Thanks for your uploads Dr. I have pulmonary sarcoidosis. Most of my sarc symptoms have gone. But I was left with asthma after it subsided. I take Breztri currently and suffer mild side effects like muscle spasms and insomnia. Your videos have been very helpful and informative. Saves me virtual appointments with my pulmonologist for these kind of questions. Thank you.
@playingsongs7 күн бұрын
Great video! Thank you for detail explanation
@suzannearcangeli3893 ай бұрын
Thank you so very much Doctor, What a great video, well done… answered many of my questions…. 🙏
@bevn31465 ай бұрын
hello Dr. you explain everything so well so easy to understand and your videos are awesome
@DrStefanCristianStanel5 ай бұрын
Thank you that's very encouraging
@mariebailey52274 ай бұрын
Hi doctor I love your videos from Jamaica 🇯🇲 thanks so much for these videos
@1952RONALDАй бұрын
Thank you Doctor for your clear,concise,and understandable explanations. Your patients are lucky to have you! Having lived with COPD/Emphysema for 18 years I’ve experienced about all of the different medications and conditions you’ve mentioned. Due to previous pneumonia infections, I’m now complicated by pseudomonas aeruginosa and the accompanying Ciprofloxasin therapy and all that come with it. I just want to mention that through research I’ve learned of Hypertonic Saline. I’ve incorporated it into my nebulizer routine and it really helps to dislodge the mucus that accompanies pseudomonas. If you concur with my observation,you might mention it to other sufferers. It might help them as well. Thank you again!
@ShahabUddin-ss3bm26 күн бұрын
Hi there, I also suffer from COPD/Emphysema for about 8-9 years now. Almost a year ago I was also in hospital with pseudomonas bacteria I was also given really heavy doses of all the antibiotics like Gentromycin, Ciprofloxasin and others via drips, IV and tablets But there was also this one called colomycin which was inhaled via nebuliser. That colomycin felt really harsh on my throat and chest and would make me cough. And since then my condition has declined rapidly and I'm now on 24/7 oxygen and 10hrs plus of bipap machine. Did you also go through anything similar and also what is this hypertonic saline? And also where are from my friend if you don't mind me asking. I'm from the UK btw.
@IBetterTellYouTheTruth3 ай бұрын
Hello Dr Stefan excelent video. Do you know of innovair can cause muscle twitching? Been on it for 4 years now and i think there could be a connection
@Haseki945 ай бұрын
Hi. Your video is very helpful. Thanks for taking time to share. I noticed I've gained weight and got puffy face after starting using an inhaler with these generic names beclometasone dipropionate/formoterol fumarate dihydrate. Is this normal? I am unsure if its water retention or the steroid stimulates weight gain. I've been using this 4 months.
@mridulatandon45685 ай бұрын
I once used an inhaler, similar to your green one, which pierces the capsule. I had to discontinue it because the small broken piece of the capsule would stuck to my throat or pallet.
@eunicemunzara34892 ай бұрын
Well explained Doctor. Thank you.
@barbaramcpherson76962 ай бұрын
I am very informed and learn a lot from the doctor❤ very helpful
@barbiekat63524 ай бұрын
🙏Thank you so much for your valuable explanation as to why it’s important to also gargle when rinsing mouth after using inhaler containing steroid. I was never told this. Also that it’s the larger particles that may cause the problem BUT they will usually remain in the spacer if it’s used…
@Marc_de_Car5 ай бұрын
Thank you
@SeditiousSpyke5 ай бұрын
Hi! - when using a volumatic spacer like the one shown in your video here, do we still need to rinse the back of our throats & gargle to avoid getting complications like oral thrush?
@DrStefanCristianStanel5 ай бұрын
The spacers really do help a lot with reducing the deposition of large droplets on the throat and voice box but personally I would still rinse gargle spit as it's such a simple step although I do understand that there may be times when this is not appropriate
@SeditiousSpyke5 ай бұрын
@@DrStefanCristianStanel Thank you!
@elizabethryan26783 ай бұрын
I take inhalers after food if possible. Also after taking it I always eat plain yogurt or kefir I feel it’s not so harsh on my throat larynx etc.
@AbdullahAli-hv5ym5 ай бұрын
I'm newish to asthma I had to go again to the asthma review again. The nurse says I'm stage 5 asthma and need to see something special is that good or bad?
@juansantandreu34639 күн бұрын
Very good i have a slight tremble but it says that on the prospect so fair enough
@luisabaculpo978925 күн бұрын
Doc im patient of bronchitasis ashma using seretide inhaler for almost 20 yrs more now i im suffering sciatica is that a side effect
@flashread5 ай бұрын
I have a question about asthma and inhalers. I don’t have severe asthma, but the past month my asthma has been really really bad, and my doctor is trying to stabilise it. He gave me a really strong asthma medication called trimbow, two puffs every morning and night. Could this medication be too strong for me and will it have some consequences for long term use?
@ultralight5550Ай бұрын
Maybe the cleanliness is Ur room might be the cause especially in the place you're sleeping
@flashread8 күн бұрын
@@ultralight5550 yes, my bedroom was apparently filled with mould and had some water damage. So that’s why my asthma was so freaking bad all the time.
@zephorianvephorian7775 ай бұрын
I HATE steroid based inhalers. Not only do they make me gain weight, i also notice instant mood changes (negative), muscle aches and pains, fatigue, mouth infections, and i become a lot more susceptible to colds, chest infections & the flu. I'm perfectly happy with the reliever inhaler (ventolin) as it provides me with instant relief as and when needed, and without causing me any side effects, but the doctors in the UK are now limiting prescriptions for the ventolin inhaler (only 2 per 12 month period) and they're forcing me to use the steroid based inhalers. This is causing me an extreme amount of stress, and I'd rather just have an asthma attack than be forced to use the steroid inhalers because of how they make me feel and how they lower my day to day quality of life. I don't understand why they won't just continue to prescribe me the ventolin inhaler monthly. I've been using it for over 30 years, and I've NEVER had any issues with it. Yet, they are forcing steroids onto me, and unnecessarily, along with the whole host of negative side effects that they bring.
@barbiekat63524 ай бұрын
He mentioned the amount of steroids contained in the inhaler dose is extremely small. The side effects you list seem unlikely to be caused by this medication. I’m not doubting you are experiencing these symptoms as I myself am extremely sensitive to medications… just that you might want to explore other causes.
@gwen69373 ай бұрын
i dont think ur symptoms are because of the steroid inhaler.. ive been using a steroid inhaler for many years now but only started having those symptoms a couple years ago. turns out i had pcos lol
@emma89Ай бұрын
Weight gain is unlikely from a steroid inhaler. Either you’re overeating, not moving enough or got another condition that’s causing weight gain such as an under active thyroid.
@zephorianvephorian77721 күн бұрын
@@emma89 Thanks for your message. The thing is, the moment i stop the steroid inhalers, all my symptoms subside and i lose the gained weight quite rapidly. So maybe i am just extremely sensitive to them?
@sashabell470016 күн бұрын
@@zephorianvephorian777trust your instincts.
@TiffYG2133Ай бұрын
Yah and the major side effect of an asthmatic not using their inhaler is death, so I think these side effects are more tolerable!
@kathyobrien10635 ай бұрын
Are the names of these medications different in the UK vs the US?
@DrStefanCristianStanel5 ай бұрын
The pharmacological name is generally the same i.e. formoterol etc, however salbutamol is known as albuterol. Brand names can differ slightly more but not for all inhalers
@UKYMATTERS3 ай бұрын
Moa is same
@dawnadonis58752 ай бұрын
In South Africa 🇿🇦 it's Symbicord..
@carloskleiber85005 ай бұрын
Can Relvar be cause of my itch Esp on arms and lower bsck
@DrStefanCristianStanel5 ай бұрын
i think that's a bit unlikely as there could be a number of other causes for that. Would suggest you discuss this with your doctor
@chrisjones390122 күн бұрын
I'd say yes because most asthmatics have exema in some form or other
@violetamihalache90065 ай бұрын
Hello doctor! I put a comment on the last video of your romanian channel, actually some questions. Can you please take a look when you have the time? Thank you so much!
@sorrynasorryna12855 ай бұрын
Buna ziua Dl Doctor! Va rog dacă se poate o programare la clinica unde lucrați dvstra! Locuiesc în Liverpool și am fost diagnosticata cu bronsiectazie . Urmează sa fac alte investigatii atât aici în UK cât și în țară .M-ar ajuta foarte mult un sfat despre tratament, kinetoterapie etc . Mulțumesc mult și va doresc multă sănătate!