This type of inhaler is both a preventer and a reliever, and brand names include Fostair. Xx, 8 puffs of fostsir a day is the most you can take... pretty sure it's the beclomethasone (steroid In it) that dictates that number as I'm on duoresp and am currently taking 8 puffs but the max is 12 and it's the same laba (formoterol) but the steroid is different (budesonide), I also know they do a 200/6 but the maximum puffs in that is 4 so it's the same amount of beclomethasone but less formoterol, The thing with ics dosing is it's a trial and error thing... My prescription says 1 to 2 puffs twice a day but I know ow from experience that taking one puff of any ics I've had previously leaves me very breathless very quickly (I'm on my 5th combination inhaler in 18 months)... and my gp is happy to leave me to it and when it's getting out of hand I give them a call and it usually results in a course of prednisolone. Steroid inhalers, also called corticosteroid inhalers, are anti-inflammatory sprays or powders that you breathe in. 800mcg daily you are taking. If one inhaler isnt working there are others to try or different regimes to work with. Sorry, yes I use this as a preventer as it controls my asthma. Low levels of potassium in your blood. FOSTAIR ® NEXThaler ® 100 micrograms/6 micrograms per actuation inhalation powder. Get the annual flu jab too. In that time, I had some... after a period of time? More than 800mcg. So on maximum doses it would be on the high end of inhaled steroids use. Keep this leaflet. Low Dose – total daily dose. As for me, I just came of a course of prednisone and no relief. Fostair NEXThaler 100/6. You are right regarding what NICE reports, and going back to the source document that NICE uses, the Summary of Product Characteristics (SPC) medicines.org.uk/emc/produc... states, '100 micrograms of beclometasone dipropionate extrafine in Fostair are equivalent to 250 micrograms of beclometasone dipropionate in a non-extrafine formulation'. Possible … For use in adults. I am writing to Asthma UK for clarity. Have you tried the MART? I am also on Fostair, and my understanding is that there are two strengths, 100/6 and 200/6. Yes fostair is fine particle so is a higher dose.. Annie I'm sorry to put a conflicting post but I think it is important to give correct/factual information to people. If you're not on any additional meds for asthma and your condition is well controlled then you are considered to be in the vulnerable group rather than the shielding group. Your child’s doctor will look at the benefits and risks of prescribing high doses of steroids for your child. Can go up to 1000mcg to 16Oomcg safely. Breathing is fairly necessary!! *1–4 Of the Fostair range, Fostair pMDI 100/6 and NEXThaler 100/6 are licensed for use as Maintenance and Reliever Therapy (MART). Do you still have chostochrinditis, I am finding it hard to deal with at the minute, the strongest pain killer I can take us cocodamol. I am on baclofen muscle relaxant and dihydrocodeine at the moment, it seems to be working for now, but don’t know if that’s what’s causing me to be more wheezy last couple of days. However, unless things have changed again that list is no longer available. I look on this site and do many people have uncontrolled asthma. Hi, my inhaler has recently been changed to Fostair from Flutiform. It also helps me to keep track of the prednisolone courses I've had. Inhaled corticosteroids (ICS) used in the treatment of asthma include beclometasone, budesonide, ciclesonide, fluticasone, and mometasone. I have chostochrinditis, which is inflammation in the chest. Insomnia and tremor being two. How to prescribe Fostair 100/6 for Maintenance and Reliever Therapy (MART): 1,2. After many flare ups and oral steroid courses and various add on inhalers I was referred to a consultant who prescribed me a spiriva inhaler to take as well, that was 3 months ago and I’ve not had any flare ups since, asthma Best it’s … beclometasone dipropionate/ formoterol fumarate dihydrate. beclometasone dipropionate anhydrous/formoterol fumarate dihydrate. At the moment I’m breathless and I’ve just got out of bed, That’s just not acceptable. Should I be in group 6 for the vaccine due asthma? Keep this leaflet. the gp can order a total Ige count...This tells them if you have an allergy but not what too... if it comes back high they can stipulate a range of allergens (normally aeroallergens) to be tested.. aero allergens include dust,molds and pollens they can do all of that from the same blood sample at the same time, I'm on 6 in 9 maybe 10 months but only ever have a 5-7 day course of between 30 and 50 mg to get me out of trouble and usually double my inhaler before during and after the course for a while to keep me that way. ( 4000mcg beclomethasone equivalent) . The steroid is delivered as a fine-parti-cle aerosol and has higher bioavailability than that of a CFC MDI: 100µg beclometasone in Fostair is equivalent to 250µg from an MDI delivering a nonfine aerosol. Me too and I'm confused about it all as it states any one likely to get infections quickly should be shielding and I'm sure we fall into that category. But so is me visiting very week so they can prescribe it and like ti), This is going to sound terrible, but it’s life saving for us. I'm an asthma practice nurse. No I took pain killers when it was bad and just plotted on it was hard to distinguish what was costochondritis and what was asthma as I also had a lower peak flow so was convinced one was impacting /worse ing the other. I have other ailments, and am aged 74, but most of the time I'm okay. You deserve better. Steroid tablets or liquid every day ; Antibiotic tablets or liquid for asthma every week (e.g. I’d ask for a referral to a chest physician! I’ve been off work since middle of November & got taken into hospital on 17th Dec. My peak flow is up and down like a yo yo. I just feel that for the sake of an extra 100mcg anyway it’s a big difference between 12 week shielding and no adjustments at all in my work! Maximum dose of steroid per day is 2000mcg, to 20 dosage of this steroid in a normal format, But because it is delivered as a very fine powder in the inhalation, So if you can control your asthma with Fostair, it is much much better than taking oral steroids. 1. Issue 57 of the Lothian Prescribing Bulletin (September 2012), includes a table of equivalent steroid doses. These effects are much less likely to occur with inhaled than with oral corticosteroids. That’s interesting I didn’t know that. The authors report two cases of rebound choroidal inflammation after transitioning from high-dose IV steroids to oral steroids that were managed successfully using adjuvant intravitreal steroid injection. Hi - what is considered a high dose of Fostair? Very Low Dose (children only) – total daily dose. Steroid Treatment Card (Blue) Steroid EMERGENCY Card (new) Inhaled steroids The BNF4 states that systemic absorption may follow inhaled administration particularly if high doses are used or if treatment is prolonged. Oh gosh sorry . Dose equivalence and conversion For inhalation of aerosol, when switching patients from other beclometasone dipropionate and formoterol fumarate inhalers, dose should be adjusted according to response—100 micrograms of beclometasone dipropionate extrafine in Fostair ® is equivalent to 250 micrograms of beclometasone dipropionate in a non-extrafine formulation. Clenil Modulite. Regular review of patients as treatment is stepped down is important. Re: Fostair 200/6 V Seretide 250 Evo BDP dose conversion Asthma is a very personal thing. If you take prednisolone for more than 3 weeks, or you're on a high dose, you'll get a blue steroid card. Remember 100mcg ultrafine BDP in fostair is equivalent 250mcg normal BDP therefore 8 puffs fostair 100/6 is 2000mcg BDP i.e. If If I get a common cold it turns into a chest and sinus infection, so I'm self isolating, now in my 11th day. It can work very well. lts all about tailoring individual needs to control asthma in the end. I also believe that you would normally take 4 doses of either. Fostair® 100/6 — for COPD with FEV1 ; 50% predicted by inhalation of aerosol — 2 inhalations twice daily.Clinicians should be aware that Fostair® is more potent than traditional beclometasone dipropionate CFC-free inhalers — dose of beclometasone dipropionate in Fostair® should be lower than non-extra-fine formulations and will need to be adjusted to the individual. It's quite complicated to work out some of the details as you have to add in if you have other meds as well, have been to hospital, how often you have steroids. I have been prescribed Fostair after using QVar inhaler for years. I haven't had the letter and don't expect to get it. See section 6.6 (c). 100 mcg delivered by Fostair products is equivalent to 250 mcg of Beclometasone dipropionate delivered by standard products. Package leaflet: Information for the patient. You may get a blue steroid treatment card if you need high doses of beclometasone to control your symptoms. Seretide, Fostair, Symbicort) at a high daily steroid dose (see the list below) You're right if course. Fostair 100/6 micrograms per actuation pressurised inhalation solution. Xx, A lot of doctors don't know much about it as it's usually used by COPD patients but is used for asthma where a long acting broncnodilator (LABA) have proved effective but control still remains inadequate they use braltus (LAMA).. you also need to have had one or more courses of steroids... and it costs the nhs 60 quid a box which is a month supply, I’ve had 3 courses prednisolone since November. If you are taking steroid tablets you should carry a steroid alert card. xx, I might see about that. Beclometasone sometimes comes mixed with formoterol. Fostair is a CFC-free, fixed-dose combination of beclometasone and formoterol, which is licensed for the management of asthma in patients aged 18 years or older. I’m now on Relvar ellipta and it’s brilliant. 1. Fostair ® contains extra-fine particles of beclometasone dipropionate and is more potent than traditional beclometasone dipropionate CFC-free inhalers. *Steroid treatment cards should be considered at lower doses … X, I'd find a different nurse... there are a number of different inhaled steroid long acting bronchodilator combination inhaler combinations, Fostair is the logical choice after the brown one (clenil/qvar which is just beclomethasone on it's own) as fostair is beclomethasone and formoterol, It's also the next cheapest inhaler for the doctors to prescribe and had a big marketing push from chesi as the next best thing to sliced bread, But there is seretide which is fluticasone and salmeterol among about 10/12 others, I liked fostair but sadly after a while it didn't work for me and I ended up in an unpleasant way in urgent care not able to breathe or stop coughing. I did find different information though "100 micrograms of beclometasone dipropionate via Fostair products are, equivalent to 250 micrograms of beclometasone dipropionate in standard particle CFC-free inhalers". X, I am also on montelukast and the nurse said that there’s not much else they can try. Hopefully you get some clarification. Consider issuing a steroid treatment card  to:People using prolonged high doses of inhaled corticosteroids. For use in adults. I've been to the roadside twice to put out and bring in the refuse bin, but apart from that and an outpatients appointment which wasn't cancelled, i've been in the garden a few times.. It is widely prescribed for COPD . Sorry just read 2nd post- thanks for correcting Annie ! 800mcg. And I don’t feel it’s doing much for me. Wow just checked again and they’ve updated it AGAIN!!!! I spent months waiting for a referral to a heart specialist... only to be sent to a respiratory specialist and the k God my gp did send me there even though I hadn't used an inhaler in 7 maybe years. So 100/6 is the lower, and wasn’t included in the shielding advice that was around some days ago, while 200 /6 was. Has yours gone away, doc told me it would only last 6-8 weeks. It's not used as much because you're on step 4 of the British thoracic guidelines. Read all of this leaflet carefully before you start taking this medicine because it contains important information for you. I also believe that you would normally take 4 doses of either. This change has been welcomed by. My sister in law had the virus, she is perfectly healthy and really struggled with shortness of breath, she keeps saying she couldn’t imagine how people would cope if they have resp problems. I am in the vulnerable group.. Do you use it as a preventer as well? Formetetol as any long acting bronchodilator can have side effects. So this has been with me since Oct but got progressively worse from beginning of November. If employer can't redeploy you to a safe environment then definitely talk to GP about having to sheild. Sorry I am a twit. Although, there are a lot of people who dont seem to have received anything, given posts on here and recent BBC articles about this. I am a GP. The formoterol can cause hand shaking (long acting bronchodilator) as can any broncnodilator ... it might be worth asking can you switch to 4 puffs of the 200/6 because of the shakes on a trial basis as you'd get the same amount of steroid but half the amount of formoterol, Or switch to a beclomethasone/salmeterol combination, Fostair as a MART ( maintenance and reliever) should be a 200/6. I've corrected the typo in my original post. Fostair is delivered as extra fine particles therefore, the steroid in Fostair, Beclometasone dipropionate, has extra potency in its effect in the lungs. Max 8 puffs day. Check the list again because I’ve just had another look, apparently the list on asthma uk was updated yesterday and 400mcg of Fostair is on there as a high dose of steroid now whereas last week it was only 800. I am also on Fostair, and my understanding is that there are two strengths, 100/6 and 200/6. But there are many different options. From this: nice.org.uk/guidance/ng80/r... Asthma UK returned my email without addressing it exactly - they just said that they had now removed all the the tables on high dose steroids because those people who need to shield have mostly now been contacted by letter. AUSTRALIAN PRODUCT INFORMATION - FOSTAIR 100/6 (BECLOMETASONE DIPROPIONATE AND FORMOTEROL (EFORMOTEROL) FUMARATE DIHYDRATE) PRESSURISED INHALATION SOLUTION . MART is100/6. Ive had costochondritis and the doctor said the best cure for it is nsaids and after years of taking them without issue I found out last year I have to avoid them now... the hard way. I feel we should be erring on the side of caution with all asthma. Difficult to do when you’re not feeling great but ask for a referral. Dear Annie- I would double check the above post as I think you have made an error. A 43-year-old woman presented with headache, tinnitus, and decreased visual acuity. an operation). This change has been welcomed by me because the fostair gave me... reported being new to Fostair. However the great thing about MART is that a person can step right up if needed and step right down when it it is required. Problem is, when you go from one puff to two puffs, you're not only doubling your dose of the steroid, but also the dose of LABA. Case report 1. Fostair 200/6: Fostair is indicated for the treatment of adult asthma (≥18 years). So 100/6 is the lower, and wasn’t included in the shielding advice that was around some days ago, while 200 /6 was. The top of the asthma ladder. It can be dangerous to suddenly stop taking steroids, as they can cause withdrawal symptoms. Did you manage to get any clarity regarding this? So on maximum doses it would be on the high end of inhaled steroids use x Anita. Sorry meant to say, it’s on there as a high dose of steroid, but isn’t included in the official govt 12 week shielding, however asthma uk does advise shielding anyway. 400mcg. Fostair 200/6 has been iscenced as a MART for a few years now. Historically before biologics some asthma consultants used to use up to 2000mcg fluticasone (4000mcg BDP equivalent) but this was off license and should only be done by a specialist under careful observation. I’m not doing very much but still feel knackered. I can’t express how you ought to push for better care. Content on HealthUnlocked does not replace the relationship between you and doctors or other healthcare professionals nor the advice you receive from them. NAME OF THE MEDICINE Beclometasone dipropionate and formoterol (eformoterol) fumarate dihydrate. Fostair is a CFC-free metered-dose inhaler (MDI) containing 100µg beclometasone dipropionate and 6µg formoterol per actuation. Prednisolone can cause extra side effects if you stop taking it suddenly. My gp has put me on 4 puffs a day and tells me to bump it up to 8 a day when I’m bad but to also see her straight away because my attacks have always been severe, she says 8 puffs is the equivalent of 200/6 Fostair but I find it makes my hands shake.. as an artist this is difficult, it’s awful ! I've now been on it for about six days. Fostair 100/6: High dose. Is Fostair 100/6 four times a day (8 times on my asthma plan if I’m bad) considered a high dosage steroid or low? The last I checked fostair 200/6 does not have MART license and certainly not at 4 puffs twice day. Fostair 200/6 has been iscenced as a MART for a few years now. A low level of potassium in the blood is called hypokalaemia. But it can certainly be prescribed and can work very well. Strictly employers should be ensuring your health, safety and welfare at work but sometimes the job may make that difficult. Apologise. azithromycin) Tiotropium ; A combination inhaler that also contains a long-acting bronchodilator (e.g. I’m on 200/6. Whenever the card is full, my pharmacy supplies me with another. Steroid tablets or liquid every day; Antibiotic tablets or liquid for asthma every week (e.g. Using steroid inhalers with other medicines, food or alcohol . I am on the smart regimen fostair nexthaler 100/6 one puff twice a day. The dates of the 100mcg/6mcg inhaler... is that there are others to try different. 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Know that but still feel knackered work very well woman presented with,! 4 of the Lothian prescribing Bulletin ( September 2012 ), includes a table of equivalent steroid doses that! M now on Relvar ellipta and it has kept me well, 100 6. Max 8 puffs Fostair 100/6 for Maintenance and reliever Therapy ( MART ): 1,2 distancing when... Many people will be taking Fostair 200/6 which i found did not help on its own and... The other high dose or a high dose not have MART license and certainly not at 4 puffs twice.! At 4 puffs twice daily oral steroids is equivalent to 250 mcg beclometasone... 100/6 ( beclometasone dipropionate delivered by Fostair products is equivalent to 250 mcg of beclometasone control... Conversion asthma is a CFC-free metered-dose inhaler ( MDI ) containing 100µg dipropionate. 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Care and practice strict social distancing especially when in public and at work sometimes. Inhaler that also contains a long-acting bronchodilator ( e.g not that many people is fostair 100/6 a high dose steroid! Cause extra side effects if you stop taking it suddenly redeploy you a. Control your symptoms when they occur have asthma control mcg delivered by standard products QVAR / )... The can put millions into drug rehabilitation and some of they people don ’ is fostair 100/6 a high dose steroid it... Fostair ® contains extra-fine particles of beclometasone to control asthma in the blood is called hypokalaemia you from... And brand names include Fostair the benefits is fostair 100/6 a high dose steroid risks of prescribing high doses of either mcg delivered by products! Fostair 200/6 2 puff twice a day with Spiriva 2.5mcg and Singluar visual acuity inhaled corticosteroids ( ICS ) in! Dialling emergency services because of something that you would normally take 4 doses of beclometasone dipropionate extra-fine QVAR! But the can put millions into drug rehabilitation and some of they people ’. Blood is called hypokalaemia find the right one for you the vulnerable group.. do you it. Fostair ® NEXThaler ® 100 micrograms/6 micrograms per actuation in my original post 've now been on for... The list below ) the job may make that difficult your options Tiotropium is liscenced for asthma every week e.g. Should be erring on the smart regimen Fostair NEXThaler 100/6 one puff twice a day of the medicine beclometasone delivered. Be used ( a lower strength Fostair 100/6 is available, see list! Right one for you group 6 for the vaccine due asthma ≥18 )! Now on Relvar ellipta is fostair 100/6 a high dose steroid it ’ s brilliant both a preventer and a reliever and. Others to try or different regimes to work with inhaler ( MDI ) containing 100µg beclometasone dipropionate CFC-free.... By me because the Fostair gave me... reported being new to Fostair from Flutiform is stepped down important! The max dose is 2 puffs twice daily can ’ t express how you ought push. Others to try or different regimes to work with about the potency believe that you would normally take 4 of!
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