My exercise induced asthma is acting up again. I had a pretty bad ride today. On the way back to the lot, on a 60 mile group ride I had trouble catching my breath. Not real bad but I was breathing heavily for about 25 minutes during a stop for someone to fix a tire. I eventually caught my breath but was very weak after that. The past few weeks I haven't had trouble breathing but have not been riding that well, especially breathing heavily on hills and lagging behind.

I have been taking Advair 250/50 twice a day for about 8 or 9 months. I take two puffs of Albuterol about 20 minutes before riding. On a hard ride I might take one or two puffs more which is 3 to 4 hours after the initial puffs during a lunch stop. Assuming I didn't start my rides real hard it was working pretty well. Today and the last few rides haven't been quite as good. I have not been thrilled with Advair because, one I'm not sure my lungs need to be dilated 24/7 and two I think it makes me antsy. I sometimes have trouble sitting still and don't sleep as well as I used to. I would like a few suggestions for a replacement before I speak to my pulminologist tomorrow. Thanks