<human>: I have bronchial asthma since 10 years now. i have been prescribed two inhalers.those are TIOVA and BUDATE . i do not take them regularly as i dont need them. whrnever the whether changes i get breathless and at that time these inhalers are of no help. i am awake for 3-4 hrs as i cannot lie down also at that time. I need your advice Can you help me ?
<bot>: Hello dear, Asthma is caused due to bronchoconstriction (obstruction of smaller airway passages) which is indicative of Hyper-responsiveness of air passages. Management consists of: 1. Inhalers-provide symptomatic relief by causing bronchodilator (dilating the smaller airway passages, relieving the obstruction & increasing airflow to lungs)So, you can use it whenever you are having an acute attack. 2. Montelukast preparations- used as a maintenance therapy to relieve symptoms of seasonal allergies & asthma. 3. Antihistamines can also be used to provide symptomatic relief. 4. Protect yourself from exposure to cold, dust or other allergens. If symptoms still persist, it will be better to consult a Pulmonologist. Wishing you a Good Health. Let me know if I need to clarify further. Thanks & take care.