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British Lung Foundation
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Fostair 200/6 for COPD

My Fostair 100/6 has been changed to 200/6 for my severe COPD. I have read the patient leaflet and it seems to just relate to Asthma and not COPD. Does anyone else have the 200/6 Fostair for COPD and have they found it helpful please. I also have Braltus and 10 mg daily steroids. At the moment nothing seems to be helping me.

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A few of us, inc. myself have this inhaler for our COPD. Like you I have Severe COPD. Along with my previous 100/6 Fostsair, I find it to be the most effective out of my inhalers. The 200/6 has double the amount of inhaled corticosteroids than the 100/6, with any luck you might be able to get away from taking the oral steroids. You have probably been given the 200/6 because of high inflammation problems in your airways, like myself. My breathing is definatly better as a result, I still get breathless but my recovery time is much shorter now.

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Thank you for your reply. I will give it a try and hope for the best. I no longer seem to get anywhere with antibiotics and increased steroids and my breathing is constantly very poor. Any improvement in my breathing will be a bonus. Thanks again for troubling to reply.

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Hi

You are right, Fostair was originally for Asthma but 100/6 as been licensed for COPD.

Nice Guidelines on 200/6

bnf.nice.org.uk/clinical-me...

Nice Guidelines on 100/6

bnf.nice.org.uk/clinical-me...

You may wish to query the use of 200/6 for COPD with your GP.

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Thank you for the link.

I think my GP has tried just about everything but I will check with him again.

Thank you.

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"Only Fostair inhaler 100/6 and Fostair NEXThaler 100/6 strength are suitable for treating COPD." ?!?

netdoctor.co.uk/medicines/a...

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Thank you. Very informative.

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My 200/6 was asked to be prescribed by my GP by a senior respiratory consultant because my Eosinophil Count was in the upper end of the normal range. Along with a lot of prescribed prednisolone, this indicated that I was suffering with a continuing airways inflammation. I am definitely feeling the benefits of the 200/6 inhaler so it must be doing some good. I do not have asthma, I am quite sure that it is suitable for some COPD patients and it is dependent on the individual's level of inflammation suffered.

Of course people are different and some are intolerant of the 100/6 even, so the 200/6 would also not be suitable for them, but that is another story again.

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Hi dids I’m on the same as you but if you’re having trouble with antibiotics not doing much better try a sputum test you might be resistant to the one your taking as I was against amoxicillin. Now I don’t take it hope you get sorted,

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I have tried endless antibiotics and also done a sputum test. It seems to be ongoing severe inflammation that is causing the breathing problem. Plus some of the problem being a viral infection as opposed to bacterial.

Sadly the end result is still the same meaning I struggle to breathe.

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Hi have you tried using a nebuliser if you have a community nurse 👩‍⚕️ you might be able to lend one from them I have my own but I’ve just borrowed one off them, it’s worth a try nothing ventured nothing gained, happy hunting. 👋

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I have used the nebuliser several times at my surgery but the relief doesn't last.

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Hi, I just got changed to the 200 from the 100 Fostair. It is very effective for me. I hope it does as well for you.

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Many thanks for your reply. Did you find the benefit instant or after a few days of use.

You have at least given me hope, thank you.

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I found instant relief both when I was changed to Fostair and then when I upped the dosage. I go back to the original dosage when I get better. Hope this works for you as well as it has for me.

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Thank you for the reply. I haven't had much benefit from the Fostair 100/6 and have been using the 200/6 for a couple of days now without any noticeable improvement. Looks like it may not be for me. Do you take any other medication?

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I use spriva respiraiva and of course the ventolin as needed during the day as well as the Fastair. Use predisone when needed with an antibotic. This steriod plus antibotic is not effective sometimes and it takes a long time for the infection to leave. But eventually, I get well as I am at the moment. Find that if I do not rest, I do not get better so have to really go to bed when on the the rescue pack. I have many medications for I have a few things not so perfect with me but still am able to enjoy life.

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Thank you for your reply, it's very much appreciated. I also have the ventolin and Braltus as well. I don't feel the Braltus or the Fostair is any help to me which makes the days pretty hard if I need to move. I have 10mg steroids every day and up to 40mg for a flare up but even that doesn't help much. I have tried Cephalexin, Clarithromycin , Augmentin and Doxycycline but again, not much help. I also have medication for Angina and a fast heart rate and are monitored for an aortic aneurysm. Sorry that you also have things not right, it is a problem when there can be a conflict with the different treatments for you.

I think you are being very wise getting all the rest you can with a flare up, I am on my own now so tend to just keep going as much as I can. Thanks for replying and I hope you will keep as well as you are at the moment, take care.

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