I was on Dulera, but the insurance recently denied it and I had to be switched to Advair. I’m seeing terrible reviews and reports of side effects from it. My parents have both been on the diskus, and seemed to do fine on it, but I struggle enough with medicine and it’s scaring me. I don’t want it to do more harm than good. Any advice? Good reports from avid takers?

I thought I'd do a short write up of my tezspire experience for anyone who's really anxious about getting it or wondering what people's experiences have been like.

About me:

Meds: trelogy 200mcg 1x daily. Symbicort and ventolin as rescues. My asthma seems pretty small airway predominant. I've never had elevated IgE or eosinophils and didn't qualify for other biologics. Currently doing allergy immunotherapy for grass, ragweed, mold

Flairs: 3x flairs requiring prednisone last year 1x ED visit

Activities: I'm an avid runner, painter, work from home

Triggers: skin prick testing positive for grass, ragweed, mold. Wildfire smoke, diesel exhaust, general voc's are irritant triggers as well. Cold has been a worse trigger this year

Tezspire:

I noticed a difference 2 weeks after my first injection. It was like the pollen season just went away (though other people reported it was very much still in action). I noticed less symptoms running, had less skin itching after being outside. Prior that I was having a pretty bad time with the pollen.

After my second injection, things continued to improve. My lungs felt even better on runs, I even went up to high altitude, did a ton of activity outside on a camping trip, coexisted with a propane stove (unvented) and wood burning stove with minimal issue for a weekend in a cabin. This trip would have been a nightmare for me in the past, I probably wouldn't have been able to sleep, would have been coughing etc. I wasn't coughing any more than anyone else lol. So huge win. And was able to run/hike/scramble with no problems.

A lot of my allergy related random symptoms have also improved: itchy throat, losing my voice during pollen season, rhinitis, skin itching (I have bad skin itching with allergens, smoke and even gas). I'm generally sleeping better and feel way less foggy as well.

Even my stomach problems (chronic diarrhea) seem improved? Though it's still randomly flaring so not 100% on the correlation there. But I've had normal poops during this period, which has never happened that I can remember.

No side effects that I've noticed. My joints were maybe a bit sore the first 2-3 days after my first injection, but it resolved and hard to say if it was the med or my general activities. One of my injections was pretty painful, otherwise it's been a manageable amount of pain.

Sadly doesn't seem to be giving me much smoke immunity (yet), but I have noticed better tolerance around my other irritant triggers.

Thanks for reading if you got that far, hope that helps anyone who is feeling nervous about starting. It doesn't seem to work for everyone but really grateful it's helping me!

Anyone else having really bad asthma flair ups? I live in the midwest, normally I don’t feel like it’s this bad in the summer but man am I having a hard time. I wake up in the middle of the night wheezing, inhalers don’t work (or if they do, it’s for a very short time). It doesn’t help that I’m allergic to just about every type of grass, pollen, etc. you can think of. I have an advair inhaler, i absolutely hate the powder and the feeling of breathing that in, but i might have to resort back to that.

Can’t see my pulm for a couple months, any one have any ideas to help these flairs in the meantime? 😪

Before the pandemic I got at least 4-5, maybe even 6 colds a year and was on antibiotics several times or more for bronchitis and/or sinusitis. Basically my lungs are very sensitive to respiratory events. As I moved into my 50s my condition worsened.

Enter the pandemic and universal masking. For me this was a game changer. It wasn’t so much about social distancing but wearing a mask with a good seal in public indoor places and even outside if in close quarters. In my house everyone followed similar protocol. During the pandemic I never caught anything, covid or otherwise so for my lungs and my asthma this was absolutely incredible, but at the same time socially isolating as our social experiences as a culture are firmly situated in being able to see each others faces and be able to communally eat and drink. So that part sucked, not gonna lie.

Five weeks ago my mother tragically passed. None of us expected this. When I was at her viewing and funeral and when spending time with family members and their children I made the judgement call not to mask, and a month ago today was the start of the first respiratory event since before the pandemic. It started with sore tonsils then quickly progressed to body aches and pains and stuffy/runny nose. My asthma medicine (symbacort) was no longer effective (I was on a two puff two times a day schedule at the 200 strength). What followed was weeks of struggling to breath as well as a course of azithromycin when it looked like my condition had turned bacterial. This moderately helped but I struggled mightily to clear my lungs, even using cough and congestion syrup which helped moderately.

It has been a long haul—but today, one month later, I’m happy to say that I am back at my baseline. I actually have cut back on my symbacort to 1 puff two times a day. I al walking several miles a day again (except when it is smoky out—we have been somewhat impacted by Ontario’s wildfires through fortunately for us not as bad as the states across from Ontario).

It is a relief, but also a warning for me that my lungs can’t handle “normal”, meaning not masking. I have to say that it was really nice to be in a group and not constricted by mask, but I realize from this experience that masking will probably be my normal from here on out.

Is there any here whose asthma requires masking and cold-avoidance to keep it under control?

PS I tested for Covid 5 consecutive days from the onset and each time tested negative)

On month 3 and not sure how I will be able to return to work/life...

Did you get better? How is your new baseline and how long did it take?

I have to take it tomorrow and I really need to pass, but I lost my fucking inhaler a week ago.

I should mention that I live in a warm climate and my only triggers are irritants and cold weather, so I have haven’t had to medicate regularly for nearly a decade, other than a few rescue puffs in the winter.

I have been at my job for two years. Recently we hired someone I work with closely (face to face). Also I like this person and we’re kind of buddies, so he tries to talk to me often (which is only an issue because of the following).

He just takes incessant smoke breaks. I don’t count, but it’s A LOT. He does it outside, but he reeks. He tried some spray to lessen the scent, but it still feels like there’s fumes coming off his shirt. I know I should get on a daily inhaler, but I really don’t miss the jitteriness of being on one of those. I also feel like I’m being forced to take a medicine that I rarely need. One of my favorite things about living somewhere warm is the fact that my asthma is almost always under control and not something I need to often consider.

I’m mostly venting. But also we don’t exactly have an HR. I think I’m going to ask him to wait ten minutes between smoke breaks and having a face to face conversation with me. He’s a sweet guy but he also takes things personally. Anyone who’s been in similar situations and has advice- I’d welcome that.

Hey guys. I’m very new to Albuterol. Literally got my inhaler yesterday after a visit to the doctor for a cough I’ve had for 3 months after having a cold. Doctor said I may have asthma. But I have used the inhaler as directed for 24 hours now and have not had ANY sort of relief.

My question is if it’s supposed to work right away? Or do I need to give it more time? I’ll probably call the doctor anyways but didn’t want to seem crazy for not trying it longer than 24 hours. Tbh I’m not even convinced I have asthma. My follow up appointment isn’t until Aug 28th because they couldn’t fit me in any sooner. I don’t know if I should just stick it out and deal with this cough for ANOTHER month, or if I should just go to urgent care. This cough has been so inconvenient and has caused me to vomit every morning (I always wake up with a sensitive gag reflex and the cough triggers it). So I’m just over it 😓

Any personal experience with this sort of situation? Don’t worry guys, I’m still going to consult a medical professional. Just wanted to come here and see what other asthmatic folks have experienced. Thank you 🙏🏽

Hi All,

I have been struggling with my asthma the past 5 years. It eventually led to a really bad cold that got me hospitalized for 14 days. As part of the not being able to breathe I also had these inexplicable nose bleeds and eye infection.

After discharge I was having really bad flares every 3 months. I was put on multiple meds and did rounds of Steroids until my doctor put me on Tezpire. Once I was on Tezpire my asthma was more managed. Now I only have flares when a cold leads to the flare with no nosebleeds.

However last week I got a bad flare from the air quality in the Midwest. My nose started to bleed again. It tapers off after a day or two but once again my doctor does not know what to make of it. Has anyone else had a similar experience with nose bleeds an asthma flare? It happens every time it’s just an asthma flare and I really do not know if it should be concerning. All the work ups they have done do not seem to show any causes I have seen 3 ENTs.

Disclaimer: I’m know Reddit advice is not medical advice but I could use some peer to peer counseling.

Thank you!

This happens even when its controlled and I dont have my usual asthma symptoms.

I get in the shower and even in a cold shower I bring up a lot snot and phlegm. A bit TMI but im spitting it out and blowing it out of my nose.

When im out the shower and dried off its gone.

So i have asthma and sleep apnea. I noticed cpap use during the day tends to reduce my asthma attack rate. Today had a really bad attack. Inhaler didnt work. Grabbed the cpap and shoved it against my face. Used it for 5 minutes. Asthma attack stopped.

Has anyone else had a similar experience? I plan to go to the doctor and talk about it but it was baffling to me and made me wondering if anyone else experienced something similar.

Thankfully I’m vaccinated so I’m hoping this won’t be as extreme as when I got covid the first time. I have a low grade fever and I’m staying hydrated. Can’t call my pulmonologist’s nurse triage line until tomorrow when they open. So far just body aches and congestion. Should I be prophylactically using my rescue x amount of times during this? Any tips?

23 F and just experienced an asthma flare that gradually worsened over three weeks to the point of going to the ER just a few days ago. Suspected it’s due to the heat wave and smoke even though I’ve not spent much time outdoors. Taking prednisone for two more days, trelegy 200, and a rescue inhaler as needed until symptoms improve. What does the average recovery timeline look like? Tips for making it smoother and comfortable? I’m a dancer and lift weights, and it’s just heartbreaking to sit here and do nothing with no idea how long this tightness and pressure will last.

For me? being tired and fatigued seem to be some of my asthma signs. I’ll get irresistibly sleepy if the CO2 is moderately elevated. I have difficulty waking due to the wet closures of my throat and sinuses, and shallow breathing.

a couple years ago during wildfires, I had difficult being roused and was incoherent for 10 minutes

but I maybe focused too much on the tired aspect. My doctor was like “that doesn’t sound like asthma. Go to the ER if it happens again”

yet I have chronic fatigue syndrome, so like… it seems logical to me that I would have a fatigue flare with an asthma flare.

he’s still signing off on my medical leave. so I got what I wanted - I was kind of hoping to have prednisone on hand just In case, since the air Quality is scary.

My spouse is regularly woken by asthma, but validates my symptomology

Hiii,

I'm on day 3 of flare, after stupidly going ice skating for 1.5hours and staying there on day 1. I didn't have a spacer. But I did use my puffer many times (knowing I wasn't going to get as much in without the spacer). I thought it would get better once I left, but the 1 hours drive home it just got worse. I pulled into the chemist and got a spacer, did 4 puffs and couldn't catch my breath so walked into the GP clinic.

The rescue ended up working. I was monitored but sent home with atrovent. Dr refused Pred because of my bipolar. He told me not use any more Ventolin until the next morning because he was worried I'd over done it. That night was HARD. I called 13health who wanted an ambulance but I cancelled it, because the atrovent kicked in after an hour. However I had a prolonged expiratory phase and LOUD audible crackle from 9pm-8.30am.

Day 2

In the AM I was TIGHT and couldn't wait for my GP appointment so my mum took me to the hospital after I had Ventolin and Seretide, I got there at 8.30, an hour after my Ventolin.

While I was talking to the nurse at triage I coughed and cleared what i presume was a plug because my crackle resolved and it became a lot easier to breathe.

I left and attended my GP appt instead and asked for steroids and a clearer plan with Ventolin and atrovent.

He tried to make it about my anxiety and bipolar and I got really angry and nearly walked out. Because I had meds I was clear in the chest and able to speak sentences. He also tried to prescribe antibiotics despite me not being sick. I felt like he didn't believe me.

And the he said he didn't want to do steroids because he was worried about what my psych would think?? And I was like AIRWAY TRUMPS BRAINS. Even though he was worried about Ventolin toxicity he tried to make me have a burst at the practice which I didn't feel I needed, so I just had an atrovent "burst" of 6 puffs with him.

Anyway after arguing I got the prednisolone (50mg D1, 25mg for 4 days). He really wanted to just do 25 because I had no "wheeze" but he ignored me when I said I have atypical asthma and it's based off my WOB, sob and tightness.

I and was finally able to get some sleep yesterday after the atrovent and 50mg dose of Pred, during the day because I could finally lie flat. When I woke up I was crackly again and SOB and had stretched too far with the inhalers.

However since yesterday evening, all night and all morning I have been upright. Unable to bend forward, or lie down. Because it makes me really short of breath. I can't walk to the bathroom or kitchen without increasing SOB. I just have to sit still and upright.

I can't breathe deeply so my resps are shallow and fast 24-30. But I'm also not as bad as I was yesterday morning when I went to emergency. I feel like if someone listened to my chest they would say it's clear. But I feel it is tight!

I'm taking the pred daily (which hasn't given the relief of hoped for today) I am taking Seretide morning and night and he also wants me to use as rescue, and if it's not enough I'm using atrovent and then Ventolin as break through. This am I have needed all of it.

I don't want to go back to that dr. I have an appt with my reg gp on Friday.

I feel stupid going to hospital because I don't feel compromised enough yet. I feel like I'm doing everything they would be doing at the hospital anyway.

I haven't had a flare like this before which was just caused by cold air exposure. In 2021 my last flare this bad was from thunderstorm asthma and resp illness and I spent 24hrs in Ed.

Idk am I being dramatic?

Breathing - short shallow, because if I breathe deep it's too tight and I cough.

All my ribs and ab muscles hurt from coughing and it's hard work.

I have to be upright. I'm living on the couch. Very slight tracheal tug, but I'm over weight hard to see WOB but I feel it.

My first real meal was last night. I had 1/4 toast and 1/4 sausage this AM.

No signs of cyanosis and my hr is 70-100.

I feel like if I go to ED they're just gonna be like, why are you here?

Any advice or perspective would be helpful.

So my asthma is mild persistent per my doctor, and he told me to stop my daily controller for a month before the appointment for some reason.

Yesterday, I maxed everything out. Ran at my max, benched at my max, curled at my max, no rest or warm up (I'm kind of reckless in the gym, my personal philosophy is that the ER can probably fix whatever I fuck up by being a moron). What's more, I work in the ER and hope to be a physician in the ER in a few years, so I can probably embarrass my friends a little by showing up there tehe

Jokes aside, after the treadmill and stairmaster, I felt totally fine. However, on the drive home, I started having the more usual asthma symptoms (cough, wheeze I can hear without my stethoscope, chest feels funny, etc.).

My chest sort of.. tickles? It's hard to tell if it's just tightness or if it's tickly as well. I took my inhaler at home and almost immediately, the wheezing was gone. The cough lasted for 5 minutes and then it was gone too.

I want to be able to wear perfume BUT lately even if someone with strong fragrance walks by me my lungs are like “um no”

Desde que me compre Symbicort para mi asma lo he estado tomando como se me había recetado 2 puff cada 12 horas (la verdad me ha ido muy bien) no siento molestias ni me ha dado dificultades para respirar. Aunque lo mío apareció como un resfriado o gripe que empeoró hasta llegar a cansarme de caminar unos cuantos pasos de un cuarto a otro.

No sé si me siento algo ignorante al respecto, en ese entonces antes del diagnóstico pase 3 días así de cansado por respirar y no podía dormir, comer, etc ¿Eso es el ataque de asma? Siento que no lo he experimentado como tal al momento de hacer un esfuerzo físico. Quizás me falte averiguar que desencadena de verdad mi asma (me dijeron que era moderada) pero por el momento lo seguro es que empiezan con gripes.

Por cierto, que caro es tener asma.

I’ve always yawned more than literally anyone I know, to a point where it interrupts a sentence several times when it’s bad. I’ve started to correlate the yawning with how my lungs feel, and when the yawning gets very frequent, I end up having an asthma attack soon after. Is this a thing for anyone else?

Wildfire smoke sucks, but downybutt is worse because secondhand scent is every day.

Has anyone found that Exdensur for asthma also helps at all with allergies?

I used to be on Xolair and which helped my allergies, asthma, and eczema. Then due to worsening allergies and asthma symptoms I was put on Tezspire (with the thought that after 6+ years of Xolair it had lost efficacy). I feel like my asthma did better on that but have still had some random allergy attacks (like severe face swelling, etc) a few times.

Due to the costs of Tezspire (exhausted all company help and with insurance, would still cost me $2,000/month) my doctor wants me to try Exdensur and see if I get better coverage for it since it’s newer and would be insured more as medical vs pharmaceutical.

Having another severe reaction now (bad facial swelling, some redness, irritation, pain) and am hoping that the Exdensur still helps with some allergy coverage even though it’s not prescribed for that because I can’t keep having these reactions.

Anyone feel like it’s a dual allergy and asthma benefit kinda like Xolair?

I’ll eventually ask my allergist about this more but just dealing with a lot right now and don’t have time for another appointment at the moment.