@wsbme74 I am also on symbicort and neb levalbuterol before 7% saline. I tried using symbicort instead of levalbuterol but it did not work as well for me as the levalbuterol. My airways did not feel as clear. It makes sense to apply the inhaled steroid in symbicort to the lungs after clearing so I agree with your doctor in Boston!

My question about symbicort is can we the generic? It's quite a bit less expensive than the name brand.