My asthma is mainly allergic, with pollens as my main triggers. I have Qvar (100), Serevent and Ventolin, and my asthma nurse is happy for me to change the dose of Serevent as needed (fromm 0 to 2X2 puffs morning and night), so through winter I don't tend to take it, unless I've been needing to use Ventolin.
Anyway, I have gone wheezy once or twice over the last fortnight or so (so I presume tree pollen season is starting, hooray) and have used Ventolin. I've now started taking one puff of Serevent morning and night, but because I haven't used anything other than Qvar for about 3 months, it's making my hands/arms quite shaky. I know it will go off after I've been using it for a couple of weeks, but I'm finding I still need to use Ventolin (which is also making me tremble).
My question is (finally!) should I go up to 2 puffs of Serevent morning and night? That would hopefully cut out the need to use Ventolin during the day, but I remember doing that before and lying awake feeling my heart racing, which wasn't pleasant. So am I better upping the dose when my body is used to this one, and just 'topping up' with Ventolin at the moment? Or would you go straight up to 4 puffs a day, and just put up with the side effects in the short term?
Thank you if you got through all of that! 