Is Daily Use of Relvar Safe for Non-Asthma Chest Tightness?

Q: Is Daily Use of Relvar Safe for Non-Asthma Chest Tightness?

Hello： The timing for asthma medication includes regular maintenance therapy (such as Relvar) and rescue therapy during an attack (such as albuterol). <br>Whether to reduce or discontinue medication in the future depends on how well the condition is controlled (which needs to be

Unsure if it is an asthma relapse, but inhaled Pulmicort?

Hello Dr.
Tsai: I apologize for the oversight in my previous question.
I would like to ask, if it is not a true asthma exacerbation but rather chest tightness and shortness of breath caused by stress, will daily use of Relvar lead to any adverse effects or side effects? Thank you!

Xiao Ke, 50~59 year old female. Ask Date: 2023/06/17

Dr. Cai Zongwei reply Pulmonology

Hello: The timing for asthma medication includes regular maintenance therapy (such as Relvar) and rescue therapy during an attack (such as albuterol).
Whether to reduce or discontinue medication in the future depends on how well the condition is controlled (which needs to be assessed by the primary physician).
Essentially, medications are used based on the needs of the condition, not out of dependence (unlike the addictive nature of certain controlled substances).
Even during non-acute periods, regardless of whether wheezing is still present upon auscultation, if assessed by a physician as necessary, maintenance therapy is still recommended.
As for side effects, they can vary from person to person, and one can refer to the "Warnings and Precautions" section of the medication leaflet.
Typically, physicians prescribe medications after evaluating that the benefits outweigh the risks; if there are any questions, please raise them during the consultation or schedule an earlier follow-up.

Reply Date: 2023/06/17

More Info

When considering the daily use of Relvar (a combination of fluticasone furoate and vilanterol) for non-asthma-related chest tightness, it is essential to understand both the medication's intended use and the potential implications of using it outside its primary indications.

Relvar is primarily prescribed for the management of asthma and chronic obstructive pulmonary disease (COPD). The fluticasone component is a corticosteroid that helps reduce inflammation in the airways, while vilanterol is a long-acting beta-agonist (LABA) that works by relaxing the muscles around the airways, making it easier to breathe. While these effects can be beneficial for individuals with asthma or COPD, using Relvar for chest tightness not caused by these conditions raises several considerations.

Firstly, if your chest tightness is primarily due to stress or anxiety rather than a respiratory condition, relying on a medication like Relvar may not address the underlying issue. Stress-induced chest tightness can often be managed through non-pharmacological approaches, such as relaxation techniques, cognitive behavioral therapy, or lifestyle modifications, rather than through the use of inhaled medications.

Secondly, using Relvar daily without a clear diagnosis of asthma or COPD may expose you to unnecessary risks. While the medication is generally well-tolerated, it can have side effects. Common side effects of inhaled corticosteroids include oral thrush, hoarseness, and potential systemic effects such as adrenal suppression, especially with long-term use. Additionally, LABAs like vilanterol can increase the risk of cardiovascular events if used inappropriately or without medical supervision.

Moreover, the use of a LABA without an accompanying inhaled corticosteroid is not recommended for asthma management due to the risk of exacerbations. In your case, if you are using Relvar without a confirmed diagnosis of asthma or COPD, it is crucial to consult with a healthcare provider. They can help determine whether your symptoms are indeed related to a respiratory condition or if they stem from anxiety or stress, which may require a different treatment approach.

In summary, while Relvar can be effective for managing asthma and COPD, its daily use for non-asthma-related chest tightness is not advisable without proper medical guidance. It is essential to consult with a healthcare professional who can evaluate your symptoms, provide an accurate diagnosis, and recommend appropriate treatment options tailored to your specific needs. This may include exploring non-pharmacological interventions for stress management or considering alternative medications that are more suitable for your condition. Always prioritize open communication with your healthcare provider to ensure safe and effective management of your health concerns.

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