Hello Dinesh.
Thank you for asking at HCM.
I went through your history.
To exactly help you, I would like to ask you a few more questions like - Apart from
asthma, do you have allergic rhintis (nose allergies)? Which inhaler are you using - Formoflo 50, 125 or 250? Do you smoke?
However, from your history, I would like to make following suggestion for you:
1. As you are getting asthma attack almost daily recently, were I treating you, I would prescribe you daily
montelukast in addition to your inhaler.
2. If you have nose symptoms, I would add
levocetirizine or cetirizine also.
3. Personally I would suggest you
allergy testing. This will help you identifying the substances that are causing troubles to you and also measures to avoid them.
4. One more important thing - please review your technique of using inhaler. If you are not following all the necessary steps in right way, you may not be inhaling adequate amount of drug.
Personally, I would also suggest using spacer device along with inhaler to improve drug deliver into your lungs.
5. Please try to avoid exposure to dusts, smokes and air pollution as much as possible. (Air pollution is a problem in many areas of Delhi). Using cloth/handkerchief/mask/helmet to cover nose may help. Please do not smoke if you smoke.
6. I would also suggest you regular breathing exercises,
Yoga or Pranayama and a healthy diet rich in
vitamins & minerals (e.g., adequate amounts of green leafy vegetables, fruits, sprouts, etc) which will be definitely helpful to you in a longer run.
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.
Thank you & Regards.
Dr Parin N Parmar