Sorry for this long thread but I need some advice, I will also be sending a similar email to my specialist hoping she can help me out too.
So at my last visit I was pursuaded to give fostair another go for my eosinophilic asthma as symbicort is not bringing the eosinophilic down enough. (Never got on with fostair previously but I'm encouraged that it will give better results) So, I've given it a go, and although I still cannot use this inhaler without a volumatic spacer (I can use ANY other inhaler with good technique except this one!) but when I use the spacer it is manageable and has been ok for two weeks now and I'm trying to stick it out for at least another 2 weeks until our next app to see if my bloods have benefited, I have found it has made no significant difference until now, neither making my symptoms better nor worse.
I'm query is, over the last 5-6 days I've seen a big increase in my symptoms (more short of breath, struggling to get air in, constant wheeze..), I also suffered my first "attack" in almost a year earlier this week (by attack I can only describe it as a sudden onset of choking and constant coughing - the kind that makes you panic!!), thankfully I managed to get it under control eventually with the use of ventolin and some calm breathing but it was not easy and as you can imagine, has greatly worried me.
My concern however is over these 5-6 days I've been checking my peak flow regular, sometimes twice or three times a day. EVERYTIME I take it it's normal! It ranges from 310 at the lowest, 350 (which is my current 'normal') and even 400.. so this is fine even though my symptoms are not. I also had a lung function test yesterday and felt the same before and after the use of the nebuliser (I was wheezing even after) but results were good (so she said, she wouldn't give me a copy to check but I believed her), I also had an asthma review with my local surgery and had PF checked there in the afternoon, again upto 400 which is really good. (Nothing was changed during this app due to ongoing consultant care).
I'm confused as to what to do.. I have a rescue pack of steroids and antibiotics but don't feel like I have an infection and don't usually commence any steroids until PF is around 290. I will however be sending a sputum sample in on Monday just for reassurance and I'm over due to send it in, my bad.
Do I double up on my preventer to see if this helps? Do I switch back to the symbicort or continue with fostair until it runs out?
My specialist is pretty good and I will send her an email to ask advice until I see her but as it's the weekend it's unlikely she will see it until at least Monday and I don't want to pressure any OOH gps as I don't feel like I'm very unwell, it's just that my symptoms are more noticeable and I'm obviously using more ventolin than is normal for me.
(BTW I have both preventers at present, symbicort on repeat with all my other meds (spriva, montelukast, fexofenadine etc..) but fostair just a one off to try and see a difference, I can request more if needed)
Any advice welcome!!