Comments on: A shot of adrenaline, for asthma? http://www.kevinmd.com/blog/2009/02/shot-of-adrenaline-for-asthma.html medical blog Sun, 22 Nov 2009 19:59:44 -0500 http://wordpress.org/?v=2.8.4 hourly 1 By: Jennifer Wilcox http://www.kevinmd.com/blog/2009/02/shot-of-adrenaline-for-asthma.html/comment-page-1#comment-109056 Jennifer Wilcox Fri, 07 Aug 2009 00:36:11 +0000 http://clients.emmense.com/kevinmd/2009/02/a-shot-of-adrenaline-for-asthma.html#comment-109056 I was given IM epi for status athmaticus as recently as 2001. I didn't sleep for two days after, but it was better than intubation I guess. I was given IM epi for status athmaticus as recently as 2001. I didn’t sleep for two days after, but it was better than intubation I guess.

]]> By: Anonymous http://www.kevinmd.com/blog/2009/02/shot-of-adrenaline-for-asthma.html/comment-page-1#comment-89604 Anonymous Wed, 04 Feb 2009 19:17:00 +0000 http://clients.emmense.com/kevinmd/2009/02/a-shot-of-adrenaline-for-asthma.html#comment-89604 @SarahW - HFA inhalers don't have as strong a "puff" as the old ones, which may lead to their perception as "weaker". If you use a spacer (like an Aerochamber) you probably won't notice it as much. YMMV. @SarahW – HFA inhalers don’t have as strong a “puff” as the old ones, which may lead to their perception as “weaker”. If you use a spacer (like an Aerochamber) you probably won’t notice it as much. YMMV.

]]> By: Dr. Matthew Mintz http://www.kevinmd.com/blog/2009/02/shot-of-adrenaline-for-asthma.html/comment-page-1#comment-89592 Dr. Matthew Mintz Wed, 04 Feb 2009 02:25:00 +0000 http://clients.emmense.com/kevinmd/2009/02/a-shot-of-adrenaline-for-asthma.html#comment-89592 JorgeRB (and others),<br/>The conversion of asthma inhalers from CFC to HFA is not new, but many are finding out about it now because as of January, they are no longer available. Many people have found <a HREF="http://drmintz.blogspot.com/2008/05/asthma-inhalers.html" REL="nofollow">my blog post on this</a> back in May helpful. Most insurance companies have picked one of 4 agents to be a tier 1 (generic) or tier 2 (preferred) co-pay. However, if you don't have insurance that covers prescriptions, this will be a problem. I certainly do not recommend injectable epinephrine. JorgeRB (and others),
The conversion of asthma inhalers from CFC to HFA is not new, but many are finding out about it now because as of January, they are no longer available. Many people have found my blog post on this back in May helpful. Most insurance companies have picked one of 4 agents to be a tier 1 (generic) or tier 2 (preferred) co-pay. However, if you don’t have insurance that covers prescriptions, this will be a problem. I certainly do not recommend injectable epinephrine.

]]> By: Anonymous http://www.kevinmd.com/blog/2009/02/shot-of-adrenaline-for-asthma.html/comment-page-1#comment-89588 Anonymous Tue, 03 Feb 2009 23:34:00 +0000 http://clients.emmense.com/kevinmd/2009/02/a-shot-of-adrenaline-for-asthma.html#comment-89588 I am old enough to remember using epi for acute asthma. Epi x 3 then susphrine. Of course, we also used theophylline then too. I am old enough to remember using epi for acute asthma. Epi x 3 then susphrine. Of course, we also used theophylline then too.

]]> By: SarahW http://www.kevinmd.com/blog/2009/02/shot-of-adrenaline-for-asthma.html/comment-page-1#comment-89585 SarahW Tue, 03 Feb 2009 22:25:00 +0000 http://clients.emmense.com/kevinmd/2009/02/a-shot-of-adrenaline-for-asthma.html#comment-89585 I'm told the new inhalers not only cost several times more than the old, but don't work as well.<br/><br/>I can't think of a stupider thing to insist on making ozone- friendly. There are far larger contributors to ozone depletion than asthma inhalers, which ought to be an option for patients who are fool enough to think their contribution to ozone depletion has some significance, but not foisted by mandate on people who need to stay alive with this medicine.<br/><br/>This isn't fricking deodorant or hairspray. This is one brilliant scheme for saving the planet that ought to be abandoned. I’m told the new inhalers not only cost several times more than the old, but don’t work as well.

I can’t think of a stupider thing to insist on making ozone- friendly. There are far larger contributors to ozone depletion than asthma inhalers, which ought to be an option for patients who are fool enough to think their contribution to ozone depletion has some significance, but not foisted by mandate on people who need to stay alive with this medicine.

This isn’t fricking deodorant or hairspray. This is one brilliant scheme for saving the planet that ought to be abandoned.

]]> By: Anonymous http://www.kevinmd.com/blog/2009/02/shot-of-adrenaline-for-asthma.html/comment-page-1#comment-89584 Anonymous Tue, 03 Feb 2009 21:26:00 +0000 http://clients.emmense.com/kevinmd/2009/02/a-shot-of-adrenaline-for-asthma.html#comment-89584 In case you're interested basically they switched us from plain albuterol to albuterol HFA and that's the one that is environmentally friendly but substantially more expensive.<br/><br/>I was able to buy albuterol previously for four dollars whenever I needed a bottle and now it's something like $30 In case you’re interested basically they switched us from plain albuterol to albuterol HFA and that’s the one that is environmentally friendly but substantially more expensive.

I was able to buy albuterol previously for four dollars whenever I needed a bottle and now it’s something like $30

]]> By: Anonymous http://www.kevinmd.com/blog/2009/02/shot-of-adrenaline-for-asthma.html/comment-page-1#comment-89581 Anonymous Tue, 03 Feb 2009 21:02:00 +0000 http://clients.emmense.com/kevinmd/2009/02/a-shot-of-adrenaline-for-asthma.html#comment-89581 Jorge - the old environmentally unfriendly albuterol inhalers were available generic, and were relatively cheap. The HFA environmentally friendly inhalers are considered "brand" drugs - like Proventil HFA. AFAIK, nobody has come out with generic albuterol HFA inhalers. Personally, I'm eagerly awaiting US availability of generic fluticasone/salmeterol inhalers(probably HFA aerosol rather than powder like Advair Diskus) - apparently the separate inhaled products are/will soon be off patent. <br/><br/>Kevin - is th possible that Epinephrine Injection Guy was using an EpiPen? Jorge – the old environmentally unfriendly albuterol inhalers were available generic, and were relatively cheap. The HFA environmentally friendly inhalers are considered “brand” drugs – like Proventil HFA. AFAIK, nobody has come out with generic albuterol HFA inhalers. Personally, I’m eagerly awaiting US availability of generic fluticasone/salmeterol inhalers(probably HFA aerosol rather than powder like Advair Diskus) – apparently the separate inhaled products are/will soon be off patent.

Kevin – is th possible that Epinephrine Injection Guy was using an EpiPen?

]]> By: JorgeRB http://www.kevinmd.com/blog/2009/02/shot-of-adrenaline-for-asthma.html/comment-page-1#comment-89579 JorgeRB Tue, 03 Feb 2009 20:04:00 +0000 http://clients.emmense.com/kevinmd/2009/02/a-shot-of-adrenaline-for-asthma.html#comment-89579 Wow! I wasn't aware of this transition in inhalers used. Could you please provide a link with more information? This makes me want to explore the confrontation between environmental awareness and medicine. Wow! I wasn’t aware of this transition in inhalers used. Could you please provide a link with more information? This makes me want to explore the confrontation between environmental awareness and medicine.

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