In the context of a global pandemic I probably shouldn’t grumble, but I’m a bit down after a phone consultation with my gp this morning. My asthma was diagnosed as severe after a nasty chest infection and (mild) pneumonia around Christmas 2019. Since then I’ve accumulated medications - now on Fostair 200/6 2 puffs twice a day, montelukast, Spiriva Respimat, Uniphyllin Continus 500mg a day and Ventolin as a rescue inhaler. I’ve been struggling since the weather got cold - coughing in the cold air, waking at night with a tight chest, morning drop in peak flow and needing ventolin most days.
The doctor this morning offered me the choice of continuous oral steroids or increasing the uniphyllin until it helps but wouldn’t say which he thought would be better. He said it was a choice between feeling jittery and trembly now (uniphyllin) or risking long term side effects from oral steroids! I asked if I could try a short course of steroids but he said that was only appropriate for a flare- up of normally well-controlled asthma but not for me as we still hadn’t achieved control of my asthma.
I opted for the uniphyllin but it’s a bit depressing as it really affects my sleep badly. Sorry for the long ramble! I just needed to have a moan.