Hello Mr A, Thank you for asking at HCM. I went through your history and would like to make suggestions for you as follows: 1. Simply One is Ciclesonide (inhaled corticosteroid) + Formoterol. As it is not available, ciclesonide can be replaced with other inhaled corticosteroid like budesonide. Combinations of budesonide + formoterol are available in market. So kindly consult your physician to prescribe the alternative inhaler. 2. I would like to mention here that inhaled corticosteroids are preventer type of inhalers which reduce frequency of attacks. So you need to take them regularly. 3. As an Allergist, I would suggest you allergy testing for common air-borne allergens such as pollens, house dust mites, molds, insect proteins, animal dander, etc. This will help you to identify the substances causing allergist to you and also to know the measures to avoid them. 4. Based on allergy testing, an Allergist-Immunologist may prescribe you allergen specific immunotherapy which works on immune system to gradually improve allergy symptoms over a long period. 5. In general, I would suggest you to avoid exposure to dusts, smokes and air pollution as much as possible. 6. Regular breathing exercises including Yoga & Pranayama and a healthy diet rich in vitamins & minerals will also help you in a long run by improving your lung capacity and immunity respectively. 7. Regarding other natural treatments, I would suggest you to consult a qualified Ayurveda or Naturopathy doctor who might help better. 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 ahead. Thank you & Regards.