Or...if you have an albuterol or levalbuterol inhaler and a budosenide (Pulmicort is one brand) inhaler, you can make your own combination - simply use the albuterol, wait one minute, then use the budosenide. This is what my daughter did for several years before she was switched to Symbicort (for the long-acting beta-agonist fomoterol.)

By the way, my pulmonologist prefers Symbicort to the albuterol/budosenide combo - formoterol keeps the airways open longer. It used to only be used for COPD, but is now the second-step choice for difficult asthma or reactive airways. I had a little drama getting it with Medicare Part D but after intervention by my pulmonologist they approved it. I have never had airway control this good since I was in my 40's. No nebs except 2-3 times a week saline, no exacerbations requiring ER or antibiotics, no bronchitis (even with getting 2 colds).

Sue