So in the last few months i was changed from seritide to fostair and was on that for about to months but it didnt agree with me and in turn i tended to over use it, can this damage the airways more?
i am now on a dry powder one called Relvar, its the entry level dose of one puff a day.It seems better than the fostair but i think the hire dose of this one may be better.
Whats peoples thoughts on what they are on?
Hi I'm new to the forum
I am on the higher dose of Relvar Ellipta 22mcg of vilanterol (long acting bronchodilator) and 184 mcg of fluticasone furoate (equates to 2000mcg of fluticasone - steroid). I also take tiotrpium 2.5mcg 2 puffs (spiriva respimat). I am currently on step 5 treatment for diagnosis of occupational asthma despite being redeployed at work I have suffered from infective flare ups.
I have had absolutely no problems with this for the last 4 years. You use just take one puff a day - so if compliance is an issue using inhalers more than once a day this is another reason to use it. Compliance used to be patchy for me but it isn't any more!
This inhaler was recommended to me by the asthma nurse specialist at my hospital when it was relatively new on the scene. My GP hadn't heard of it but was happy to prescribe it based on the information and it's recommendations, I am a registered nurse so I suppose I knew the things to say to get the outcome I was hoping for.
here is a link to some information about it.
medicines.org.uk/emc/produc...
hope this helps 
Hi
Finding the best inhaler for you is always a challenge, especially as it’s usually very personal! There’s a large range out there, and what some people find best for them doesn’t work for others!
Personally I’m on relvar 184 which currently seems to be the best one for me. Before I became severe I tried fostair and symbicort (varying doses) and have also been on seretide, qvar, budeside and beclometasone inhalers over the years (and more which names I’ve forgotten as wasn’t on them long) 😅. Some I had issues with side effects, others didn’t help my asthma as much. Now I’m on a lot of drugs on top of multiple inhalers and still can struggle for control.
Dose wise you want to be only the minimum dose for the maximum improvement. If you’re symptom free than it’s the right dose for you, if after 4-6 weeks of being on this inhaler your still having minor issues with your asthma then it’s worth going back to see about a dosage increase (1-3 weeks if having major issues).
Overdosing on inhalers rarely create long term issues although in the short term you’re likely to have issues (tremors, headaches, anxiety etc) til the drug clears your system a bit.
Hope that helps explain things a bit
I was on seretide 250 2 puff's twice a day and last year in October I switch to fostair nexthaler 250 2 puff's twice a day. This is because my GP though it would work better to get into my smaller airways. I wasn't sure about switching because I tried fostair in an ordinary type of inhaler before. It hadnt worked and I went back to seretide.
I find my inhaler easy to use and yes I have had to use my ventolin in the last few months. It's winter and my asthma tends to be worse now. If I reach for my ventolin too much then I know it's time to go back to the doctors.
If you overused it does that mean you use more than what was prescribed for you. Then your asthma wasn't controlled. I hope you went back to the doctors and said it wasn't.
The 'idea' of inhaler damaging your airways I never heard that. I know that asthma UK will tell you it's not true. Look at their website for further help. Asthma UK.
Hi, I am on the Fostair Nexthaler and like it. I find it more pleasant to use and more flexible in that the normal dose is 2 sucks twice a day but if my peak flow drops (or I’m feeling a bit breathless) I can increase to 4 sucks twice a day, and this has worked pretty well for the past few years
What's best is what's best for you. I use DuoResp Spiromax 320/9mcg , that's 320mcg of budesonide and 9mcg of formoterol fumarate dihydrate. It is a dry powder inhaler and the best preventer I've ever had.
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