Question Re: Bronchodilator

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MGW1979

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Location
Edmonton
# of dives
100 - 199
I just saw the doctor for a lingering cough/sore throat with some mild chest congestion. He prescribed me a ventilator with salbutamol sulphate for the chest congestion. He said it shouldn't pose any problems with diving.

Can anyone confirm that this is fine to take and dive? I don't have any any sinus congestion thankfuly so blocks shouldn't be a problem.

Thanks, Marek
 
Well, I don't think the doctor was a diver.

The problem is not with the medication -- It's with the problem for which the medication was prescribed. This is a bronchodilator, which means it's for relaxing spasm in the muscles around the air passages into the lungs. This is, in effect, a kind of asthma, although one brought on by the irritation from the viral illness. What it means to me, though, is that the doctor heard some wheezing in your lungs that made him think this medication would be necessary and effective. In essence, you are a symptomatic asthmatic at the moment. It is not recommended that symptomatic asthmatics dive, because air can get trapped behind the areas of bronchopasm and cause pulmonary barotrauma.

Now, your symptoms may not be very bad (in which case one wonders why the medication was prescribed) or they may completely resolve with the medication. But issuing a blanket statement that it is okay to dive right now is a bit optimistic, in my view.

Beta agonists like this one can also contribute to irregular heart rhythms in some patients, so at the very least, one should have some experience with the medication on land, to know how one is going to react to it, before taking it underwater.

Hope this is helpful.
 
Thanks for the reply. I think my symptoms are pretty mild. I ran and played hockey the other day and it didn't really bother me at all. I tried the puffer and didn't really notice much of a difference (or any ill effects).

I guess I'll have to monitor my condition and ensure my lungs don't get more congested (hopefully they get better) before diving on Sunday, otherwise it might not be a good idea.

Thanks
 
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