Nexthaler running out of puff - Lung Conditions C...

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Nexthaler running out of puff

Edam profile image
Edam
21 Replies

Yet again I have been caught out by my Fostair Nexthaler DPI 100/6 loosing its effectiveness when there are still about 50 puffs left. WHY?

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Edam profile image
Edam
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21 Replies
peege profile image
peege

Yes it's very annoying especially when you're away from home. I'm now taking a spare when I go away. Mine stop working around 70 puffs remaining marker. Sometimes cleaning the outlet of the plastic holder works, I use a wet or damp cotton bud then dry with the dry end, as I said sometimes it works though sometimes it doesn't. P

ladyn profile image
ladyn in reply topeege

Sorry to sound silly but how would I know if my Fostair is not working properly?Thanks

peege profile image
peege in reply toladyn

It doesn't expel the medication, you only get a tiny weak spray. I can hear & feel when it's stopped working properly. It's been happening for years. I try to get mine to work by cleaning the plastic holder, if it works great if it doesn't I bin it (my pharmacist isn't recycling anymore). Another solution is to just swap the canister into an old, working plastic holder however, you then lose the counter & have to guesstimate how many puffs left.

ladyn profile image
ladyn in reply topeege

Thank you. If you bin it, does your GP give you another one before the due date. If so, your lucky

peege profile image
peege in reply toladyn

I think the medication just clogs up the little inverted nozzle bit Ladyn, it's tiny. As I mentioned it sometimes unclogs by cleaning with a wet or damp cotton bud or improvise with cotton wool or tissue on the end of a matchstick. I'll only bin it if I've tried everything to unclog it. Over time since brexs*it I've ordered the prescription I need a few days early so I've always got ahead - just in case of shortages. On really good summer days I 'save up' by using fewer puffs daily (NB I'm not suggesting anyone else does this. I KNOW myself, my asthma & other lung disease).

Your GP can't complain if you re-order yours early because it stops working, it's not your fault.

I always order online, either through NHS app or my surgery's website.

Save up a non faulty plastic holder so you can use up those 50, you just have to keep track of usage.

I'm not complaining to GP, pharmacist or manufacturers because I'm not risking having it changed against my wishes. Its perfect for me.

CDPO16 profile image
CDPO16

I would have a word with your pharmacist. It may be a faulty batch but in any event they need to be aware of the problem.

Edam profile image
Edam in reply toCDPO16

The problem is that the batch information and use by date has rubbed off the inhaler

CDPO16 profile image
CDPO16 in reply toEdam

That is disappointing but I still think that it is worth letting your pharmacy know.

Edam profile image
Edam in reply toCDPO16

I have told Chiesi which is better

CDPO16 profile image
CDPO16 in reply toEdam

I hope that you get a response

Edam profile image
Edam in reply toCDPO16

My Salbutamol has a expiry date on it, My Oxis has a expiry date on it. But the expiry date of my Nexthaler has disappeared. That cant be right so i hope i get a response. When I pick up a replacement Nexthaler from the pharmacy I will show them the suspect inhaler

peege profile image
peege in reply toEdam

Save the box which has expiration date on it

B0xermad profile image
B0xermad

I have the same problem with seretide inhaler when 30 left it gets ineffectual whereas it used to be 10 before it needs changing

Tykelady profile image
Tykelady

I'm glad I read your post. Over the last three weeks I have been having days when my levels have dropped and I have felt shaky. Two days ago felt that my Trimbow inhaler was moving on with the counter but not delivering so I opened a new one. So far so good. I do have a phone appointment booked to discuss this but not for 2 weeks.

Mine often seem to lose effectiveness in the last 20 doses. So I chuck it away and start a new one. Not sure, peegee, how you can swap canisters with a DPI? I can see that you can do that with an aerosol.

peege profile image
peege in reply to

I guess you can't. I hate powder ones, I'm sorry, I know anything about them

Otto11 profile image
Otto11

I’m on Fostair too & have noticed that near the end ( say last 40 puffs) I don’t feel any powder. It just feels like breathing in nothing really. Not sure why this happens or even if I’m imagining it. X

Edam profile image
Edam

I have been told that I dont need ICS so this is a good time to see how I get on just using my OXIS Formoterol inhaler

Pwkav1 profile image
Pwkav1

Hi im on Fostaire 200 and noticed what you have said and ive had to throw mine as wont work. Wondered why. Luckily i had a spare. Karen

Edam profile image
Edam

I suspect that the inhaler had got to hot during the hot weather. From now on I will keep the replacement in a cool bag with a ice pack if necessary.The instructions say to store it at room temperature but not above 25C but my room temperature has been well above that lately

horseygirl_0103 profile image
horseygirl_0103

sorry not sure -i use ventolin & evohaler .

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