Asthma inhaler?: Hy i am Pam - a newbie... - Asthma UK communi...

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Asthma inhaler?

Hy i am Pam - a newbie. I would like to know what people think of the preventer inhaler Clenil Modulite 200 please as i have been instructed to use for the rest of my life! My asthma is mainly predominant in oppressive warm weather. Winter time i am mostly fine. From a personal point of view (although i could be wrong) i dont see the value in taking this for the rest of my life as its not going to cure my asthma...just relieve the symptoms. Does anyone have any knowledge/thoughts or input they would like to share please.

Many thanks. Pam.

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Hi Pam

So clenil is a preventer, meaning that if you take it as instructed you shouldn’t get issues whatever the weather, however it takes time to build up in your system hence why you have to take it daily. No it’s not a cure however it should stop the symptoms not just relieve them (that’s what ventolin/salbutamol does). Think of it like taking blood pressure tablets - it doesn’t cure the blood pressure issue but controls it 😉

If you’re really against taking it long term I suggest talking to your GP and ask them if you can take it seasonally (ie summer when you’re most likely to get said weather)

I hope that helps.

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Hy Emma. Thank you very much for replying. I am grateful for your comments. I feel i must obviously get as much feedback as possible so appreciate your response.

Take care.

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You are quite right that it won’t cure your asthma but it will make you life a lot more comfortable and reduce the chances of you having a major asthma attack ( believe me you do not want that to happen!) If your Clenil is working as it should be, you shouldn’t be bothered by symptoms at all. It’s a low dose inhaled steroid and as a result it takes a while to take effect and needs to be topped up to make sure that it is working to the max. I’m a summer sufferer girl myself and not really troubled during the winter months. However, I always take my preventer come rain or snow because you never know when you might just run into a trigger (strong perfume springs into my head). Prevention is always better than cure. Eventually it just becomes habit and you stop thinking about it. It’s the first thing I do in the morning and the last thing at night.

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Thank you for replying. I will look into all aspects & hopefully get there!

Take care.

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If clenil 200 is the worst that happens stick with it

I take duoresp spiromax

Spiriva respimat

Fexofenadine

Montelukast

And I still habe a blue inhaler for emergencies.... I started on clenil but unfortunately it just wasn't strong enough

As others have said it's a preventer so takes time to build up and reverse inflammation in your airways but once that's done you may find you can reduce to a lower dose (100) maybe (I never have much luck reducing to be honest)

So with asthma the "Initial" response is to hit it hard and reverse the inflammation then ( in theory) your only topping up the steroid to keep the inflammation at bay... so should be able to reduce the steroid to do that

I say in theory because it doesn't always work like that I take 4 puffs of spiromax a day on a good /average day and every time I've tried to reduce to 2 puffs I end up at 8 and then back at 4 so... I just refuse to try it anymore (I habe tried it about 4 times at various times of the year and such)

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Inhaled corticosteroid inhalers like Clenil are very safe and have very few side affects even after prolonged use.

I have seasonal asthma, I have a house dust mite allergy, in the summer and some of Spring and Autumn I have no issues.

Everyone is different, for me I dont use my Clenil inhaler in the summer and dont have any problems.

When I start taking it again I find it starts working after 3-4 days and I get the full benefits after a week.

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Hya. Thank you so much...this is very helpful. I too have dust allergy. My asthmas is seasonal too...worse during summer and thats why i dont want to use it during winter.

Thank you. Pam

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When I first had asthma I used the clenil intermittently, but for several weeks at a time. As it is a preventer only taking it when you actually need it doesn't help as much. Asthma Uk suggests having a "Step Up Step Down Action Plan". This allows you to be able to increase or start medication and then stop if your symptoms subside. Worth taking a look and asking for one from medical staff.

Unfortunately my asthma got worse and I am now on fostair all the time, although I do still step up and step down the dosage. I reacted to birch pollen and grass so it became a fairly long season! It really does help to control the level of inflammation and manage how you feel daily.

Asthma UK asthma.org.uk/advice/manage...

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Thank you for replying. I want to know that i can control this inhaler to suit my needs. Seasonal. I really dont want to be told to take something for life if i can stop it during winter when i am fine.

Thank you. Pam

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As you probably know, there are a number of different preventer inhalers, each containing different steroid formulations. There are also combo inhalers which deliver both a steroid plus a long acting (12 Hour) reliever medication.

Some steroid formulations seem to work better than others for different folk. Personally, I did not get on well with Clenil, so am now on a different inhaler (of the combo kind). I think there are more effective steroids in other inhalers, and suspect Clenil is often the first one prescribed because it is cheaper.

Like most Meds, Steroid Inhalers may have negative as well as positive effects. I remain convinced that Clenil irritated my lungs, but - assuming I’m correct - that may just be because people can respond differently to the same drug.

It may transpire that your Asthma becomes more controlled after a period of Preventer use, which might lead to your GP agreeing to a reduced dosage and, possibly, even discontinuation at some future point.

Typically, about 6 to 8 weeks of daily use is necessary before inhaled steroids reach full effectiveness.

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