I guess it's the little things, sometimes.
I was hospitalised just over a week ago with a life-threatening asthma attack after 4 weeks of being on Fostair 100/6 and not having proper control. I should only have been taking a maximum of 2 puffs twice a day but I had to increase it to 3 puffs twice a day and my control was still suboptimal. I was changed to Fostair from Symbicort (200/6, 4 puffs twice a day) by the asthma nurse I don't usually see, on the premise that '"it's double-strength anyway", because I didn't like the DPI device. This was the same nurse who, only a couple of days prior to my admission, had asserted that -- despite my horrible cough -- I was "not wheezing so that's a good sign" (I don't wheeze, ever, and have told her this multiple times), and "not at any risk of another hospital admission"; that I "need to give the Fostair time to work" and that I "don't want to be on high doses of steroids". She was obsessed with getting me on lower doses, and seemed to think my asthma was controlled, despite my chest tightness, breathlessness, cough, and dropping peak flow readings.
After much deliberation, the doctors here at RBH said that actually, they can prescribe Seretide, but they have to fill out a form and decide it with a panel, on a case-by-case basis.
And my case has been accepted!
I had really good control with Seretide before, so I'm happy. I will be using Seretide Evohaler 250/25, 2 puffs twice a day, as of this evening. I think I am also getting a Flixotide inhaler to use when I am in the yellow zone, instead of stepping up both components.
It's small. But it's important.