Hello. Thank you for asking at HCM. I went through your history and would like to make following suggestions to you: 1. Were I treating you, I would ask you following questions: Do you have cough that awakes you at night more than once a week? Do you have difficulty in performing routine activities (including exercise) due to asthma symptoms? Do you need to take asthalin more than twice a week? If any above answers is yes , I would suggest you daily treatment like inhaler or montelukast. 2. For relief of symptoms, I would suggest you to use salbutamol (asthalin) inhaler rather than asthalin syrup whenever you have symptoms. Please be sure that salbutamol or levosalbutamol are reliever type of inhalers which are used on as-and-when-needed basis and inhaled corticosteroids (such as combihale) are preventer type of inhalers which are to be used daily and regularly as suggested by your doctor. 3. In general, inhaler forms are chosen over oral tablet/syrup forms because inhalers work direct locally in lungs and start working quicker. Moreover, only a few portion from inhaled drugs gets absorbed into blood, so generalized side effects are minimum. Local side effects are more common. 4. Common side effects of combihale are local - throat irritation, oral thrush, change in voice and they can be minimized by rinsing the mouth after use of inhaler. As mentioned above, generalized side effects with inhalers are uncommon and can occur with long term use with high dosages. Generalized side effects of corticosteroids are gastritis, hypertension, diabetes, cataract, glaucoma, etc and of formoterol (one of the components of combihale) are increased heart beats, tremors etc. But they are rarely seen with proper use. Hope above suggestions and information will be helpful to you. Should you have further query, please feel free to ask at HCM. Wish you the best of the health. Thank you & Regards.