I, for years, had to use albuterol inhalers before riding. I have both exercise and cold induced asthma. I've been hospitalized for asthma.

My pharmacist recommended that I discuss Advair with my doctor. I did, he didn't want to prescribe it since he said it was no more effective than the albuterol inhalers and more expensive ($100/month vs $20 per month or so). Well, he was way, way wrong. Since using the Advair for the last 5 years, I no longer even own an albuterol inhaler (or any rescue inhaler for that matter). A single dose twice a day of the Advair and I am completely symptom free.

Sometimes, it's better to talk to the medications experts or at least to get the docs talking to the pharmacists. Getting them to collaborate on solving your problem is likely the best way to go.

J.