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Wednesday, July 15, 2009 lugerman asks

Q: Intal vs Advair for Asthma

I have problems with asthma (wheezing sometimes) and respiratory allergies.  Age 62M. I heard that Advair is a "ramp up" medication for sicker people and has more side effects and causes weight gain. Is Intal less problematic and am I better off with it if it helps or will I create more long term problems by not using Advair right away? Thanks

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Answers (3)
Rick Frea, Health Pro
7/15/09 3:50pm

You are wise to ask this question.  Intal was a popular controller med for asthma in the past, (in fact I was on it in the 1980s) but it is less commonly used today due to much better medicines.  It is a anti-inflammatory medicine, but I rarely ever see it used anymore, especially with adults.

 

The most common asthma controller medicines used today for asthma are inhaled corticosteroids such as Flovent (a ramp up from Intal). Flovent is much more effective for treating inflammation than Intal (at least most asthma experts conclude this). 

 

If you continue to have trouble with your asthma despite inhaled corticosteroid use alone, your doctor might prescribe Advair (or Symbicort). Advair (a ramp up from Flovent) is a combination drug with both Flovent and a long acting bronchodilator called Serevent in it.  Advair has been very effective in controlling asthma for many asthmatics, including myself.

 

There used to be a fear that inhaled corticosteroids had the same side effects as oral corticosteroids (prednisone), but many studies have been done to prove this is not true.  If you take your Flovent or Advair properly, and you rinse really well after each use, side effects from these meds should be rare. 

 

In my opinion, if Intal is working for you great.  Your doctor may have been wise to have you try it before resorting to inhaled corticosteroids. 

 

If, as you describe, Intal is not working, you might want to talk with your doctor about other options, such as the Advair you mention.  Either way, it's always a good idea to keep in touch with you physician as I'm sure you are doing. 

 

Good luck getting your asthma under control. 

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9/24/09 3:58pm

they are discontinuing intal . advair even if you rinse your mouth out still can cause problems.I was getting thrush-an oral yeast infection all the time and even taking meds for the yeast infection it still came back and yes it does cause weight gain along with other side effects. I was recently switched from advair to symbicort and so far so good for me at least I would say go to an allergy/asthma specialist to see what exactly you are allergic to(if you have no idea) so they can properly treat your allergies and then they can go from there a simple thing as an allergy shot may help the asthma situation but be sure to see a specialist if possible that deals with these things hand in hand (asthma and allergies) and maybe they can find you an alternative to helping you breath better.

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10/ 9/09 12:00am

While there are many assurances that the corticosteroids are the medications of choice, I can only go from my experience - which is that after years of use, I found my immune system was not working well - translation - I caught every little thing going around.  I would use steroids if I had no other choice, but only then. 

 

To replace Intal, I am going to get the substance in Intal (chromolyn sodium) in ampules & use it with a nebulizer.  It will not be fast or convenient, but I can't find another, better alternative.  I called a pharmacy in Canada was told their only suggestion was a steroid medicine...

 

Donna

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By lugerman— Last Modified: 12/20/10, First Published: 07/15/09