HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

Remedy For Chest Tightness, Squeezing Despite Taking Flovent For Asthma?

Posted on Thu, 6 Mar 2014

Question: I have asthma and take Flovent twice a day and albuterol inhaler for emergencies. I don't know what a bad enough attack is to need to go to the ER. I have had tightness in the middle of my chest as if someone is grasping my throat and squeezing. This has been going on for several days. It makes me feel as if I'm tired of breathing. What do think I should do? My BP is 139/82 which is high for me as it is much higher than normal.

Answered by Dr. Rakesh Madhyastha (51 minutes later)

Brief Answer: Need more info Detailed Answer: Hello Thanks for the query I understand that you are an asthmatic and on right medications to prevent a attack but in order to help you better I need a little more information 1. Does it happen only during the night or even during the day? 2. Does it come down after albuterol? 3. Please type out all the medications you are on currently 4. Are you stressed lately? Are you having reduced sleep? 5. For how long have you been suffering from asthma Please get back to me, I am awaiting your reply Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Rakesh Madhyastha (9 minutes later)

It's all day but worse at night. Albuterol hasn't helped. Meds: vytorin, inderal, lamictal, cymbalta, geodon, trazadone, multivitamin. No stress. Difficult to sleep through the night (tightness usually wakes me up). Diagnosed with asthma March 2013.

Answered by Dr. Rakesh Madhyastha (15 minutes later)

Brief Answer: Inderal contraindicated Detailed Answer: Hello Thanks for the query Tab Inderal is propranolol and it is contraindicated in asthma patients. I advice you to approach your treating doctor to put you on a safer medication like amlodipine. However since the problem is present through out the day and it is not reducing with albuterol I dont think it is asthma alone, I strongly advice you to get a cardiac evaluation done in the form of EKG and ECHO. Please do not delay this matter Here are my further suggestions to you. 1. Do not engage in exercises or strenuous activities until you approach your doctor 2. Keep yourself warm 3. Avoid cold beverages and food 4. Continue taking all your medications 5. Red flags to approach the ER would be, severe chest pain with sweating, giddiness, and laboured breathing I hope I was of help, if you have any further queries please get back to me Regards

Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar