<human>: I suffer from astma when i have cough and cold.this problem started at the age of 12. once doctor prescribed to use combihale (FF 125) daily , i never used it .Now i am taking asthalin syrup when i have cough.what do you prefer me take asthalin or inhaler?is there any side effects for inhaler
<bot>: Hello. Thank you for asking at Chat Doctor. 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 Stalin more than twice a week? If any above answers are "yes", I would suggest you daily treatment like inhaler or montelukast. 2. For relief of symptoms, I would suggest you to use albuterol (Stalin) inhaler rather than Stalin syrup whenever you have symptoms. Please be sure that albuterol or levosalbutamol are "reliever" type of inhalers which are used on as-and-when-needed basis and inhaled corticosteroids (such as combinable) 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 portions from inhaled Chat Doctor.  Local side effects are more common.4. Common side effects of combinable 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 combinable) 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 queried, please feel free to ask at Chat Doctor. Wish you the best of the health. Thank you & Regards.