18 months ago my asthma became much more stable after being switched to Symbicort SMART and Spiriva Respimat by the consultant I saw in addition to Montelukast. After seeing him a few times he was satisfied that things were stable and he discharged me back to the care of my gp. All went well and I had a great summer last year with the addition of Fexofenadine and a nasal spray for hay fever. I also had a great winter with only one course of steroids and antibiotics for a chest infection. Since February I have been terrible. I have had 6 courses of steroids, some long and tapered as well as several courses of antibiotics. I was referred back to the consultant and finally saw him 3 weeks ago. He changed the Symbicort to Seretide 500, 2 puffs twice a day. I wasn’t sure at first but after a few days I felt that my lower lungs felt less tight, however I now feel that my upper airway is tight and full of mucus and over the last week this feels worse. Today I have developed a rattling productive cough. It feels as if I’m coming down with another chest infection. I’m going to see the consultant again tomorrow. He said last time that if the new inhaler didn’t work he would put me on Uniphyllin. Previous blood tests showed low IgE levels and no indication of any immune problems. This seems odd to me as I have had horrendous hay fever this summer and seem to go from one chest infection to the next. My peak flow hasn’t been above 80% all summer and much of the time has been at 50%. I just don’t know what I should be asking when I go back tomorrow. All suggestions welcome - thank you for reading all my waffle!