I was diagnosed in 1997 and was managed by an absolutely brilliant asthma nurse! She gave me a fab self management plan which used peak flows and symptom scores and helpfully had stikers on my peak flow meter to help.
Fast forward a few years and things are totally different.....I'm not massively compliant which doesn't help!
I had an exacerbation in February and went to my new GP (I've moved) I was told to double up on the Seretide and given Pred 30mg for 5 days. I know I can't double up on Seretide and raised this at the time and did kind of expect a bigge dose of pred!
Took ages to recover; went to see the astham nurse after 2 weeks! She told me I can't double up on the Seretide and talked to me about the SMART regime; but said I couldn't swap as I wasn't well controlled!
I asked for a self management plan as I often find it difficult to know when I need to see a doctor etc; asthma nurse refused!
I know have another exacerbation and will probably have to see emergency GP tomorrow (Peak flow is about the same as when I finished last course of steroids but I am tight, short of breath and using ventolin four hourly!)
I accept I may need another course of pred to regain control but would like to not keep finding myself in this position.
I'm considering changing practice (I can't even request repeat inhalers over the phone where I am now!)
Any ideas, suggestions welcome!