Catch 22 Again.

[micox]

Hello.

This is a follow-up to my my posts about fostair and symbicort. After doubts about warnings in the pack leaflets about caution around taking symbicort in the case of having diabetes, the practice nurse assured me there was no concern in my case.

My regular blood sugar levels in years of tests have been between in 4.5 and and 5.8. On Saturday day-by-day blood sugar level was 7.5 and on Sunday 8.9 - I stopped using symbicort at that point in time.

This morning, the same practice nurse phoned me asking about my cessation of symbicort. She suggested there was no no evidence that symbicort had caused this anomaly. I told her the had been no other change that could have been responsible. I refused to have anything more to do with fostair or symbicort. She he accepted that the anomaly could have been caused by the the corticosteroid in the inhalers but she was adamant that there were no maintenance inhalers which had no steroids. Is that statement of hers accurate?

[HungryHufflepuff]

Fostair is a steroid maintenance inhaler

[corriena]

As far as im aware she is right but my knowledge is very limited. I hope you can find a solution. I do know my blood sugars are tested when ever i am put on high dose of steriods but never because of my inhalers.

[2greys in reply to corriena]

Yes, all maintenance inhalers contain corticosteroids.

[2greys in reply to 2greys]

There is one, though not prescribed for Asthma, ANORO ELLIPTA

medicines.org.uk/emc/produc...

[Kristicats in reply to 2greys]

What about spiriva respimat?

[2greys in reply to Kristicats]

It is a long acting bronchodilator, not actually a preventer. Spiriva respimat is a MDI (metered dose inhaler) a pressurised liquid instead of the powder version in a capsule.

I take Spiriva (powder) once a day, Fostair 200/6 (corticosteroid & bronchodilator) 2 puffs twice a day, with very occasionally an extra puff in between, and Bricanyl powder inhaler, a reliever as required.

[Ergendl]

I take Serevent twice daily as a maintenance inhaler. That just contains salmeterol, which is not a steroid.

[Mavary]

That’s interesting to know as I was told on my last review that I was pre diabetic and I’m on Fostair and have been for about two years now. My last review was November of last year so I had been on it for a year and a half before my sugar went up. I also was on steroid tablets about two years ago. So it could have explained the sugar rise.

[Perrythomas]

Look up Anoro Ellipta

[watergazer]

Fostairnexthaler has contributed to my sugar level rise too. I was on symbicort before. I can’t get my level down no matter what I do x

[Mickymoo]

My preventer is called incruse ellipta. It does not contain a steroid. One dose lasts 24 hours x

[micox in reply to Mickymoo]

Thanks Mickymoo. By the way, my daughter has an African parrot with that name!

[Mickymoo in reply to micox]

Ha! Very good. Thats my springer spaniels name. Micky x