Weight Loss
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Inhaled-Steroid weight gain anyone?

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Has anyone here ever used one of the inhaled steroids for asthma? Such as Advair? And experienced difficulty with weight loss or unexplained weight gain? I have stopped using Advair and the steroid has been out of my body for about a week and a half so it is still too early to see if it has been a weight issue for me. Thanks!
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I've been on Advair, and now on Flovent, and I can't say I've noticed any relation to weight gain or loss.  I both gained and lost weight while on both, but I'm pretty sure that had more to do with my eating habits than the inhalers.
I have an inhaler (Albuteral) for emergency, or as needed use. I went to the allergist because I had itchy terrible hives. He said that I have asthma. And I can tell sometimes that there is a breathing issue... but nothing severe. He has had me on Advair for 3 years and during that time it took me 12 months to shed 30 pounds. As soon as I went on maintenance (with WW) the pounds started piling on. I went off Advair very gradully at the advice of the pharmacist. The allergy doctor's office threw a fit at my request to go off and said that without any doubt, the weight issue was NOT Advair's but mine. Didn't set well with me at all! I am way weary of being accused and want to find the cause of the weight issue.

The steroids should have nothing to do with your weight.  As an inhaled medication, it's point of action is on the inflamed lining of the airway.  Very miniscule amounts of steroid get absorbed because of this.  The only long term growth changes noted with inhaled steroids were noted in kids on very high doses (2000 micrograms/day)  and even in those cases it was the growth velocity that was slowed, and even then the final height was not changed.

The only thing I have had patients describe to me, is that because they feel better when their asthma is controlled, their appetite is better.

If you do not keep your asthma under control, you won't be able to exercise as efficiently, and your weight  control will suffer.

You're not the age of my usual patients, but the message would be the same.

my son has severe asthma and hes been ok advair hasnt caused problems what has made him  look like a chipmunk is when hes taking predasone and advair and another steroid he takes when hes really bad. last winter he looked like a chipmunk. this winter no problems advair is great my son who is 11 takes 250 advair  and has had to take 500 before with no issues you should be fine
How often did you ever need to USE the albuterol before you went onto the Advair? Sure new and improved asthma medications are great if you really need them... but if you don't REALLY need them, why take them? You don't hit a bug with a jackhammer when a rolled-up newspaper will do the job. I have an albuterol inhaler for emergencies, but it gets used once a year, if that. One time when I had an asthma flare because I was sick the doctor said 'oh, you should be taking steroids!' but my mother had a fit and she was right... as soon as my cold went away and my lungs cleared up I went back to breathing just fine - if I'd started taking the steroids then I'd have had to keep on taking them 'because I needed them' when I didn't at all!

I have had a similar problem with steroids.  The last time I took oral prednazone I gained 15 pounds in 5 days.  The doctor could not believe what was happening to me.  I lost the weight once I got the drugs completely out of my system.  Both my family doctor and the lung specialist assured me that the weight gain could not happen with inhaled steroids.  Guess what they were both wrong!  It was not as severe as it was with the oral medications but it happened all the same.  My chiropractor did some research for me and found a study that suggested that some people are highly sensitive to steroids of any kind.  With continued chiropractic care and allergy desensitization I am completely off all allergy and asthma medications. Keep at your doctor about  treating the causes of your asthma rather than just the symptoms


mistaken... sorry

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I joined this forum just so I could reply to you :)

I'll try to make this as short as I can:  I have bronchopulmonary dysplasia (BPD) as a result of premature birth.  When I was born, I had 10% of normal lung capacity and the doctors told my parents I would die and to prepare for a funeral up until I was about 8 years old.  (I also had heart complications but those, fortunately, were remedied by open heart surgery as a child.  The BPD, however, has stuck with me.)  I'm now 25.

I stopped going to a pulmonologist about 10 years ago because the diagnosis and prognosis never changed.  At that time I was quite underweight and had been all my life.  I worked hard to gain weight in high school.  But when I got to college and switched from my pediatrician to a family friend/nurse practitioner, she put me on Advair 500 in place of Serevent.  I've been on Advair 500 for about 5 years...until two days ago.

I gained over 20 pounds during that time (and I'm 4'10" so that's nothing to sneeze at) - and about 10 pounds in the past year, which is a huge amount for my frame.  Since this past June I have been working out and pushing myself so hard - doing 50 minutes to an hour of cardio, plus 20-30 minutes of Pilates, 5 days a week, plus changed my entire diet, and I was barely maintaining my weight, much less losing any.  I went back to my nurse practitioner who only gave me diet tips which I already knew.  I went to my gynocologist thinking it was my birth control pills (which I've been on for five years)...no dice.  Apparently no one thought of the extremely high dosage of steroids I was inhaling every day.  No one had ever told me that a side effect of long-term use of high doses of steroids is weight gain.  I only found that out through my own desperate searching a few weeks ago, at which point  I promptly scheduled an appointment with a pulmonolgist.  The pulmonolgist told me that Advair 500 was never intended for long-term use by ANYONE and was only intended for asthmatics (in emergencies), which I am not.  In fact, Advair itself is not even recommended for BPD. *facepalm*

I've now been off the Advair completely for two days.  I found your post by searching for how long inhaled seroids stay in your system, because I want them OUT!  I have picked up my workout regime with renewed hope & vigor and I am hoping and praying that my metabolism rebounds in any kind of resmblance to the way it used to be before I got on Advair 500.

So, the end of my long story is...I am right there with you!  I only WISH someone had been there to tell me what steroids in Advair 500 can do five years ago - or even three years ago.  The amount of suffering and self-hatred I have experienced over the past few years of constantly gaining weight and never being able to lose any no matter how hard I tried...I cannot even begin to articulate. 

That's been my experience.  I hope it helped to hear it, if nothing else :)

Now...can anyone tell me how long inhaled steroids stay in your system after you stop taking them??

Thank you so much for your reply! I know exactly, precisely, in total technicolor what you mean about "self hatred". Hate is a strong word, so I use the words "guilt, fattie, no self control..." BUT do discuss with your pharmacist. Mine suggested that I first change from inhaling Advair twice a day to once a day for about 5 days. And then go to one inhale every other day for another 5 days. The idea is to withdraw it from your body gradually. He said that while the drug manufacturer might not say to do it this way, that all our bodies are different and we need to be careful that we don't invite a nasty asthma attack. He told me that there are two major drugs in Advair. One is not a steroid and it is out of the body in 2 days. The steroid component is out in 3 days after stopping use.

Before I joined CC, I had searched the internet and found many testimonies about weight gain with this drug. Then two or three months later, they all had disappeared. It was weird. I hadn't written down where I saw them, so I had no testimonies to print nor any people to email about the issue when it was time to see the allergist. I am finding it fascinating that now that I am off the drug, my numbers on the flowmeter have gone higher than ever before. From that perspective, it appears that my lungs are doing better without the med. AND I do think I have shed a couple pounds at least. My body weight seems to fluctuate naturally anyway. And I am continuing the same eating plan and exercise plan I was practicing while taking Advair. If we want to know "for sure", we have to keep every other habit the same and just eliminate one thing at a time!

Good luck and keep me informed of your progress as I will do as well!

i gain 35 pounds after i started on inhale disc.on a visit to a gland and diabete specialist he said the inhalers has steroids in it that is causing all my weight gain..i stop useing the inhaler two days ago.for several monthes i gain 3 pounds to five pounds per week.i hope the weight will start coming off.my pulmonary doctor said i would not gain weight!!!goes to show you cannot totally trust your doctor..during the usage of these disc i had coughing jags that i thought  it was heart disease related but it turns out it was the steroids that was making me go into a coughing jag..from now on i will check the medweb on the internet on the ingredient in all my medications!i will never again totally trust a doctor.i have arthriest of the spine with scoliosis so walking is painful to begin with but with weighing in at 175 pounds i can only walk one quarter of a block before i have to sit down because of the pain!the one i just threw away was advair i dont remember the other one but they also cause the medical condition of short memory and joint stiffness and pain up walking!!!!i am so mad at  all of my doctors knowing my compliants  all these months were related to the inhalers!all i got from those two inhalers were the side affects! and they knew it!

I have been using inhaled steroids just when I need them for my asthma. It has been working for me so far. the nurse practitioner that I C said that was fine. it has been two years since I've been to the doctor. I went today the nurse practitioner is no longer there so I seen another doctor, I was told by him that I should use these inhaled steroids twice a day or not at all. I have been gaining weight and the doctor told me that inhaled steroids are not absorbed into your bloodstream. I argued with him about this matter he even assured me that topical steroids do not get in your bloodstream I told him I was not comfortable with using the inhaled steroids twice today when it is controlled once a day or less. he would not refill my prescription for dulera I was so upset I do not trust doctors the way I used to and I think some of those steroids do get absorbed in the bloodstream otherwise how does nicotineget into your system when you smoke a cigarette. I will be looking for another doctor just wanted to share my story don't trust everything you hear from doctors sometimes they just want to kick back from the drugs they prescribe
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