Combination inhaler not lasting 12 hours - Asthma Community ...

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Combination inhaler not lasting 12 hours

Gazza01 profile image
10 Replies

Hi all.

As above. I use Fostair but find it rarely lasts the full 12 hours as stated.

Regularly it's between 7 to 9 hours.

Does anyone else have this issue.

PS I tried spiriva as an add on but it seemed to lose its oomph after a few days and was giving me palpitations.

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Gazza01 profile image
Gazza01
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EmmaF91 profile image
EmmaF91Community Ambassador

Depending on what dose inhaler you’re on (100 v 200) it may be worth asking to increase inhaler dose or amount of puffs. If you’re already on the highest prescribed you may benefit from an add on therapy to keep you controlled (such as montelukast, theophylline etc etc) or you may want to change to a different steroid base to see if that lasts longer (symbicort etc), or even having a 2nd steroid only inhaler on top of the fostair. If in doubt give AUK a call to see what they suggest before you go back to your GP, they have some really excellent and experienced nurses on the phones and should be able to talk to you and work out the beaut option for you! Alternatively you can skip straight to seeing your GP and seeing what they suggest!

Good luck and I hope you find the right regime for you!!!

Caggi profile image
Caggi

Since having a flare up and the weather being hot and humid I now take fostair morning (2 puffs), mid day (1 or 2 puffs depending on tbd humidity) and evening (2 puffs).

in reply toCaggi

Does that help

Caggi profile image
Caggi in reply to

Yes. The asthma nurse says I can take upto 8 puffs a day to prevent a flare up if my asthma is feeling uncontrolled. It’s to prevent my using my blue inhaler so much. Usually I have 4 puffs per day on fostair. It’s only a short term fix.

KJ48 profile image
KJ48

I am on symbicort and am having the same problem. On spiriva and montelukast but don't think either make any difference. It comes on slowly so less like an asthma attack and more just increasingly uncomfortable to breathe. An extra puff mid afternoon helps in the evening but still waking up each night (again uncomfortable more than an attack). Am trying breathing exercises to see if it helps (notice your are too from your reply to my last post!). I am going to keep going with the breathing exercises including looking up the one you are trying but also may try taking my inhaler every 8 hours instead of every 12 if AN or GP says it is safe

Gazza01 profile image
Gazza01 in reply toKJ48

Hi. It's really a shame as the anxiety it causes is just as bad as the breathing. I don't know about symicort but many of those inhaler like fostair can be used as maintainance and reliever. So you can use it when needed. It does mean though for those of us with a bit of copd that the steroids are higher. I'm all for using my ventolin as an add on. Harmless compared to most other stuff. Don't think the GP will be too please. But I was told by one of the asthma uk nurses that if you have copd you can use ventolin 4 times a day every day. Good luck. The humid weather will soon be gone and it won't be like breathing soup anymore.

Junglechicken profile image
Junglechicken in reply toGazza01

I’m always interested in the different ways asthma presents and other forum users experiences. I found it interesting that you feel in the humid weather like you are breathing in soup. I suffer in the hot humid weather (dreaming of those cold, dry, crisp mornings at the moment. Had my head in the freezer a few weeks back breathing in that beautiful air) but I describe the sensation like breathing treacle. Heavy and thick. The more of it you breathe the sticker your lungs get. Very interesting.

KJ48 profile image
KJ48 in reply toGazza01

I agree about the anxiety - sometimes feels just as bad as not being able to breathe. I sometimes find I get anxious if i have an evening out - do I take drugs early, take them with me, try to survive the night on ventolin (which usually works but only for a short time) or just take extra symbicort (before I go out and when I get back). It can be hard to know what to do as the symptoms vary and the breathing tends to get steadily worse rather than suddenly being really bad. On one day it might be a little better which gets my hopes up and then its worse again the following day - very frustrating. I find atypical symptoms like this seem to baffle my AN or GP, but not sure I am bad enough for a referral to a specialist? Pretty depressing! Hope the change in weather leads to an improvement for you

Gazza01 profile image
Gazza01

I do find if I'm going out for an evening and a little excited or anxious maybe, no matter how many puffs I take it doesn't seem to open my breathing up as much as it normally would. A couple of beers later and all is fine. I also find if I've taken more puffs than normal without much effect my breathing the next day is much better. Even though it shouldn't be as the dose will have run out by then. I didn't get my asthma till my 50s and didn't think I had any triggers. Sensitivities yes but not triggers as I've never had an asthma attack and don't wheeze or have a cough. But I think over time I've realised I do in fact have one trigger and its stress. Which is a bit of a bugger as I have always been someone who over thinks and worries about the future. Sometimes it serves me well, but overall it's not a comfortable way to live. But those of us who are built that way don't really have any real choice.

in reply toGazza01

Very true

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