dry cough with advair increase

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babdun

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Over the last few months, I have had a recurrence of asthma symptoms after many years of controlled asthma. This happened right after a recurrence of GERD symptoms. The GERD symptoms are ok now but I was having shortness of breath so I went back to pulmonary dr. I had stress test, chest xray and PFTs. PFTs indicated worsening of asthma. Dr increased my Advair from 100 to 250 twice a day and more frequent use of albuterol for now. I have noticed an increase in a dry cough since upping the advair about 6 days ago. Is a dry cough a side effect of advair? Also, does it take while before the full effects of increased advair can be felt? I think my breathing is a little better but the coughing (especially when active, talking, etc) is very annoying. Thanks
 
It can take a while for the Advair to take full effect. I'd really wonder if your GERD isn't still causing some of your problems as well though. Are you on any reflux treatment?

My asthma got really bad last year. Chronic coughing is my primary symptom. Turned out through testing that the reflux was irritating my asthma. This type of reflux is "silent" because you can't feel the acid. I just had the cough. It was actually my pulmonologist who diagnosed my reflux flare. He straight up told me that unless I got the reflux under control, I wouldn't be able to get the asthma back under control.

Might be that you need treatment for both your asthma and your reflux.
 
I am taking amaprazole, 20 mg a day. However, back in the spring, I was having a lot of reflux symptoms, had an endoscopy which confirmed the disease (I had one several yrs ago as well, there weren't too many changes this time).Gastro Dr had me take 40 mg a day for a few weeks. I think I will go back to the 40 and see if that helps the coughing. At that time, I cut back on caffeine, wine and entirely stopped drinking soda. Of course now that I was feeling better stomach wise, I have added more caffeine back into my day. And, when I drink wine lately, I cough a lot. So I have stopped wine for now as well. Thanks for your suggestion.
 
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