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Sounds like your doctor has you on a very good regimen. 500/50 is the strongest Advair. Have you talked to your doctor about this? I think what your doing given the circumstances is about all you can really do. There are some other cortiosteriods, such as predneson. The problem is that drug is systemic, effecting the entire body, leading to more and more side effects. If your worried you might not be able to breath, you could ask your doctor for an Epinephrine pen. Its usually used for sever allergic reactions such as bee stinks, but it will save your life if your having a horrible asmtha attack.
Something I've realized with the MDI's is that the more you use them, the more you seem to need them. Maybe it just happens with me. Good Luck.

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