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For all you newbies. Pay attention to this. Seriously, prednisone can be bad news. Unfortunately, sometimes there is no other choice for asthmatics. It can mean the difference between breathing and not breathing. However, make sure you are diligent about stepping down as quickly as possible and never take a high dose for more than a few days unless there is no other option. MadelineFrom: Canter

To: asthma Sent: Thu, April 14, 2011 6:57:30 PMSubject: Re: Check in

I only have to take pred a few times a year and the doc gives me the lowest dose possible but that's been enough over the years. The MRI was rescheduled to tomorrow morning due to a machine malfunction. So, wish me well. Hugs.To: asthma Sent: Thu, April 14, 2011 11:42:40 AMSubject: Re: Check in

Hi ,You are preaching to the choir about the steroids. Ouch. How long and what doseages have you been taking? I am having trouble with a ligament in my foot (docs say it is steroid related). I am scheduled for another bone scan in June. We keep an eye on my bone densities. However, I haven't even thought of disc issues. I guess I am wondering if it is something we should look at. Hugs.MadelineTo:

asthma Sent: Thu, April 7, 2011 10:50:17 AMSubject: Check in

I've been quite busy with a lot of stuff, from school to granddaughter to helping daughter through a couple of crises. It's all taking a toll on my body. The asthma is twitchy but I'm taking care of it with my meds. My diabetes is so messed up right now from really not taking care of myself well. Now I've found out that my back is totally messed up with no more disk space at all in L-4 and L-5. The disks have totally collapsed. In December my hip started hurting and now it's about everyday. I went to my orthopedist Tuesday and have an MRI Monday to see if it's something called Avascular Necrosis, a fancy term for loss of blood flow to my hip joint. It is related to, guess what, steroid use for the asthma. This is another reason to take really good care of yourselves while on that stuff.

I'm going to get back on calcium supplements if my PCP says it's ok. If the necrosis shows up on the MRI, it's treatable so we'll go from there. I go back to the orthopedist the second week of May. Keep me in your prayers and we'll see what happens.

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Is the steriod in the inhalers, such as Symbicort, less damaging since it is

inhaled? I know it it best not to be on steriods, but Symbicort has helped.

Symbicort, 1 puff, 1X/day usually

>

> For all you newbies. Pay attention to this. Seriously, prednisone can be bad

> news. Unfortunately, sometimes there is no other choice for asthmatics. It

can

> mean the difference between breathing and not breathing. However, make sure

you

> are diligent about stepping down as quickly as possible and never take a high

> dose for more than a few days unless there is no other option.

>

> Madeline

>

>

>

> ________________________________

>

> To: asthma

> Sent: Thu, April 14, 2011 6:57:30 PM

> Subject: Re: Check in

>

>

> I only have to take pred a few times a year and the doc gives me the lowest

dose

> possible but that's been enough over the years. The MRI was rescheduled to

> tomorrow morning due to a machine malfunction. So, wish me well. Hugs.

>

>

>

>

> ________________________________

>

> To: asthma

> Sent: Thu, April 14, 2011 11:42:40 AM

> Subject: Re: Check in

>

>

> Hi ,

> You are preaching to the choir about the steroids. Ouch. How long and what

> doseages have you been taking? I am having trouble with a ligament in my foot

> (docs say it is steroid related). I am scheduled for another bone scan in

June.

> We keep an eye on my bone densities. However, I haven't even thought of disc

> issues. I guess I am wondering if it is something we should look at. Hugs.

>

> Madeline

>

>

>

> ________________________________

>

> To: asthma

> Sent: Thu, April 7, 2011 10:50:17 AM

> Subject: Check in

>

>

> I've been quite busy with a lot of stuff, from school to granddaughter to

> helping daughter through a couple of crises. It's all taking a toll on my

body.

> The asthma is twitchy but I'm taking care of it with my meds. My diabetes is

so

> messed up right now from really not taking care of myself well. Now I've found

> out that my back is totally messed up with no more disk space at all in L-4

and

> L-5. The disks have totally collapsed. In December my hip started hurting and

> now it's about everyday. I went to my orthopedist Tuesday and have an MRI

Monday

> to see if it's something called Avascular Necrosis, a fancy term for loss of

> blood flow to my hip joint. It is related to, guess what, steroid use for the

> asthma. This is another reason to take really good care of yourselves while on

> that stuff. I'm going to get back on calcium supplements if my PCP says it's

> ok. If the necrosis shows up on the MRI, it's treatable so we'll go from

there.

> I go back to the orthopedist the second week of May.

> Keep me in your prayers and we'll see what happens.

>

>

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Hi ,It does have less of an effect systemically most of the med is concentrated in your lungs. Thats why its always good to rinse your mouth out after using inhaled steriods and using a spacer if possible i don't know how Symbicort is delivered. And as always use the lowest amount you can get away with under your drs. care. They do say some of the med does get into your system but its usually only a problem if you use over the recommended dosage.To: asthma Sent: Fri, April 15, 2011 7:23:14 PMSubject: Re: Prednisone

Is the steriod in the inhalers, such as Symbicort, less damaging since it is inhaled? I know it it best not to be on steriods, but Symbicort has helped.

Symbicort, 1 puff, 1X/day usually

>

> For all you newbies. Pay attention to this. Seriously, prednisone can be bad

> news. Unfortunately, sometimes there is no other choice for asthmatics. It can

> mean the difference between breathing and not breathing. However, make sure you

> are diligent about stepping down as quickly as possible and never take a high

> dose for more than a few days unless there is no other option.

>

> Madeline

>

>

>

> ________________________________

>

> To: asthma

> Sent: Thu, April 14, 2011 6:57:30 PM

> Subject: Re: Check in

>

>

> I only have to take pred a few times a year and the doc gives me the lowest dose

> possible but that's been enough over the years. The MRI was rescheduled to

> tomorrow morning due to a machine malfunction. So, wish me well. Hugs.

>

>

>

>

> ________________________________

>

> To: asthma

> Sent: Thu, April 14, 2011 11:42:40 AM

> Subject: Re: Check in

>

>

> Hi ,

> You are preaching to the choir about the steroids. Ouch. How long and what

> doseages have you been taking? I am having trouble with a ligament in my foot

> (docs say it is steroid related). I am scheduled for another bone scan in June.

> We keep an eye on my bone densities. However, I haven't even thought of disc

> issues. I guess I am wondering if it is something we should look at. Hugs.

>

> Madeline

>

>

>

> ________________________________

>

> To: asthma

> Sent: Thu, April 7, 2011 10:50:17 AM

> Subject: Check in

>

>

> I've been quite busy with a lot of stuff, from school to granddaughter to

> helping daughter through a couple of crises. It's all taking a toll on my body.

> The asthma is twitchy but I'm taking care of it with my meds. My diabetes is so

> messed up right now from really not taking care of myself well. Now I've found

> out that my back is totally messed up with no more disk space at all in L-4 and

> L-5. The disks have totally collapsed. In December my hip started hurting and

> now it's about everyday. I went to my orthopedist Tuesday and have an MRI Monday

> to see if it's something called Avascular Necrosis, a fancy term for loss of

> blood flow to my hip joint. It is related to, guess what, steroid use for the

> asthma. This is another reason to take really good care of yourselves while on

> that stuff. I'm going to get back on calcium supplements if my PCP says it's

> ok. If the necrosis shows up on the MRI, it's treatable so we'll go from there.

> I go back to the orthopedist the second week of May.

> Keep me in your prayers and we'll see what happens.

>

>

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The inhaled steroids are only supposed to effect your lungs. The way prednisone works is that it is processed and absorbed into your blood stream...where it works systemically. That means it effects your whole body. Inhaled steroids dont enter the blood stream to the extent that prednisone does, so any effects outside your body would be much smaller.I hope that helps...and makes sense.Ann Check in

>

>

> I've been quite busy with a lot of stuff, from school to granddaughter to

> helping daughter through a couple of crises. It's all taking a toll on my body.

> The asthma is twitchy but I'm taking care of it with my meds. My diabetes is so

> messed up right now from really not taking care of myself well. Now I've found

> out that my back is totally messed up with no more disk space at all in L-4 and

> L-5. The disks have totally collapsed. In December my hip started hurting and

> now it's about everyday. I went to my orthopedist Tuesday and have an MRI Monday

> to see if it's something called Avascular Necrosis, a fancy term for loss of

> blood flow to my hip joint. It is related to, guess what, steroid use for the

> asthma. This is another reason to take really good care of yourselves while on

> that stuff. I'm going to get back on calcium supplements if my PCP says it's

> ok. If the necrosis shows up on the MRI, it's treatable so we'll go from there.

> I go back to the orthopedist the second week of May.

> Keep me in your prayers and we'll see what happens.

>

>

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Guest guest

Hi .Generally speaking the corticosteroids in the inhaled medicines are considered safe as they are well below the amount our bodies normally make (Symbicort is about 4mg on the highest dosage per day. Our bodies make between 7-12mg/day.) However, any added steroid can have side effects. The most common side effects from the corticosteroids seem to be things like glaucoma. A full list of possible side effects can be found at drugs.com. For any medicine I take, I always review the possible side effects and the likelyness of experiencing those side effects. With the corticosteroids the benifits far outweigh the risks for me. Without the Symbicort (I am on the max doseage) I have a nasty chronic cough and many more serious

exacerbations. Hope this helps.Madeline To: asthma Sent: Fri, April 15, 2011 7:23:14 PMSubject: Re: Prednisone

Is the steriod in the inhalers, such as Symbicort, less damaging since it is inhaled? I know it it best not to be on steriods, but Symbicort has helped.

Symbicort, 1 puff, 1X/day usually

>

> For all you newbies. Pay attention to this. Seriously, prednisone can be bad

> news. Unfortunately, sometimes there is no other choice for asthmatics. It can

> mean the difference between breathing and not breathing. However, make sure you

> are diligent about stepping down as quickly as possible and never take a high

> dose for more than a few days unless there is no other option.

>

> Madeline

>

>

>

> ________________________________

>

> To: asthma

> Sent: Thu, April 14, 2011 6:57:30 PM

> Subject: Re: Check in

>

>

> I only have to take pred a few times a year and the doc gives me the lowest dose

> possible but that's been enough over the years. The MRI was rescheduled to

> tomorrow morning due to a machine malfunction. So, wish me well. Hugs.

>

>

>

>

> ________________________________

>

> To: asthma

> Sent: Thu, April 14, 2011 11:42:40 AM

> Subject: Re: Check in

>

>

> Hi ,

> You are preaching to the choir about the steroids. Ouch. How long and what

> doseages have you been taking? I am having trouble with a ligament in my foot

> (docs say it is steroid related). I am scheduled for another bone scan in June.

> We keep an eye on my bone densities. However, I haven't even thought of disc

> issues. I guess I am wondering if it is something we should look at. Hugs.

>

> Madeline

>

>

>

> ________________________________

>

> To: asthma

> Sent: Thu, April 7, 2011 10:50:17 AM

> Subject: Check in

>

>

> I've been quite busy with a lot of stuff, from school to granddaughter to

> helping daughter through a couple of crises. It's all taking a toll on my body.

> The asthma is twitchy but I'm taking care of it with my meds. My diabetes is so

> messed up right now from really not taking care of myself well. Now I've found

> out that my back is totally messed up with no more disk space at all in L-4 and

> L-5. The disks have totally collapsed. In December my hip started hurting and

> now it's about everyday. I went to my orthopedist Tuesday and have an MRI Monday

> to see if it's something called Avascular Necrosis, a fancy term for loss of

> blood flow to my hip joint. It is related to, guess what, steroid use for the

> asthma. This is another reason to take really good care of yourselves while on

> that stuff. I'm going to get back on calcium supplements if my PCP says it's

> ok. If the necrosis shows up on the MRI, it's treatable so we'll go from there.

> I go back to the orthopedist the second week of May.

> Keep me in your prayers and we'll see what happens.

>

>

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According to my pulmo makers of inhaled steroids claim they are not absorbed

systemically, but only absorbed locally into the breathing passages and lungs.

However, one of the side effects of taking a steroid is easy " bruising " , and I

certainly have that in spades from my inhaled version. Every brand of inhaled

steroid I've been prescribed has had that affect.

The so-called bruising affected me even back when I was only on the half-dose.

The least bump against some object or even slight finger pressure against an

arm, leg, hand, or foot results in a beaut of a dark purple spot that usually

takes a week or more to go away. Remember the princess and the pea? I feel

like I'm that princess! There's no soreness like you get with a regular bruise

- just a discolored area which I'm told is caused by tiny capillaries rupturing

and leaking into tissues under the skin. My capillaries must be made of tissue

paper. By the time one collection of purple spots finally fades, I generally

have acquired several new ones.

I really hate going about my life looking like either a victim of domestic abuse

or else the world's clumsiest person who crashes around and clunks into

everything in her surroundings. There seems to be no help for it. It's pretty

discouraging to dress up in your best for some big social occasion and show up

looking like you were mauled by a street thug on your way to the party!

Slats

> >

> > For all you newbies. Pay attention to this. Seriously, prednisone can be

bad

> > news. Unfortunately, sometimes there is no other choice for asthmatics. It

can

> > mean the difference between breathing and not breathing. However, make sure

you

> > are diligent about stepping down as quickly as possible and never take a

high

> > dose for more than a few days unless there is no other option.

> >

> > Madeline

> >

> >

> >

> > ________________________________

> > From: Canter <cindyj503@>

> > To: asthma

> > Sent: Thu, April 14, 2011 6:57:30 PM

> > Subject: Re: Check in

> >

> >

> > I only have to take pred a few times a year and the doc gives me the lowest

dose

> > possible but that's been enough over the years. The MRI was rescheduled to

> > tomorrow morning due to a machine malfunction. So, wish me well. Hugs.

> >

> >

> >

> >

> > ________________________________

> > From: Madeline Ingram <slim8972@>

> > To: asthma

> > Sent: Thu, April 14, 2011 11:42:40 AM

> > Subject: Re: Check in

> >

> >

> > Hi ,

> > You are preaching to the choir about the steroids. Ouch. How long and what

> > doseages have you been taking? I am having trouble with a ligament in my

foot

> > (docs say it is steroid related). I am scheduled for another bone scan in

June.

> > We keep an eye on my bone densities. However, I haven't even thought of

disc

> > issues. I guess I am wondering if it is something we should look at. Hugs.

> >

> > Madeline

> >

> >

> >

> > ________________________________

> > From: Canter <cindyj503@>

> > To: asthma

> > Sent: Thu, April 7, 2011 10:50:17 AM

> > Subject: Check in

> >

> >

> > I've been quite busy with a lot of stuff, from school to granddaughter to

> > helping daughter through a couple of crises. It's all taking a toll on my

body.

> > The asthma is twitchy but I'm taking care of it with my meds. My diabetes is

so

> > messed up right now from really not taking care of myself well. Now I've

found

> > out that my back is totally messed up with no more disk space at all in L-4

and

> > L-5. The disks have totally collapsed. In December my hip started hurting

and

> > now it's about everyday. I went to my orthopedist Tuesday and have an MRI

Monday

> > to see if it's something called Avascular Necrosis, a fancy term for loss of

> > blood flow to my hip joint. It is related to, guess what, steroid use for

the

> > asthma. This is another reason to take really good care of yourselves while

on

> > that stuff. I'm going to get back on calcium supplements if my PCP says

it's

> > ok. If the necrosis shows up on the MRI, it's treatable so we'll go from

there.

> > I go back to the orthopedist the second week of May.

> > Keep me in your prayers and we'll see what happens.

> >

> >

>

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I'd not realised that steroid inhalers can cause bruising. I bruise pretty easily, especially on my legs, but hadn't put two and two togeher. I scraped my leg once when I got stuck climbing through a fence (we went the wrong way, the right way being a 40 min walk round or the other side of the fence!) and got a bruise that was far too huge for what I did. And in the exact same place crate stacking, but it wasn't a bad knock. On the plus side I smacked my head on a low overhang yesterday and that hasn't bruised. JennTha can tek t'lass outta Yorkshire...! Don't brand me, don't classify me, don't tell me what to wear. I'll be who I want to be, and I'm proud to be me.Subject: Re: PrednisoneTo: asthma Date: Saturday, 16 April, 2011, 16:20According to my pulmo makers of inhaled steroids claim they are not absorbed systemically, but only absorbed locally into the breathing passages and lungs. However, one of the side effects of taking a steroid is easy "bruising", and I certainly have that in spades from my inhaled version. Every brand of inhaled steroid I've been prescribed has had that affect.The so-called bruising affected me even back when I was only on

the half-dose. The least bump against some object or even slight finger pressure against an arm, leg, hand, or foot results in a beaut of a dark purple spot that usually takes a week or more to go away. Remember the princess and the pea? I feel like I'm that princess! There's no soreness like you get with a regular bruise - just a discolored area which I'm told is caused by tiny capillaries rupturing and leaking into tissues under the skin. My capillaries must be made of tissue paper. By the time one collection of purple spots finally fades, I generally have acquired several new ones. I really hate going about my life looking like either a victim of domestic abuse or else the world's clumsiest person who crashes around and clunks into everything in her surroundings. There seems to be no help for it. It's pretty discouraging to dress up in your best for some big social occasion and show up

looking like you were mauled by a street thug on your way to the party!Slats> >> > For all you newbies. Pay attention to this. Seriously, prednisone can be bad > > news. Unfortunately, sometimes there is no other choice for asthmatics. It can > > mean the difference between breathing

and not breathing. However, make sure you > > are diligent about stepping down as quickly as possible and never take a high > > dose for more than a few days unless there is no other option. > > > > Madeline> > > > > > > > ________________________________> > From: Canter <cindyj503@>> > To: asthma > > Sent: Thu, April 14, 2011 6:57:30 PM> > Subject: Re: Check in> > > > > > I only have to take pred a few times a year and the doc gives me the lowest dose > > possible but that's been enough over the years. The MRI was rescheduled to > > tomorrow morning due to a machine malfunction. So, wish me well. Hugs.> > >

> > > > > > > ________________________________> > From: Madeline Ingram <slim8972@>> > To: asthma > > Sent: Thu, April 14, 2011 11:42:40 AM> > Subject: Re: Check in> > > > > > Hi ,> > You are preaching to the choir about the steroids. Ouch. How long and what > > doseages have you been taking? I am having trouble with a ligament in my foot > > (docs say it is steroid related). I am scheduled for another bone scan in June. > > We keep an eye on my bone densities. However, I haven't even thought of disc > > issues. I guess I am wondering if it is something we should look at. Hugs.> > > >

Madeline> > > > > > > > ________________________________> > From: Canter <cindyj503@>> > To: asthma > > Sent: Thu, April 7, 2011 10:50:17 AM> > Subject: Check in> > > > > > I've been quite busy with a lot of stuff, from school to granddaughter to > > helping daughter through a couple of crises. It's all taking a toll on my body. > > The asthma is twitchy but I'm taking care of it with my meds. My diabetes is so > > messed up right now from really not taking care of myself well. Now I've found > > out that my back is totally messed up with no more disk space at all in L-4 and > > L-5. The disks have totally collapsed. In December my hip started hurting

and > > now it's about everyday. I went to my orthopedist Tuesday and have an MRI Monday > > to see if it's something called Avascular Necrosis, a fancy term for loss of > > blood flow to my hip joint. It is related to, guess what, steroid use for the > > asthma. This is another reason to take really good care of yourselves while on > > that stuff. I'm going to get back on calcium supplements if my PCP says it's > > ok. If the necrosis shows up on the MRI, it's treatable so we'll go from there. > > I go back to the orthopedist the second week of May. > > Keep me in your prayers and we'll see what happens.> > > >>------------------------------------

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I always bruised easy but it does seem to be worse now. Never have bruised

on my face though thank goodness though I did have two black eyes the time I

fell and broke my nose!!

Re: Re: Prednisone

I'd not realised that steroid inhalers can cause bruising. I bruise pretty

easily, especially on my legs, but hadn't put two and two togeher. I scraped

my leg once when I got stuck climbing through a fence (we went the wrong

way, the right way being a 40 min walk round or the other side of the

fence!) and got a bruise that was far too huge for what I did. And in the

exact same place crate stacking, but it wasn't a bad knock.

On the plus side I smacked my head on a low overhang yesterday and that

hasn't bruised.

Jenn

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You know, now that you mention bruising, I have had a couple of bad bruises, that I couldn't remember where I got them in the last few weeks. I wonder if I am starting to do this?To: asthma Sent: Mon, April 18, 2011 9:22:10 PMSubject: Re: Re:

Prednisone

I always bruised easy but it does seem to be worse now. Never have bruised

on my face though thank goodness though I did have two black eyes the time I

fell and broke my nose!!

Re: Re: Prednisone

I'd not realised that steroid inhalers can cause bruising. I bruise pretty

easily, especially on my legs, but hadn't put two and two togeher. I scraped

my leg once when I got stuck climbing through a fence (we went the wrong

way, the right way being a 40 min walk round or the other side of the

fence!) and got a bruise that was far too huge for what I did. And in the

exact same place crate stacking, but it wasn't a bad knock.

On the plus side I smacked my head on a low overhang yesterday and that

hasn't bruised.

Jenn

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My cat climbs down off my lap and leaves a bruise on my shin. Now admittedly she is heavy but not that heavy!!!

Re: Re: Prednisone

You know, now that you mention bruising, I have had a couple of bad bruises, that I couldn't remember where I got them in the last few weeks. I wonder if I am starting to do this?

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I had a really sore one on the side of my forehead for a week, and I know I didn't hit my head on anything. And then there was one on the back of my lower leg, it was rather large, and I know I didn't bump anything that time either. I usually don't bruise very easily either. Gee I hope I am wrong about this.To: asthma Sent: Mon, April 18, 2011 9:30:26 PMSubject: Re: Re: Prednisone



My cat climbs down off my lap and leaves a bruise on my shin. Now admittedly she is heavy but not that heavy!!!

Re: Re: Prednisone

You know, now that you mention bruising, I have had a couple of bad bruises, that I couldn't remember where I got them in the last few weeks. I wonder if I am starting to do this?

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What you may want to do, is look up your meds to see what could cause easy bleeding. I looked up a couple.... Symbicort side effects Get emergency medical help if you have any of these signs of an allergic reaction to Symbicort:-hives; -difficulty breathing; swelling of your face, lips, tongue, or throat. Call your doctor at once if you have any of these serious side effects:worsening asthma symptoms;chest pain, fast or pounding heartbeats, tremors, nervousness;wheezing, throat irritation, choking, or other breathing problems after using Symbicort;signs of infection such as fever, chills, sore throat, flu symptoms, easy bruising or bleeding, unusual weakness;blurred vision, eye pain, or seeing halos around lights;white patches or sores in your mouth or throat; or dangerously high blood pressure (severe headache, blurred vision, buzzing in your ears, anxiety, confusion, chest pain, shortness of breath, uneven heartbeats, seizure).Less serious Symbicort side effects may include:- headache; - nausea, vomiting, diarrhea, upset stomach;- back pain;- stuffy nose;- muscle or joint pain; or changes in your voiceADVAIR can cause serious side effects, including serious allergic reactions. Call your healthcare provider or get emergency medical care if you get any of the following symptoms of a serious allergic reaction: rash, hives, swelling of the face, mouth, and tongue, breathing problems sudden breathing problems immediately after inhaling your medicine effects on heart: increased blood pressure a fast and irregular heartbeat chest pain effects on nervous system: tremor nervousness reduced adrenal function (may result in loss of energy) changes in blood (sugar, potassium, certain types of white blood cells) weakened immune system and a higher chance of infections. You should avoid exposure to chickenpox and measles, and, if exposed, consult your healthcare provider without delay. Worsening of existing tuberculosis, fungal, bacterial, viral, or parasitic infections, or ocular herpes simplex may occurlower bone mineral densityeye problems including glaucoma and cataracts. You should have regular eye exams while using ADVAIR.slowed growth in children. A child’s growth should be checked often.ADVAIR HFA can cause throat tightness.Common side effects of ADVAIR DISKUS for asthma include upper respiratory tract infection, throat irritation, hoarseness and voice changes, thrush in the mouth and throat, bronchitis, cough, headache, nausea, and vomiting. In children with asthma, infections in the ear, nose, and throat are common.Common side effects of ADVAIR HFA for asthma include upper respiratory tract infection, headache, throat irritation, musculoskeletal pain, nausea, and vomiting.Ann

I had a really sore one on the side of my forehead for a week, and I know I didn't hit my head on anything. And then there was one on the back of my lower leg, it was rather large, and I know I didn't bump anything that time either. I usually don't bruise very easily either. Gee I hope I am wrong about this.

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