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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Breathlessness When Suffering From COPD

I have COPD for the last 8years . I am 61 now .I was taking seroflo 2 puff BD and Duolin 1 puff OD. Recently my doctor prescribed only Duolin 1 puff BD and asthalin as required. Earlier I was comfortable but now I feel breathlessness in the afternoon and early morning .what shall i do/

Tue, 12 Aug 2014
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Pulmonologist,  's  Response
In my opinion your drugs and dosage needs modification. Seroflo is having salmeterol and fluticasone. Salmeterol is long acting. Its action last for 10-12 hrs. Same with fluticasone. So serflo should be taken bd. And duolin is levosalbutamol and ipratropium. Both are short acting and action lasts for only 4-6 hrs. In my practice I prefer seroflo bd with tiotropium (very long acting, action last for 24 hrs) od and levolin on sos basis. And I always prefer MDI with spacer over simple MDI and DPI. Few more things that will help in your COPD.
1 avoid smoking if you are smoker.
2 get done adult vaccination like H. Influenza and Pneumococcal.
3 start pulmonary rehabitation in the form of chest physiotherspy, yoga etc.
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Suggest Treatment For Breathlessness When Suffering From COPD

In my opinion your drugs and dosage needs modification. Seroflo is having salmeterol and fluticasone. Salmeterol is long acting. Its action last for 10-12 hrs. Same with fluticasone. So serflo should be taken bd. And duolin is levosalbutamol and ipratropium. Both are short acting and action lasts for only 4-6 hrs. In my practice I prefer seroflo bd with tiotropium (very long acting, action last for 24 hrs) od and levolin on sos basis. And I always prefer MDI with spacer over simple MDI and DPI. Few more things that will help in your COPD. 1 avoid smoking if you are smoker. 2 get done adult vaccination like H. Influenza and Pneumococcal. 3 start pulmonary rehabitation in the form of chest physiotherspy, yoga etc.