Hi there,

I am a 30 year old woman with unstable, brittle asthma. I had no problem with my asthma since childhood then in May 2013 I had a severe exacerbation and I have been suffering with severe exacerbations to this this day. Since the exacerbation in May 2013, my asthma was not managed properly and the GP who I initially attended overdosed me on a symbicort 400 turbohaler and had me on 4 puffs, 4 times daily. This resulted in me being hospitalised with adrenal crisis. When I eventually saw another GP, I was referred to respiratory and I now attend the difficult asthma clinic but I cannot seem to catch a break from the Prednisolone. I am now on pulmicort 400, salbutamol nebulisers, montelukast 10mg and Prednisolone 40mg. My peak flow rate is still not at target rate therefore I cannot cut back on the Prednisolone. I am very very down as I have always been a size 8 and worked hard at it. I was a runner and fitness fanatic and now since may 2013 I have gained 3 1/2 stone. I thankfully do not have the appetite some poor people get while on steroids and I follow a very strict diet from my nutritionist but every time I need the Prednisolone another 1/2 stone goes on. Can anyone at all help please and give me any idea if there is any way I can prevent this weight gain while on Prednisolone. It is really getting me down and none of my clothes fit, I need a new wardrobe for every course of Prednisolone I need to take. I know this drug is saving my life but any suggestions would be really appreciated.

Many thanks