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Serevent is a long-acting bronchodilator, whereas Albuterol is a short-acting bronchodilator. Serevent is not a rescue inhaler, that's why you carry Albuterol! It should only be used along with an inhaled steroid. Long-acting bronchodilators are usually prescribed in the combination inhalers Advair and Symbicort...at least in the US. Those medications contain both an inhaled steroid and a long-acting bronchodilator.

Albuterol is generally the first-line rescue medication. I'm not sure why you say that Albuterol "doesn't work." Alupent is Albuterol and that's what you've been using. When was the last time you used Alupent? Was it before the change from CFC to HFA propellant? Albuterol also goes under the names: Provetil, Ventolin and ProAir.

Asmanex is an inhaled steroid, which should be taken daily. I use a combination inhaler and I use it faithfully, twice daily, because if I don't it messes me up. If your doctor gave you Asmanex and you weren't using it everyday and it didn't mess you up, then you probably didn't need it. He may be "stepping down your treatment."

You should really be consulting your doctor about which rescue inhaler to use. Some bronchodilators aren't meant to be used as rescue inhalers in the event of an asthma attack. Your doctor's doing his job and giving you the best medication for the job. You need a medication to get you out of an asthma attack and Albuterol is really good at. Currently there are no generic equivalent Albuterol HFA inhalers. The ones I can think of right now of are Proventil HFA, Ventolin HFA and ProAir HFA. Xopenex is an alternative to Albuterol.

Titchou: There are people with asthma who do not require daily medication. People who have mild intermittent asthma are able to control their asthma using only a rescue inhaler when they experience symptoms or when exercising. Anyone who has persistent asthma, be it mild, moderate or severe, needs to take some level of controller medication...inhaled steroids and maybe a long-acting bronchodilator...depending on their situation.

I hope this helps. Good Luck!





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