I have a consistent problem at the moment with very low morning peak flows. My best and usual during the day is 450 with my morning being 60 to 80. I use the usual meds - flixotide 250 - 4 x 2/day, serevent x 2/day, theophylline 400mg x 2/day and I am currently using nebs morning (necessary to recover) and night (in an attempt to prevent low peak flows on waking)- these ventoline 5mg or atrovent if ventoline does not work. I am recommencing pred today having been on a 5 day course 2 two weeks ago following an admission of 2 days when I was unable to get Peak flows back up on waking.
Does anyone know how to rectify these low waking peak flows? Is this something to do with the way I sleep ie. shallow breathing, lower oxygen levels? Is this just inflamed lungs that need time to recover? Is this just winter, when my asthma and admissions are significantly worse.
Any advise would be greatly appreciated. Asthmatic since childhood though only brittle in the last 6 years