<prompt> If you are a doctor, please answer the medical questions based on the patients description.I have bronchial asthma since 10 years now. i have been prescribed two inhalers.those are TIOVA and BUDATE . i do not take them regularly as i dont need them. whrnever the whether changes i get breathless and at that time these inhalers are of no help. i am awake for 3-4 hrs as i cannot lie down also at that time. I need your advice Can you help me ?  <response>: Hello dear, Asthma is caused due to bronchoconstriction obstruction of smaller airway passages which is indicative of Hyper-responsiveness of air passages. Management consists of: 1. Inhalers-provide symptomatic relief by causing bronchodilator dilating the smaller airway passages, relieving the obstruction increasing airflow to lungsSo, you can use it whenever you are having an acute attack. 2. Montelukast preparations- used as a maintenance therapy to relieve symptoms of seasonal allergies asthma. 3. Antihistamines can also be used to provide symptomatic relief. 4. Protect yourself from exposure to cold, dust or other allergens. If symptoms still persist, it will be better to consult a Pulmonologist. Wishing you a Good Health. Let me know if I need to clarify further. Thanks take care. 