How do you treat asthma when you also have COPD?

I’ve had asthma since childhood. Recently I was also diagnosed with COPD. Most medicines seem to treat one or the other. I’m not sure which condition I should treat.

Community Answers

  1. John Bottrell, RRT moderator says:

    Hi. tui2. Great question. First off, sorry to here about your double diagnosis. I think you should feel comfort in knowing that there are many people who have both conditions, and that most asthma/COPD doctors should be fully capable of treating them both at the same time. Most of the medicines that are generally recommended for either condition can be used to treat both, if your doctor decides to go that route. For instance, Advair is recommended as a top-line treatment for asthma, although often it is used to treat COPD. Similarly, Spiriva is considered a top-line treatment for COPD, although sometimes it is used to treat Asthma. Usually, finding what combination of asthma/ COPD medicines work best for you is a matter of trial and error. Interestingly, I just wrote an article on this subject, if you are interested in reading it, I will post a link here: (https://asthma.net/living/asthma-subgroups-asthma-copd-overlap-syndrome-acos/). Hope this helps. John. Site Moderator.

  2. Leon Lebowitz, RRT moderator says:

    Hi tui2 and thanks for your post. I see that John has already provided you with a very suitable reply. I would second what he’s said already and again provide the reminder that you are NOT alone. Many members in our online communities have advised us and shared with other members that they have both COPD and asthma. The treatment frequently overlaps (as John has underscored in the article for which he provided a link) and most pulmonary physicians should be able to provide a plan for both diseases.

    You may be interested to know that we have a sister site for COPD. If you haven’t as yet, you may want to register here: COPD.net/register.
    Please check back with us and let us know how you’re doing.

    All the best,
    Leon (site moderator)

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