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carols
Rookie

USA
13 Posts

Posted - Jan 03 2018 :  2:11:48 PM  Show Profile  Reply with Quote
Hi
I am taking Sprivia and symbicort. My breathing has gotten worse lately and I get thrush real bad with symbicort, so my doctor suggested anoro in place of symbicort. My question is can you use sprivia and anoro together? And has anyone else switched and how is Anoro?

Edited by - carols on Jan 03 2018 2:12:41 PM

muddleaged
Member

USA
54 Posts

Posted - Jan 03 2018 :  8:54:18 PM  Show Profile  Reply with Quote
I was prescribed anoro ellipta to replace spiriva and advair and to be used once a day (advair was twice a day). I stopped after 6 weeks because I was too congested.
Anoro ellipta replaces the salmeterol in Advair and the bronchospasm preventer (tiotropium bromate) in Spiriva. It does not contain the corticosteroid (fluticasone propionate) that is part of Advair. Without the corticosteroid, I became terribly congested so I returned to the old meds. Problem solved (as well as can be expected. . . )

Neither of the drugs you take contain a corticosteroid. Nor does anoro ellipta. I wonder if that would help.

My opinion - always be prepared to experiment with new drugs. It if works, great! But sometimes they are just a way for the industry to get around the generics by recombining old drugs in new ways and giving them a new name and huge price. And new drugs are often not available at reasonable prices at the international pharmacies.

Happy hunting!
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jmrommes
Contributing Member

1842 Posts

Posted - Jan 03 2018 :  9:11:20 PM  Show Profile  Reply with Quote
As Muddle has said, not you can't, or at least shouldn't use Anoro and Spiriva, because Anoro already contains a Spiriva type med. Anoro is both the anticholinergic (Spiriva) and a long acting beta agonist, like the bronchodilator is Symbicort. What you would be missing is the inhaled steroid that's in Symbicort. You could try Adbair in place of Symbicort, but that also contains the steroid. It's the steroid that is giving you thrush. I'd try the Anoro by itself and see what happens. You may need the inhaled steroid, however.

Exercise not only lets me live, it enables me to have a life.
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carols
Rookie

USA
13 Posts

Posted - Jan 04 2018 :  10:00:42 AM  Show Profile  Reply with Quote
Thanks for the replies. (Update) first time using Anoro so no steroid ,when walking to bathroom oxygen drops to 80's With symbicort in morning would just drop to about 88 with activities like walking, would get worse as day went on, that's why anything I was going to do I tried to do in morning. Then as day goes on with symbicort breathing worse have to use oxygen. Never understood why this happens.( I mean why it gets worse as day goes on even with 2nd time with symbicort it didn't get better like in the morning) Also my acid reflex is not good this morning. I don't think I am going to be able to use this Anoro. And yes my doctors office said I could use both Spiriva and Anoro together but I then read the instructions for Anoro and it said should not use together could have bad reaction. So new doctor on the horizon for me and the copd my doctor now is family doctor. I have been to 3 pulmo doctors haven't liked any. Another long story.
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jmrommes
Contributing Member

1842 Posts

Posted - Jan 04 2018 :  4:26:44 PM  Show Profile  Reply with Quote
You definitely need a doc who understands what's in each of the meds you're taking, and you current doc clearly doesn't. I hope you can find a pulmo you can build a good relationship with.

Exercise not only lets me live, it enables me to have a life.
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