Went to see my consultant today after having rough times with my chest the past few weeks, and one of the doctors (minions of the main man!) told me to increase my ciclesonide to 2 puffs twice a day if I feel my asthma getting worse. I'm slightly concerned about this though: the BNF states that ciclesonide 160mcg be given one puff once a day. I've always been on 1 puff twice a day, which is already a high and unlicensed dose. But 2 puffs twice a day?!
Is anyone else on a weird dose of this inhaler? The majority of doctors I come across in hospital have never even heard of it, and I'm worried that such a high dose may cause side effects that haven't been monitored/discovered yet...
Any advice or experience welcome!
Thanks, Emz x