I have mixed feelings about Advair. Quick history-at 30 I was dx ...

I have mixed feelings about Advair. Quick history-at 30 I was dx with Asthma, at 32-COPD. I went on Advair after the COPD dx. Primarily-it certainly helped my breathing-gloriously. I have since gone on and off Advair periodically. Before last year (Pneumonia)-I had not been on the Advair for more than four months. BUT the Pneumonia combined with the COPD reduced my lung capacity by 25%. I allowed my Dr. to prescribe it indefinitely. However within a year I had gained thirty pounds. I started reading more, and found out that the AMA recommends only a six month duration of Advair therapy. My asthma symptoms had worsened over the last three months of that therapy. My untrained hypothesis is that if you exceed the recommended six month treatment-you will suffer the above outlined side affects. I simply quit it. Granted, my asthma symptoms increased for about three weeks-so I kept my handy little inhaler nearby, and gave myself one month to see if the asthma symptoms would decrease. They did. The long term-I have now been off of the Advair for nine months, and I rarely use my inhaler (knock on wood). The long term benefits of the extended Advair use has been a decreased problem with SOB- yes upon exertion(that is one of the symptoms of COPD), it is still present, but I can usually ride that out with patience, and rest. In conclusion-I would not hesitate to go back on the Advair upon my next COPD exacerbation, but I will absolutely stay within the six month suggested period. And, this time I will eat a lot of lo cal foods. Smile. It is always nice when people with chronic illness can smile over their disease. This has been my experience over the last five years that I have been introduced to Advair. One more suggestion-see if you can get your doctor to try you on the 250/50 before jumping right on the 500. The 500 is noted to have the side affect of increased SOB, and Asthma attacks-more often than the 250. One more note-although your doctor might forget to mention this-Advair is a steroid- and, steroids are known to cause weight gain. What can be done to reduce this affect-I do not know-Prednisone will do it too,now a combination of the two-which I have, of course, utilized a half dozen times or so in the last five years of my dx- is almost a guaranteed weight gain. If you manage to find out how to avoid that particular side affect-please let me know, and suggesting a vigorous work out to a patient with COPD in a bit insensitive, but if you have any other plausible ideas-I am anxious to hear them.