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I am a part-time professional singer and attorney. I developed an...

Posted at 6: 7 PM on May 03, 2009 by jgoldsbo, #41154
I am a part-time professional singer and attorney. I developed an odd cough-variant asthma this winter at age 42 -- it had scary breath shortness and wheezing plus lots of phlegm coughed up. I had never before had the shortness/wheezing/asthma, though I have always had allergies and occasional bronchitis following a cold. The asthma/allergy specialists put me on Advair 500 twice a day with each attack, plus an oral prednisone burst/short taper, nebulized (not just rescue inhaler) albuterol (beta 2 agonist), and antibiotics (a different one each time). I also take Claritin, Rhinocort and Astelin for my allergies. I had four attacks of asthma this winter that were treated this way; after the fourth, they put me on Advair 250 maintenance for a month. With each attack, I would get hoarse, have trouble sleeping, and get odd muscle cramps I never had had. The hoarseness was worse each time, but I was able to sing through it at my regular gigs. I attributed the side effects to the prednisone. With my fifth attack, they told me to ramp up the Advair to 500 and do all else the same, but as an experiment to see how this would alter those side effects, I decided to treat it with everything but the prednisone. The hoarseness, sleep trouble, and muscle cramps were all much worse. I found this site, noted the recommendation of several other singers to try Asmanex instead of Advair, and asked the docs about it. They agreed that all these symptoms could be related to the Advair and gave me Asmanex 250 twice/day instead instead of the Advair, plus all the other meds for the attack. The symptoms went away within a week, although it took a little longer for me to get over the asthma attack this time. I am extremely grateful to this site and all the users posting comments. I can sing again, sleep again, and exist without weird muscle cramps during treatment of my asthma. Thank you very much.
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Reply 6 months ago on May 03, 2009 by propsguy, #19465

i was on advair, the lowest dose and i only took it once a day, but it did make my throat hoarse. you are on too mcuh stuff. see a natrupath to get this licked without drugs. i stepped down from advair once a day to the lowest dose of flovent one puff every other day and now i'm on nothing. try omega 3 oils to reduce inflammation

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Reply 6 months ago on May 21, 2009 by mezzogirl, #20004

I am an opera singer with asthma (seems crazy - but it's true). I have been on Advair for 2 years and the first year was fine. The second year I got thrush and now I have lost the top 1 1/2 octave of my voice. I'm canceling gigs left and right. I'm meeting with my allergist tomorrow and I am beside myself. If I can't sing, I don't know what I'm going to do.

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Reply 6 months ago on May 21, 2009 by jgoldsbo, #20005

I am the original poster. Mezzo, I really strongly recommend the Asmanex. It enabled me to get off of almost everything. My asthma is much better now, and my range is back, too -- plus no hoarseness at all. Only using Claritin and Rhinocort now, with occasional Clarinex or Zyrtec (antihist). No more hidden cough drops in the cheek during covered passages for me! Please see if getting off the Advair helps you. Good luck.

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Reply 6 months ago on May 21, 2009 by jgoldsbo, #20006

P.S. The Asmanex also enabled me to titrate myself off of it pretty well after a few weeks -- from 2 puffs 2ce a day, to 1 puff 2ce, then 1 puff 1ce, then 1 every other, then nothing. Never been able to do that with Advair.

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Reply 5 months ago on Jun 03, 2009 by ccchapy, #20344

Praise God I found these postings!! I thought I was going crazy with the same symptoms of hoarseness in my voice. I asked my doctor a time or two and he seemed to think I might be coming down with a cold or something else. I will indeed call tomorrow to find out if I can switch to Asmanex. I hope I will be able to sing again as well.

by ccchapy

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