I am not seeking medical advice, but rather your own experiences, including any that might give me some good ideas.
Background: I am an overweight 59-year-old male with asthma. I also have sleep apnea. Before I was diagnosed with sleep apnea but while I was exploring reasons why I might not be sleeping well, my doctor who then was said I should use an asthma inhaler at night to help me sleep (I had a childhood history of asthma, and it kept me out of the military during Viet Nam). He prescribed Albuterol. Before I started using it, I was rarely aware of any asthma symptoms. After I started using it, I experienced asthma symptoms all the time when I wasn’t using it. In other words, it made the condition worse. I then started using Serevent twice daily which controlled the symptoms pretty well, but I asked my doctor (a different one) for something else when I found out that Serevent could stop working suddenly and with disastrous results (i.e. death). So now I take 10 mg of Singulair once daily. This works pretty well.
Problem: recently I have been having (apparently random) instances of asthma symptoms, especially in the evening or at night, making it difficult to sleep again. I use a CPAP, and I keep it clean, and I keep my sleeping area clean. I don’t understand why these instances keep happening. I am starting to feel like I did before using the CPAP, sleepy during the day, too tired to go to the gym even though all I have done all day is sit at my desk, and so on. My energy is much lower, and I have been putting back on weight that I had lost. There is also more stress at work due to the constant possibility of staff cutbacks; if there is a psychological element to this, that is a good candidate.
I will be seeing my doctor again in January for my annual physical, and I will discuss it with him then. I’m thinking I should maybe go to a specialist, but I also don’t have confidence in a lot of doctors, who only seem to know how to prescribe the strongest possible medications without regard to the longterm effects. I don’t want a temporary fix, I want a long-term strategy to manage my asthma to minimize its impact on my life.
I am very interested to hear your reactions to this (sorry it’s so) long story. Your experiences are especially interesting to me.