Question for you guys: before you began taking prednisone chronically, how would your pulmos and regular doctors decide when to start oral prednisone? Did they look at you clinically or did they go by a FEV1 or PEF number? I’ve read some protocols and action plans that won’t start oral prednisone until peak flow is 50% of personal best! 😮
for me, we’ve pulled the trigger on steroids when peak flows stopped responding to rescue meds, or by clinical picture (too short of breath to lay down and sustained tachycardia). I know the hope is to avoid systemic steroids, but holy cow, I shudder at getting that low and tight.