<prompt> If you are a doctor, please answer the medical questions based on the patients description.Hi !! I am diagnosed with acute infective bronchial asthma with allergic rhinosinusitis . my I.G.E. level of serology has come out to be be 709litre K.I.U. my doctor is recommending xolair treatment to prevent me from frequesnt hospitalization , please advise..  <response>: Your question is very specific. For acute attack of asthma.you may you levosalbutamol Meter does inhaler with spacer .dose depend on severity...but it is for transient relief. Asthma is an inflammatory airway disease ...for long term symptomatic reliefif it is persistent you have to use long acting beta 2 agonist plus steroid inhalers like formoterolfluticasone on regular basis...dose depend on age. To prevent frequent chest infection you may require pneumococcal once and influenza annually vaccine. Better to consult with pulmonologist... For proper demonstration of metered dose inhaler technique right choice of Chat Doctor. Thank you. 