I have noticed over the years that people take different amounts of Pred for exacerbations and wondered what the maximum effective dose would be.
My son who is 14 has never taken more than 40mg, whether the Gp has prescribed it because he is starting to dip or when he's been in hospital needing IV's. Always the bog standard 40mg. If this is not controlling him he has either had IV hydrocortisone, IM Triamcinolone or more recently IV Methylpred.
Am really interested to see how other people are managed as I am not overly impressed with adding in additional steroids when already taking 40mg, would rather bump this up than be on 2 lots!