Hello. Thank you for asking at HCM. I went through your history and would like to know more about you like - What is your age? Since when you have had asthma? What is the frequency of symptoms? Do you have any associated nose problems - nose allergies, sinusitis, etc? Do you smoke or are you exposed to dusts or air pollution? Does anyone from your family have asthma or allergies? etc... From your history, I would like to make following suggestions to you: 1. I would agree with your treatment at present. 2. Were I treating you, I would add montelukast in your treatment as it helps both nose and asthma symptoms. 3. If you need to use Asthalin inhaler more than twice a week, I would suggest you to use daily inhaled corticosteroids. Asthalin inhaler is to be used on as-and-when-needed basis. I don t recommend it to be used regularly. 4. Once your asthma is under good control, I would first start reducing deriphyllin, as it has many side effects compared to other drugs. 5. I would also suggest you to avoid exposure to dusts, smokes and air pollution as much as possible. 6. Regular breathing exercise and a balanced diet (adequate green leafy vegetables, fruits, sprouts, etc) will help you in a long run. 7. I would suggest you allergy testing which will help you to identify the substances you may be allergic to. 8. Were I treating you, I would not suggest you to use all the medicines for 3 years. I usually call my patients every 2-3 months and then decrease/change medicines as per their symptoms. Asthma is a dynamic disease which worsens and improves with time, season and other factors. So it is difficult to predict duration of treatment. Hope above suggestions and information will be helpful to you. Should you have any further query, please feel free to ask at HCM. Wish you the best of the health. Thank you & Regards.