After seeing the asthma nurse (who knows that I have both asthma and bronchiectasis) on Monday she recommended that I change to Fostair NEXT inhaler as my hands are getting even more arthritic and I have been having problem pushing down the release on the Flutiform inhaler. On the Fostair it says that each dose is 100mg - I was on a 250 mg Flutiform, 2 doses in the morning (500 mg) and 2 before going to bed (another 500 mg). So what do I do? I will try having 2 doses am and pm and see how it goes. The leaflet with the Fostair says that 4 puffs a day are the maximum. Weird that it should be a different dosage to other inhalers. At least it has a much better 'window' to see when it is time to get a new one!