Prescribed Tiomist and Formomide for asthma. Safe to use?
Patient: dear dr., I am asthmatic since brith and now my dr. has sujested to take respicaps of tiomist ( tiotropium powder )and formonide200( formoterol fumarate and budesonide powder for inhaiation ip ) . please inform what are the side effect of the same ,is it safe to use ?, I am suffering from dibetic , asthamtic , heart problem . my email - YYYY@YYYY thanks , Ajay Dhariwal Doctor: Dear Concerned., Thanks for writing to us. Your doctor has rightly prescribed Dear Concerned.,   Thaks for writing to us.   You have mentioned that you are a Diabetic and a Cardiac Patient in addition to being an asthmatic.You have to keep your Diabetic/BP under control in addition to preventing asmatic attacks.   The treatment given by your doctor are absolutely safe as the Respicaps/inhalation products will be acting on the bronchi and respiratory system for minimum required duration thereby preventing systemic side effects(Metabolic Side Effects-Diabetes and Effects on CVS). In addition they will be preventing the dilatation and destruction of Bronchi and Alveoli by preventing Emphysema . Thiomist contains a long acting beta agonist(LABA) with a glucocorticoid).Salmeterol is a brochodilator and budesonide a steroid.They will effectively restore the brochodilatation/reduce secretion due to inflammation in bronchioles and control ROAD(Reversible Obstructive Airways Disease) The IV administration of Medications and Oxygen supplimentation are reserved for emergency situations only.  Pls follow up with your doctor for Pulmonary Function Tests at regular intervals like how you go for Sugar and BP check ups to doctor.In this way you can keep control on Asthma as well. Regular excercises such as long walks also helps. Keep your FBS within 126 mg%.,PPBS within 199 mg% and HbA1C within 07g%. Wishing you a safe and speedy recovery.,  Best Regards.,  Dr Lt Cdr ASN Bhushan.,  Ex-Navy.