I had another asthma clinic appointment last Wednesday so please forgive me for the late update.
I believe that the appointment went quite well since I have managed to switch from seretide to symbicort like I wanted to. At first my nurse really didnt want to switch me but after I had explained how I was waking up most nights and was still needing ventolin multiple times a day and the fact that I hadn’t got my peak flow past 70% for ages she agreed to switch me. Thing is because my peak flow has been so low for so long she has messed around with my action plan so now my best is only 400 instead of 450 which I’m really not too impressed at since I have been symptomatic when I was getting peak flows of 350 which according to this new play is about 87% but on my old plan was 77%. So I am quite annoyed at that.
I am hoping with this change to symbicort that my peak flow will be reaching 450 again and soon. My nurse was also worried because I am going skiing in two weeks (WOOP!) and she thinks because my asthma is still uncontrolled it will really flare so I’m going back on the 13th just before we go to get a little check up and she said she is probably going to prescribe some emergency pred, which I would be very grateful about!
Anyway back to symbicort. She switched me to the equivalent dosage I was on for seretide which is symbicort 100/6 2 puffs bd (twice a day) to start with then I am allowed to move up to three puffs twice a day if I feel I need to and then I’d be moving up to symbicort 200/6.
My initial impressions of symbicort are quite good, I’m having minimal if any wheezing after I take it and no chest tightness at all. But the one thing I am worried about is that the LABA is stopping working after about 8 or 9 hours, and then the coughing and wheezing starts. So I’m going to see if it is possible to take another puff at lunch to last me till the evening, but she might just suggest going straight up to 3 puffs twice daily, I have no idea really. One downside is that my hands are shaking like a leaf but I think that after my body gets used to this LABA it will sort it’s self out.
So I’ve taken a picture of my symbicort, I always like pictures in blogs and its one of the things I keep meaning to include more of so here it goes 🙂
And this is one showing the actual inhaler without the lid on:
While I was there my asthma nurse also gave me a turbohaler whistle which has absolutely fascinated me. It tells you if you have an inspiratory rate of 15l/min or more which is needed to take a turbohaler. So basically you use it exactly the same as a turbohaler and if it whistles when you inhaler it means you are good to go. Here’s a wee picture of it:
I’ll be posting a guest post soon by Nicole and her life with type 2 brittle asthma.