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PuTTY riot posted:its the diskus or w/e... the dry powder one where u cock it and then deep inhale. not aerosolized. oh yeah our 250s are 50 each. Jonny 290 posted:I know. mrs is on it. curious. which one? in all seriousness though, if people need the combined inhaler thats good, but I think a lot of doctors try it too early. its a steroid plus a LABAs and LABAs arent particularly good for a person. i mean yeah breathing is more important still and so if u need it u need it but people should be taking the max dose of inhaled steroid and only adding as little LABA as necessary, or if they were only using they blue (albuterol) once or twice daily while on steroid it would be better than putting a LABA into your lungs all the time.
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Feb 6, 2015 21:33
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new LABA being trialled which is ONCE daily not TWICE daily coming soon so expect to pay even more for your drugs at a pharmacy near you
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Feb 6, 2015 21:34
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I really don't get the whole practice of prescribing a daily dose drug for non-chronic symptoms except $$$
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Feb 6, 2015 21:36
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see my opinion re: PPIs
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Feb 6, 2015 21:36
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echinopsis posted:oh yeah our 250s are 50 each. my GP told me to keep taking it if i use my albuterol at all iirc. i am bad about remembering to take it...as u can see i didn't get it filled every month
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Feb 6, 2015 21:37
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now that i quit smoking cigs i really only hit the albuterol when im sick or after a particularly big  sesh
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Feb 6, 2015 21:38
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"I had some heartburn the other day" "ok take 10mg of Prilosec™ every day for the rest of your life"
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Feb 6, 2015 21:38
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PuTTY riot posted:a particularly big don't you have an infant child
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Feb 6, 2015 21:39
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As a Millennial I posted:don't you have an infant child u know they go to bed at like 8:30 and sleep for 12 hours, right?
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Feb 6, 2015 21:40
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Silver Alicorn posted:I really don't get the whole practice of prescribing a daily dose drug for non-chronic symptoms except $$$ most people who have ashtma have it chronically the thing about asthma is that the inflammation itself damages the lungs. using albuterol or whatever when u have an attack opens up your airways but it does nothing to reduce the inflammation. over time the lungs will be more and more scar tissue with less flexibility and albuterol inhalers will be more and more necessary steroids actually reduce this inflammation, and hence slow/stop the disease progression. people who use their blue inhaler more than once or twice a week should be on an steroid EVERY SINGLE DAY to try to maintain lung functionality for as long as they possible can i have a dude who gets 6 x ventolins and he comes in usually less than 20 days since his last lot (i know this because compy always throws up warning if <20 days) HE needs to fuckin a) quit smoking and b) use steroids fuckin load, but he's never interested in his steroid repeats. moron. he'll have little lung function left in his old age did i metipon hes like 25?
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Feb 6, 2015 21:44
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PuTTY riot posted:my GP told me to keep taking it if i use my albuterol at all iirc. i am bad about remembering to take it...as u can see i didn't get it filled every month if u find u need to use albuteroil more than once or twice a week, get a fluticasone inhaler and use that first. just my OPINION
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Feb 6, 2015 21:46
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echinopsis posted:if u find u need to use albuteroil more than once or twice a week, get a fluticasone inhaler and use that first. just my OPINION hmm ty ill talk to the doc next time i go. im more a once a month inhaler user now. this is the time of year i get sick also, curious how i feel in the summer after ~6 months of no smoking
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Feb 6, 2015 21:52
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generally best practice is to move down a list increasing dose and adding new agents, but people dont like this because its not the fastest route to reducing all symptoms (and not only pt driven sometimes drs are like this too). u should be trialling steroid only preventors before adding that LABA, because it woulkd be substantially better for you if steroids alone were sufficient.
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Feb 6, 2015 22:00
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cheaper too, huh?
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Feb 6, 2015 22:02
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when i was a kid i fda tested a powdered inhaler it was either advair or flovent. it worked well. peak flows are cool i honestly wish i kept a log when i quit smoking
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Feb 6, 2015 22:03
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PuTTY riot posted:u know they go to bed at like 8:30 and sleep for 12 hours, right? you are under arrest. I am calling Obama right now.
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Feb 6, 2015 23:03
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PuTTY riot posted:u know they go to bed at like 8:30 and sleep for 12 hours, right? lol i don't know poo poo about babies
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Feb 6, 2015 23:22
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echinopsis posted:unblock nose. psuedoepherdrine is a bit of a gold standard but oxymetazoline/xylometazoline/naphozoline nasal sprays work very well but can only be taken for like 3-5 days at t atime pseudoephedrine is so controlled here lol time to see doc again
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Feb 7, 2015 01:02
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LP0 ON FIRE posted:maybe to you and to me and that ought to be sufficient for u
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Feb 7, 2015 01:02
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theadder posted:pseudoephedrine is so controlled here lol time to see doc again yeah same :/ in fact its the only class C drug that requires a controlled drug script (usually only for B)
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Feb 7, 2015 01:27
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i might make meth with it u know *stirs meth pot*
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Feb 7, 2015 01:31
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used to be able to get it otc here
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Feb 7, 2015 01:33
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same
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Feb 7, 2015 01:37
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i am american and my job provides kaiserpermante insurance, which is actually really excellent insurance... only $50 for the monthly doctor visits and around another $50 in copays per month and i can not die
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Feb 7, 2015 01:59
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lol I have one of those health plans where the deductible is like $5000... thanks obama
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Feb 7, 2015 02:02
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Silver Alicorn posted:lol I have one of those health plans where the deductible is like $5000... thanks obama same
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Feb 7, 2015 02:14
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du -hast posted:i am american and my job provides kaiserpermante insurance, which is actually really excellent insurance... only $50 for the monthly doctor visits and around another $50 in copays per month and i can not die is it a hmo or a ppo?
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Feb 7, 2015 02:14
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idk but if youre asking e if im a homo,,,,, .. tetx me
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Feb 7, 2015 02:42
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Silver Alicorn posted:lol I have one of those health plans where the deductible is like $5000... thanks obama 4.5k + 15% copay thereafter lol and the healthcare is supposed to be one of the reasons people work at my employer
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Feb 7, 2015 03:03
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PuTTY riot posted:so feel free to place some of the blame on environmentalists if you like.
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Feb 7, 2015 04:28
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Cat Face Joe posted:i was writing a real lf poast but I'll just go with the ol standby
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Feb 7, 2015 04:28
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more like alBUTTerol 
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Feb 7, 2015 04:29
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lol my copay is $0, thanks state government
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Feb 7, 2015 04:32
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idgi why doesn't your government pay for all your healthcare
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Feb 7, 2015 04:41
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that wouldnt maximize shareholder profits now would it
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Feb 7, 2015 04:43
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people dont respect poo poo for free. our co-payment is $5 a prescription and it maxes at $100 in a year for a family, u cant really complain, thats cheaper than almost anything in your life by miles people do complain though. "what a rip off". jesus christ doctors are more expensive here though. at LEAST $40 a visit. is aust its the opp sitch, cheap Dr, more expensive rx. clearly ours is better because drugs own socialised healthcare might not be as fair but its far more efficient
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Feb 7, 2015 06:09
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it surprises me that u have to pay at all is any of it waived for the v poor
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Feb 7, 2015 06:15
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even at $5 a piece people dont respect it. people collect poo poo because "its their right" and cost the tax payers the poo poo people bring back when their parents die. if you werent using your blue inhaler why did you pick up the last 30 (i took those home) why should it be free? $5 is the price of a coffee. poor people can claim it back from work and income if they qualify. i dont mean to be unsympathetic but everyone requires food to live and no one suggests that food be free for poor people, or rent or whatever.
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Feb 7, 2015 06:45
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i do
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Feb 7, 2015 06:52
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well ok sure but what i mean is its inconsistent to think medicine should be free but food or rent shouldnt be and probably only a small amount of medicine i give is life saving. most is just giving you a small statistical advantage or even just treating "nuisance" problems
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Feb 7, 2015 07:15
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