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Different class of Inhalers (A Fib )

Hi everyone,
I am having a hard time trying to find an inhaler that doesn’t trigger my a fib. I realize that everybody reacts differently but just wanted to get a feel of which inhalers (LABA’s , LAMA’s ,Corticosteroids) seem to work better for thoses of us that deal with a fib. I am currently on Flovent HFA and at times I have tried Spiriva and Incruse ellipta which the Spiriva worked great accept insurance doesn’t cover and very expensive . Dr. Recommended for me to try Trelegy ellipta . Any thoughts will be greatly appreciated.

  1. Hi, Rose. I hear how frustrating and worrisome it is to lack a good inhaler for your needs. Have you talked with both your cardiologist and pulmonologist? Perhaps they can consult with one another and either agree on Trelegy or suggest another option. As you noted, we can't suggest specific medications for your own safety, but I will tag my colleague to take a look at your question -- he works both here on our Asthma.net site and on our sister site, www.heart-failure.net.

    I wish you all the best and hope that you'll report back with what you chose and how it's working for you -- at the very least, maybe someone else can benefit from your post. -Melissa, asthma.net team

    1. HI. I see you received a great response from above. I have to say that I agree with her 100%. A neat thing about having asthma in today's world is that there are many different inhaler options to choose from. So, if one inhaler does not work for you, there are many others to choose from. In my own personal experience, one combination inhaler I was on a few years ago worked great for controlling my asthma, but caused me palpitations. So my doctor switched me to a similar inhaler made by a different company, and this inhaler both controlled my asthma but did not elicit this side effect. So, it took some time (and some trial and error) but I was able to find an inhaler that worked best for me. So, your doctor is thinking Trelegy will be milder on your heart. Or, If you continue to have concerns about trying Trelegy as your doctor prescribed, perhaps it would be a good idea to contact your physician who can either allay any concerns you have and encourage you to try it, or provide you with further guidance. What do you think? John. asthma.net community moderator.

      1. my pulmonologist just gave me a sample of trelegy. he told me to try it out and to let him know what i thought. by his own admission it is VERY expensive and he said he would give me samples "as long as he can". its very convenient to have three meds in one inhaler! no more 15 min nebulizer per med treatments! but i'm wondering if i'm going to be able to afford this once the freebies run out. i wonder if these guys don't get kick backs from the pharm reps re this stuff. so far i'm not noticing any adverse effects and it seems to work fairly well. i've had some instances of having tightness in my chest and difficulty speaking but i then realized i'd forgottento take my inhaler and was trying to hold a conversation outdoors during a very bad allergy time here in texas (year round practically!). when i took the inhaler things improved!

        1. Hi again, rubato - I see you posted something very similar (about the use of Trelegy), elsewhere on our asthma.net platform, for which I was able to provide a response. You can access that conversation here: https://asthma.net/forums/trelegy-is-it-worth-it.
          In order to facilitate your ease of access I will copy my response to you here (in quotes):
          "I will tell you that I provide care to a great number of patients who find that the medication, Trelegy, is a game changer for them. Still, there are other patients, for whom it does not work as well. How a patient responds to Trelegy can be assessed on a case-by-case basis. You (and your doctor), can determine the efficacy of the medication in your own individual situation.
          As for insurance coverage, there are third party payers who cover the medication while some others do not. Again, the answer to your question (in your case) will depend on your own individual insurance carrier. A simple phone call to the insurance folks should be able to provide you with an answer."
          What do you think?
          Leon L (author/moderator asthma.net)

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