I'm in that group with permanent access to oral steroids plus anti-biotics if I become more poorly than usual.
I prefer keeping my time on Oral Steroids to an absolute minimum and, having yesterday started on 40mg Oral Steroids (already feeling better than yesterday) what's the 'minimum' number of days after starting, to 'quit' taking the Daily 40mg Burst?
Also, over the last couple of weeks, I'm starting to get 'mild / moderately' trembly hands. It seems this often occurs a while after taking two puffs of Fostair 6/200 (which as you know is a big dose of this Med).
This does not yet happen after 'every' dose but now seems to be a frequent (though only recent) occurrence. Been on this high Fostair Dose (4 Puffs a day) for 9 Months, and - as mentioned - it's the stronger 200 not the 100 Fostair.
It's just a hunch that the Fostair might be the culprit, so is it a 'commonly reported' Fostair side effect (when taking the 'max' permitted dose like I am) or could it be an indicator of Fibrosis beginning? I'm also on Montelukast 10mg, but other than that just Avamys Nasal Steroid, Statins 40mg and 7.5 MG of Zopiclone Sleeping Pills at night).
Is it advisable (given the mild trembly hands symptom) to 'cut' the dose of Fostair down to one puff AM & One PM (thereby halfing my daily dose for a while) to see if the 'dose reduction' reduces the trembling - and if resuming a week later causes the trembling to start again (or would it be better to spread the Fostair Dosage out so that - instead of 2 Puffs taken twice a day, I take 4 Single Puffs each with a few hours interval between them).
Happy to receive comments from Forum Members / Patients as well as Asthma UK Nurse (and 'thank you' in advance, as I may not get back to each of you personally to say thanks).