Should I be concerned about taking Advair because of its effect on bone mineral density?
Advair is an inhaled medication that combines salmeterol and fluticasone. It’s often prescribed for asthma and other lung diseases. Salmeterol is a “beta agonist.” It helps open up airways. Tight airways are a problem in asthma and chronic obstructive pulmonary disease (COPD). That’s why beta agonists are one of the first-line treatments. Fluticasone is a corticosteroid. It suppresses inflammation in the airways. That’s important because airway inflammation plays an important role in asthma and COPD. Inhaled corticosteroids are often prescribed for people with moderate to severe asthma or related breathing disorders. Although inhaled corticosteroids have most of their effects in the airways, some medication is absorbed into the bloodstream. This exposes the entire body to their side effects. In general, corticosteroids tend to lower bone mineral density. This is a measure of bone strength and fracture risk. This risk is greatest when a person takes high doses of corticosteroids for a l
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