I'm currently on seretide 250 2 puffs twice a day my asthma has been all over the Place lately lots of chest infections I've tried fostair 200/6 but it has not agreed with me at all ..... so thinking of asking the doctor for seretide 500 is it worth asking ? Many thanks
Seretide 250 vs seretide 500 - Asthma UK communi...
Hi thanks for the reply I'm booked in for the 15th August but didn't really want to wait that long to see the asthma nurse 😩 So was going to speak to the doctor first 😷 I'm currently under The respiratory department at the local hospital but not due to see them till beginning of September ? They were the ones who put me on fostair shall I ring them and see what they say ?? May be .. 🤔
Im 35 and I only do the peakflow when I feel a blip in prevention occurring. I used to use all sorts of preventer inhalers until I found one that works..maybe if you kept a track of peakflow before and after that would give you the idea of how much it increases. For example pre seretide my peak flow is 300 and after its near 410 to 420. Previously I used symicort and it did nothing 300 to 270 (the wrong way plus sucking in powder is hard work!) do you use a spacer device?
Are you using the Seretide 250 dpi? Or the evohaler? If you are using the dpi, changing to 500 won't make much difference. Also you can't use more than 1 puff twice a day.( of the 500). It may be that you need a steroid add on inhaler. My go to steroid, Is Alvesco (ciclesonide 160). Its expensive so they may not prescibe it. I also think the pulmicort turbohaler. is pretty good. But more oral side effects.
There are other add on treatments that you could discuss with your doctor, such a LAMA, like Spiriva, and or a montelukast such as Singulair.
I think best to talk to your respiratory team.
The ICS component of Seretide is fluticasone. I would switch that to equivalent dose of beclomethasone before upping the dose of Seretide. You can always come back. So that would be Fostair 200/6. Also in my experience some people do better with different delivery systems (eg powder vs HFA). I did Qvar HFA with Serevent powder just to change it up - you could feel your lungs opening up.
Don't be afraid to experiment if you are not controlled.
Yes I think you have halved your ICS dose. The ICS levels are not identical but they are close as far as I remember when I looked into this a while back. I'm glad Budesonide works for you. The jury is still out on my nasal story. It's funny but I never did well on fluticasone (the ICS in Seretide) in any form, nasal or chest.