Looking for some advice/help.
I've had a difficult year asthma wise. I was ill for most of March with exacerbations after viral infections. At that time I was on Seretide 125 2 puffs BD plust Montelukast and Salbutamol PRN.
I ended up in ED on day 3 of Prednisolone and was started on a second course of steroids (10 days in total and a weeks antibiotics)
When improved I was switched to Symbicort SMART regime using Symbicort 200/6 2 puffs BD plus reliever doses and stayed on the Montelukast.
I've had a couple of viral infections since September which has culminated in a nasty exacerbation again.
I'm now on day 5 of Prednisolone and day 4 of antibiotics.
I saw my GP yesterday who has increased the Prednsisolone and I will complete a longer course, he's swapped my Symbicort to 400/12 and commenced me on Uniphyllin 400mg once a day, this is because I've not really improved and yesterday required Salbutamol 1-4 hourly!
I have to say I feel rather sick; I suppose it's a change from the steroid munchies!!
I guess that could be a combination of Amoxycillin, starting Theophylline, Montelukast, being unwell plus all the Salbutamol I've had. I've resorted back to Salbutamol as I didn't find I was getting relief from Symbicort 200/6 - although I wonder if this was as a consequence of not having enough puff for a turbohaler!
Going back to see GP in a couple of weeks to see about getting a more robust winter plan. The idea of SMART was to enable me to not need staroids every time I got a cold. It's not worked so GP is thinking of a return to Seretide but increasing it to Seretide 250 (2 puffs BD) in the hope that this will help me manage winter germs. I'm note sure about the plan for Theophylline, the nausea is making me not very keen!!
Any advice greatfully received.
PS Anyone with a Piko 1 peak flow meter had problems with it overestimating PEF. Mine says PEF this AM is 422 where as my mini wright says 360, personal best on mini wright is 480 and the reading of 422 on the Piko 1 is not in keeping with how I feel or that fact that I'm having an exacerbation!