I had an 'annual asthma review' at the surgery today and came out with a nice new supply of pred as an emergency supply (having been off it as maintenance for about six months), but I am now thinking that I should maybe have a bit of a more systematic idea about when to use it than 'when I am struggling'. I wondered what sort of plan other people use, esp when the standard formula doesnt quite fit? so, for example,
- I have a 'best best' PF which I pretty much only get when been on whacky meds in hospital and an everyday best which I use to monitor things, but then waiting till 60 or 50 % of that is hard, but is that what other people do?
- If you're on max of e.g. symbicort is there anything you do else as a first step, not being able to double preventer? (other than just using more ventolin).
- do you have guidelines on how long to take pred for, and when to do something if it isnt working?
- also just wondering if you keep a record of how often you have an exacerbation that needs pred, or just work on 'when the pills run out go and get more'?
I've been playing around finding stuff that works for me, and I'll go and discuss with doctor (cause I really would feel happier having some guidelines) but it would be useful to go armed with some ideas of what guidelines other people use.