Hi DR. XXX, I am XXXX, 56 yrs. old. I go to the gym and do cardio exercises everyday. After workout I enter the Steam Room for added comfort. However, since 1985 i started having Asthma . It starts with a Cough & then Asthma comes in. Ventolin Inhalers comforted me until I switched to Symbicort Inhalers 4 years ago. Until Lately I switched back to Ventolin thinking that Symbicort w/ Steroid can Cause Throat Irritation and Severe Side Effects & Erectile Dysfunction as compared to Ventolin.With this, I would like to ask which is better to use Ventolin Inhaler or Symbicort Inhaler? I have been using Ventolin Inhaler before I switched to Symbicort Inhaler 200 mcg. Symbicort was good for me. I only take it once a day & sometimes after 2 or 3 days. there was even a time when a whole month passed w/out me taking a dose. I noticed that my chest tightness usually happens when my stomach is full after dinner at night. Lately I switched to Ventolin Inhaler again but its effect only lasted for about 12 hrs. before taking another dose. Now continuous cough due to irritation of the throat is what I experience before an attack. My throat is itchy & chest tightness follows. Will i just discontinue Ventolin & go back to Symbicort Inhalers? Or can you prescribed a better Inhaler for me? If so, what is the best medicine for me to take. Likewise, a medicine to stop irritation of my throat due to this Medicine. Your advice will greatly be appreciated. Thank you very much!
Hi, You are 56 years, you have asthma since 1985,and using Symbicort, you get tight chest, after dinner, switched over to Ventolin.  It is an allergic reaction, I prefer to give the patient montelukast, and levocitrizine combination for minimizing the attack, otherwise I prefer to give triamcinolone for preventing the attack.  With the help of these, you can greatly minimize the dose of the bronchodilator inhalers.  Ventorline is a short Chat Doctor.  Thank you.