asthma uncontrolled with symbicort

[ill13632]

I still can't exhale well and have resistance even on symbicort and prednisone, comibvent inhaler.  is low oxygen eventually going to kill some of my brain cells?  will pangraf or xolair (my IGE 165) help me breathe?  my O2 is down to 86-88 during the day.  I've even looked into this pangraf since I can't exhale and feel terribly foggy and tired from sleep apnea

[ill13632]

the only thing that helps is klonopin with an asv ventilator

[ill13632]

thanks Doctor!  I'm terribly foggy and tired and can't work or study.  I can't find a doctor to give me the xolair.    

[David Tinkelman, M.D.]

What you describe is consistent with sub-optimum control of the asthma.  Your low oxygen level is not so low that it is going “to kill” some of your brain cells but is worrisome as an indicator of poor asthma control, especially if your asthma is not compounded by COPD.

You might be a candidate for a trail of Xolair as it has been shown to promote asthma control, especially in those with a strong allergy component causing disease.

You might want to seek a second opinion to be sure that your therapy, including environmental control, is optimum.

Good luck

[ill13632]

will moving to florida or southeast asia help my breathing/sleep apnea?