Should I be asking my doctor for long term low dose prednisolone, asthma, re-occurant nasel polyps, bronchitus.

[Bill61]

Hi I am a 56 year old non smoking male and suffer from asthma, nasel polyps ( removed twice) bronchitis. I am trying to find a regime to keep the symptoms stable. I have seen how a short course of 40mg per day of pred makes a sig change. Though hated the sleeping disorder. My current regime is:

Med: symbicort, montelukast, fexofenadrine, pirinase,

Other: nasel rinse, lots of water, stopped alcohol, stopped dairy, regular moderate exercise.

Just had the last surgery last week, hit by upper respiratory track infection . Back on co amoxiclav to clear it out. Now havw had antibiotics 4 times this year.

I am running out of ideas and option and would really appreciate advice from those more experienced than me.

Thanks Bill

[Covenham]

Hi Bill

I've had a few people ask me before about taking Prednisolone . . . I was prescribed Montelukast (a different brand but the same thing). I can honestly say I had no side-effects and I'm not sure it actually did anything for my condition (Bronchiectasis with underlying Asthma) either. I haven't take Montelukast for over 2 years now. I hope someone else can offer you some ideas/suggestions etc. Happy Christmas.

[Bill61 in reply to Covenham]

Thanks , Merry Christmas to you

[Shancock]

Do you see a respiratory specialist, they would be able t help much more than GP. Careful with the Co Amoxiclav, have probiotics too, it caused me lots of problems when I had that one.

[Bill61 in reply to Shancock]

Hi, Thanks for the reply. Yes I've seen one consultant for my sinus and another for my chest. They have come up with most of the treatment. Managed to sleep last night without much interruption - first time in a while. thanks

[peege]

Hi. I have asthma & nasal polyps. For sinus a have a steroid nasal spray - if your nasal med contain steroid then that's being taken care of. I'm not a doctor but I wouldn't recommend oral steroids, save them for if you have lung exacerbation or sinus infection.

You're already doing all the best things. I take & do recommend probiotics. I take 5-10 billion every day and 20 billion when poorly &/or if antibiotics are in my system. Drink plenty of clean fluids to keep secretions as moist as possible. P

[Bill61]

Thanks peege, any particular probiotic you recomnend?

[hopetorun]

Talk to your gp or specialist to see if you would qualify for omelazumab injections. They have made a big difference to me

[Bill61]

Thanks for the suggestion. I have looked them up on the BNF. How many injections are required ie ? No per year? & Merry Christmas.