My father, who has COPD and a history of heart bypass surgery, is taking Seroflo 250 twice daily but suffers from mucus buildup and coughing only when lying down to sleep at night; is it safe for him to take Monticope daily, should we restart his Tiova inhaler to help with this nighttime phlegm, and is it safe for him to keep doing his blowing breathing exercises now that he has a hernia in his chest (substernal hernia)? | Apollo Pharmacy

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My father, who has COPD and a history of heart bypass surgery, is taking Seroflo 250 twice daily but suffers from mucus buildup and coughing only when lying down to sleep at night; is it safe for him to take Monticope daily, should we restart his Tiova inhaler to help with this nighttime phlegm, and is it safe for him to keep doing his blowing breathing exercises now that he has a hernia in his chest (substernal hernia)?

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My father, who has COPD and a history of heart bypass surgery, is taking Seroflo 250 twice daily but suffers from mucus buildup and coughing only when lying down to sleep at night; is it safe for him to take Monticope daily, should we restart his Tiova inhaler to help with this nighttime phlegm, and is it safe for him to keep doing his blowing breathing exercises now that he has a hernia in his chest (substernal hernia)?

Asked by Male, 68 · 13 days ago

Vikas Singh

M Pharmacy

13 days ago

For his nighttime mucus, restarting the Tiova (tiotropium) inhaler is often highly effective for COPD, but please consult his doctor first to safely integrate it with his Seroflo (fluticasone/salmeterol). Daily Monticope (montelukast/levocetirizine) can help if allergies contribute to his cough, but requires his physician's approval given his cardiac history. Crucially, please have him pause the blowing breathing exercises, as the extra pressure can aggravate his substernal hernia. Propping his head up with extra pillows at night can also safely ease his cough. Please consult his pulmonologist to safely tailor his treatment plan.

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My father, who has COPD and a history of heart bypass surgery, is taking Seroflo 250 twice daily but suffers from mucus buildup and coughing only when lying down to sleep at night; is it safe for him to take Monticope daily, should we restart his Tiova inhaler to help with this nighttime phlegm, and is it safe for him to keep doing his blowing breathing exercises now that he has a hernia in his chest (substernal hernia)?

Answered 13 days ago

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