I'm suffering another viral exacerbation of asthma. I absolutely cannot manage if I get a cold. I got the symptoms of a cold last Thursday and by Friday I was seeing the GP as an emergency. Peak flow down to around 270-300 so he started me on Prednisolone. However, I think there was some gradual deterioration too since for about a week before I'd been coughing and wheezing, especially at night. I'm attributing this to the weather.
I last had Prednisolone in March, after a viral exacerbation and before that it was December, with another cold.
I'm getting really fed up now with frequent doses of oral steroids.
My usual medications are:
Seretide 125 2 puffs BD
Montelukast 10mg daily
Best PEF 480, usually around 450
I've tried Symbicort SMART using 200/6 and was taken off this to be changed to Symbicort 400/12 before returning to Seretide. I've also had 28 days Theophylline during November 2012 when I was ill for most of the month!
Any suggestions as to what I can try, I'm under the care of my GP/Asthma nurse. Am thinking of specialist referral. I use a Volumatic spacer of all inhaled medications so don't think my technique is poor.