@hicopd - I had more asthma symptoms (coughing, especially, but I think also some inaudible wheezing) lying down at night previously. I think it related to my dust/dust mite allergies, as you mentioned. I already took some regular inhalers, allergy medications and nose sprays. I've tried allergy shots before, but they only seemed to really impact my cat allergy. I took some benzonatate, which helped a bit, and grabbed my Albuterol inhaler from my nightstand if I coughed in bed. At least temporarily, this helped a bit.

What really made a difference in my particular situation was finally getting approved and taking mepolizumab shots monthly. At first, I did not think these shots were doing anything. Then, later, when speaking to my allergist at an appointment, I realized I was coughing less at night and during the day. I no longer got into such a bad asthma situation that I had to take a round of prednisone.

Are you allergic to dust/dust mites, hicopd? If so, what do you do to manage them?