Sorry this is going to be a bit of a long post but I'm at a bit of a loss as to what to do. I'm 21 and have brittle asthma and have had 13 admissions to intensive care and god knows how many 'normal' admissions over the past 3 years. I'm currently taking fostair 100/6 , spiriva, salbutamol, montelukast, phyllocontin, fexofenadine, and have had repeated courses of prednisolone until about January this year when my consultant decided to keep me on 30mg maintenance dose.
None of these meds seem to make a great deal of difference. They keep me well for a certain length of time but I still have frequent admissions and it feels like the side effects of the meds are starting to outweigh any benefits - my bone density is low thanks to the steroids which is not an ideal situation for a sporty 21 year old and I've already had a few fractures. My consultant said she's tried everything which is easy to give in the community but wants to step treatment up to reduce my dependency on steroids and just generally improve my quality of life because I'm so fed up with it all now. She wants to start me on methotrexate and see if that brings any improvement before starting me on xolair injections.
She did warn me that methotrexate is not a nice drug to be on but its steroid sparing so is necessary. Is there anyone else who takes methotrexate or xolair for their asthma? Have you found any benefit from either of them? I'm just nervous about taking methotrexate at the age of 21 and the kind of implications it could have. I just hate the fact that it's come to this and don't really know what to think about it all anymore.
Thanks in advance for any advice