Hello. Thank you for asking at HCM. I went through your history and would like to make suggestions for you as follows: 1. In my opinion, inhalers such as Symbicort should not be stopped without doctor s advice. Stopping controller inhalers can cause return or exaggeration of symptoms. Please make sure that your technique of using inhaler is perfect and you are rinsing mouth after each use, this will reduce deposition of drug in throat and therefore throat irritation. 2. In such patients, I usually suggest to continue original inhaler (Symbicort) in the same dose as they had been using previously. In addition, I would suggest them to use inhaler like levosalbutamol or salbutamol 3-6 times a day and also to take montelukast regularly. Please discuss these possibilities with your doctor. 3. For long term management of persistent asthma, I would suggest you allergy testing, which will help you identify the substance causing symptoms to you as well as to know the measures to avoid them. Based on allergy testing, an Allergist-Immunologist may prescribe you allerge specific immunotherapy which works on immune system to gradually improve allergy symptoms over long time. 4. In general, I would suggest you to avoid exposure to dusts, smokes and air pollution. 5. I would also suggest you regular breathing exercises, plenty of oral fluids and a healthy diet rich in vitamins & minerals. Hope above suggestions 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 and a quick recovery. Thank you & Regards.