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Since CFC inhalers disappeared and the HFA type were introduced, my asthma symptoms have been so much worse that I needed to get on corticosteroid maintenance. HFA inhalers cause irritation to my lungs and I know I'm not the only one who noticed this! Proair is the worst! I recently had my pharmacy switch me to Proair and the stuff is literally making my asthma worse. I can take enough that I'm jittery and I'm wheezing worse for it!!! Terrible product and it also clogs frequently, so obviously not enough research and development went into this thing. I would not at all be surprised if this inhaler and its manufacturer are responsible for deaths of asthmatics who switched to using it.

I would try Alvesco…it is a steriod inhaler but with out bronchial dilater. According to two of the top NYC Vocal Doctors, it has larger molecules and doesn’t affect the larynx and vocal cords as much. It still contains the risk factors of other inhalers, but less so than ADVAIR. I’m a professional singer and teacher, so I am going to try it.
As of now (17 years on Advair) I am just starting to lose my upper range. Very frustrating.
Gargling DOES help but finding your own cocktail of mixtures is hit and miss.
Best of luck

Nebulisers are machines that turn the liquid form of your short-acting bronchodilator medicines into a fine mist, like an aerosol. You breathe this in with a face mask or a mouthpiece. Nebulisers are no more effective than normal inhalers. However, they are extremely useful in people who are very tired (fatigued) with their breathing, or people who are very breathless. Nebulisers are used mainly in hospital for severe attacks of COPD when large doses of inhaled medicines are needed. They are used less commonly than in the past, as modern spacer devices are usually just as good as nebulisers for giving large doses of inhaled medicines. You do not need any co-ordination to use a nebuliser - you just breathe in and out, and you will breathe the medicine in.

Dr. Rymer is currently researching regulation of movement in normal and neurologically disordered human subjects, including sources of altered motoneuronal behavior in hemispheric stroke survivors, using electro-physiological, pharmacological, and biomechanical techniques. He currently serves as Director of the Single Motor Unit Laboratory of the Shirley Ryan AbilityLab (SRALab, formerly known as the Rehabilitation Institute of Chicago, or RIC). From 1987-2017 he served as Director of the Sensory Motor Performance Program at RIC, and was RIC’s Vice President for Research from 2008-2014. He is the most senior scientist at SRALab and the founder of many of its current research programs. Dr. Rymer has established himself as one of the most successful mentors of junior faculty, and has been able to relate to the many backgrounds that can contribute to rehabilitation research. In addition to his roles at SRALab, he holds appointments as Professor of PM&R, Physiology, and Biomedical Engineering at the Northwestern University Feinberg School of Medicine.

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Dr. Rymer is currently researching regulation of movement in normal and neurologically disordered human subjects, including sources of altered motoneuronal behavior in hemispheric stroke survivors, using electro-physiological, pharmacological, and biomechanical techniques. He currently serves as Director of the Single Motor Unit Laboratory of the Shirley Ryan AbilityLab (SRALab, formerly known as the Rehabilitation Institute of Chicago, or RIC). From 1987-2017 he served as Director of the Sensory Motor Performance Program at RIC, and was RIC’s Vice President for Research from 2008-2014. He is the most senior scientist at SRALab and the founder of many of its current research programs. Dr. Rymer has established himself as one of the most successful mentors of junior faculty, and has been able to relate to the many backgrounds that can contribute to rehabilitation research. In addition to his roles at SRALab, he holds appointments as Professor of PM&R, Physiology, and Biomedical Engineering at the Northwestern University Feinberg School of Medicine.

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