancy
Colleen wrote:
I have just become pregnant and have been using Advair for the last year. Since the last posting to this the kids.pregnancy and support.asthma groups in December 2003, has anyone else gained first-hand experience or solid information regarding the use of Advair either before or during pregnancy? I went off it and have been feeling great. Some women experience an improvement in their symptoms during pregnancy, and I'm possibly one of them. I then found out that my doc would have preferred me going off of it anyway, which kind of surprised me. Personal experience: although the package inserts say that there is no data to support increased infection (at least they used to say that) while on this product, that's bogus. It's a steroid, therefore we know that it increases the risk of infection. Anyway, while I was on it, I had the worst cases of pneumonia of my life. I got so tired of being that incredibly ill on a regular basis (it happened every single frigging year that I was on it) that I decided to take my chances with possibly developing emphysema later in life. ;-) I just keep a bronchodilator on hand, now. My asthma is not very bad, though. |
#8
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Asthma, Advair and Pregnancy
Colleen wrote:
I have just become pregnant and have been using Advair for the last year. Since the last posting to this the kids.pregnancy and support.asthma groups in December 2003, has anyone else gained first-hand experience or solid information regarding the use of Advair either before or during pregnancy? There is not much data to support a decision. There have been several small studies specifically looking at salmeterol in pregnancy and no evidence of birth defects has been noted. There also has been no concerns raised by routine surveilance of women taking the drug while pregnant. There is absolutely no data in breast feeding. Because of this many experts recommend against breastfeeding while using it. However, when you consider that albuterol is considered safe to give in oral form to infants (read: high serum concentrations) and that the serum concentrations of salmeterol in patients using it are extremly low (hence probably also low in breast milk - but known for certain) it is hard to imagine that significant harm is likely. The common advice for inhaled steroids is to stay on them for both pregnancy and breast feeding. Of course, if the dose of medications can be lowered it should be, pregnant/breastfeeding or not. So in the end one would have to weigh the proven benefits of breast feeding to the baby and the presumed benefit of salmeterol to the mother (if you do not presume she needs it then she should stop it) against the unlikely but unknown risk of the salmeterol to the baby. It is completely a judgment call. -- CBI, MD |
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