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Immunity boosting Supplements for asthmatics - good or bad idea?

20 replies

50but17inside · 09/03/2020 10:37

Please can any experts advise? Young Family member away at uni uses a brown preventer and a blue reliever. Am I right in thinking that the brown one as a steroid actually suppresses immunity? Is it therefore a bad idea for this family member to be taking an Immuneace Extra daily supplement?

OP posts:
backtonormalname · 09/03/2020 10:40

Steroid does suppress the immune response, yes, I would not take supplements without medical advice.

NemophilistRebel · 09/03/2020 10:47

You can boost your general immune system but this is a Novel Virus - new, so no immunity from it as of yet

Papyrus · 09/03/2020 10:50

I’m also asthmatic. I don’t think inhaled steroids effect the immune system in the same way as a course of oral steroids like predisolone would.

FourTeaFallOut · 09/03/2020 10:59

Inhaled corticosteroids, that is all the preventer inhalers, do not depress the immune system. It is so important that you do not pass on duff information. Coming off steroid inhalers during flu season and on the brink of a respiratory pandemic is the very worst idea.

Vitamin d supplements is probably a sensible move.

50but17inside · 09/03/2020 11:02

Fourtea. I do hope your message wasn’t aimed at me! I’m trying to understand, not pass on duff information. There is no way we would stop the brown inhaler - using a preventer where prescribed is absolutely the correct advice.

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backtonormalname · 09/03/2020 11:07

not true that there is no suppression, although it is miniscule compared to oral steroid doses. However, immune suppressants are being tested against Covid when in its acute phase. It is far too simple to say strong immune system = survival against the virus hence I would avoid supplements that can have their own problems. e.g. a cheap vitamin D supplement that does not contain the cofactors D needs to act properly has no proof of benefit asthma.net/living/expert-series-do-inhaled-corticosteroids-suppress-your-immune-system/

Longtalljosie · 09/03/2020 11:08

Fourtea, she’s asking an honest question...

FourTeaFallOut · 09/03/2020 11:08

No, my message was for backtonormalname.

50but17inside · 09/03/2020 11:17

Thank you for that link backtonormal. So rinsing and spitting after steroid inhaler use may possibly be something to think about.

OP posts:
msbevvy · 09/03/2020 11:35

Rinsing and spitting after using a preventer
inhaler is a good thing to do anyway.
I ended up with oesophageal thrush courtesy of my inhalers when I failed to do this.

FourTeaFallOut · 09/03/2020 11:41

Yeah, rinsing and spitting will reduce the chance of oral thrush, although I'm pretty lazy about it and have never had a problem.

I may be on a bit of a hair trigger at this point, I keep seeing people talking about stopping their steroid inhalers because somehow 'steroids are bad' has become the message without any talk of why it's not that simple and how steroids are desperately important for asthmatics.

NeurotrashWarrior · 09/03/2020 12:44

I was always lead to believe they act in the lungs, not in the body. The link above is good.

Vit D is worth taking but make sure it's d3. There's a good spray in Holland and barrat and online. Take vitamin c and zinc for your immune system.

I think eating garlic and turmeric isn't going to hurt but probably won't do much!

palomasky · 09/03/2020 12:48

I'm not an expert but is there some risk from boosting the immune system too much and creating a sort of runaway immune response as seen in ARDS? I've read for example that vitamin D is helpful but that other supplements might not be like Iron and that low ferritin may also be helpful in preventing ARDS?

NeurotrashWarrior · 09/03/2020 13:00

I fell down a rabbit hole if that last night. Was looking at the elderberry stuff.

Not sure! Not heard that about ferritin before.

NeurotrashWarrior · 09/03/2020 13:01

I'm not doing anything more than I've been already but I'm breastfeeding so vit d has been important.

Taking inhalers properly is the main thing imo.

NeurotrashWarrior · 09/03/2020 13:02

What I would like is to read a story about someone who has asthma and wasn't hugely affected; I stupidly read what the virus is like and it sound exactly like the sort that buggers me right up. But I've survived many so far.

50but17inside · 09/03/2020 13:06

Neurotrash - that is exactly what I want to read too.

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FthisS · 09/03/2020 13:06

My son (12) has blue inhaler, fostair, montelukast and azithromycin for low immunity. He has also just finished a 7 day course of 8 steroids a day. I'm pretty scared to be honest and tempted to keep him home. Our county had it's first cases confirmed yesterday.

CaffiSaliMali · 09/03/2020 13:19

Asthmatic here. The preventer inhaler, usually brown, contains a corticosteroid which helps keep the airways long term and minimises the risk of reacting to triggers. The reliever inhaler, usually blue, opens the airways in the short term, and is used when symptoms worsen in response to a trigger. It's also the one you'd reach for to treat an asthma attack with up to 10 puffs. You can also get combined preventer and reliever inhalers, and tablets like Montelukast for people with harder to treat asthma (like me).

Inhaled steroids don't cause the same issues as tablet steroids like prednisolone - I took the latter last year as my asthma was bad following a chest infection and promptly caught my husband's cold that I had successfully avoided until that point!

The most important thing is for asthmatics to keep using their preventer inhaler as prescribed, even when they feel well and to ensure they always have their reliever inhaler on them. You can check inhaler technique online, or ask your GP's asthma nurse, or a pharmacist to check it as well to ensure you're getting all your medicine into your lungs.

OP - I would check your relative has plenty of inhalers (sometimes young people ration them to avoid prescription charges and get ill, or worse, as a result). Make sure they are taking them as prescribed and know how to follow their asthma action plan, and that those around them know what to do in an asthma attack.

50but17inside · 09/03/2020 13:30

Thank you Caffi, yes definitely has supplies and is using them as prescribed.

I just asked a consultant I know to see if if they would be happy to share an opinion on over the counter immune boost supplements when using a steroid inhaler - and they replied that they buy them for their own family member in the same situation ...

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