Thank you for writing to us at Healthcare Magic.
decrease airway inflammation in acute asthma and prevents late-phase attacks, hence the prednisolone
as you well know. 80mg is a big dose, but that depends on body weight and max would be 1mg/kg body weight, so take this after an antacid (such as pantoprazole
) or after a full meal.
That you are continuing to require nebulisers every 4 hours is NOT a good sign, and arterial blood
gas tests may be required. So please get yourself seen by your doctor or go to the ER, saying no improvement. I hope an ECG, Chest X Ray was done to ensure there was no other problem, an special tests such as V/Q scan may be required to exclude a lung clot if there is a significant risk (such as a long travel before this acute asthma episode).
Usually long-acting beta 2 agonsits such as salmetrol should be avoided at this stage until you improve.
I hope that was useful.