How are you doing.
Its Dr. Shahzad again.
quick question, sorry for re-asking
The most common immediate side effect is increased heart rate and palpitations
It can also cause some tremors as well
these are two to most common side effects
Long term side effects are uncommon
and its pretty safe in the long run
i feel like my inability to get a deep breath is getting bad
In some people, nausea, vomiting and nervousness can also happen.
just dont need any more rapid heart vomiting etc
to make my anxiety soar
If its getting bad and its not settling with albuterol you should go to the ER now
no i havent tried albuterol
and usually it passes
just have to relax and go to sleep
I understand but if the shortness of breath is increasing then going to the ER is not a bad option at all particularly if you are wheezing as well
i dont want to cause a stir and make my anxiety worse
i dont feel it is that bad
what would they do in the middle of the night
well, they would assess your degree of asthma and will give you oxygen and nebulization
if your asthma is severe they will also give a short course of steroid
Are you following me?
should i try taking albuterol first
regardless of potential side effects
Yes you can try it
I mean it can only safe your life
Two puffs of albuterol should not harm you
Plus I would also suggest that you should be on some anxiolytic medication like lexapro as well
your anxiety, I feel, is getting the better of you.
Are you with me?
i know the anxiety doesnt help
im not sure why im afraid to take the albuterol, kind of stupid thing to worry about
epescially if i had no problems with the QVAR
Yup I agree
You should not be afraid of it
because its there to cure you and comfort you rather than make you worse
You can try at least two puff and see if it helps or not
yes will do
how long should i give it?
ok just took it
i guess i should just relax and give it a few minutes?
You should just relax
You just took the two puffs right?
Any adverse effects?
i feel like my heart is beating a little faster
maybe im just nervous
Do you have a PEF meter?
Yes you are just nervous
went from 198 to 196
what is PEF?
PEF is the peak flow meter
do you have that?
i dont have one
You should get one from the pharmacy
Its good to monitor your asthma
ok i will get one tomorrow
it will tell you if your asthma is severe, moderate or mild
and really easy to do
ok that sounds good
My laptop keeps shutting down
So thats why I go offline for a few moments
I gotta fix this as well, I apologize for that
also i think i only got one really food puff
first one i didnt breathe in a lot
and alright no problem, do what you need to
I am okay now
Anything else you wish to ask?
get a peak flow meter now
should i try another puff
since the first one i didnt get a good inhalation
Yes there is no harm in trying another puff
im not feeling remarkably better
In fact you can go up to three to four after every two to five minutes
the other possibility is that your shortness of breath is due to anxiety.
So that should also be kept in mind
If after three times of using albuterol you do not feel better with breathlessness worsening you should go to the ER
ok i just took another puff
honestly i think i need to relax
I think you should lie down and take a rest. If your shortness of breath worsens you know what you need to do.
Hope you get well soon
i will just relax and read
thank you again
Good bye for now :)
Wish you all the best
You are most welcome again