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@slgi

I have had asthma all my life. Around 2020 I had a mild case of COVID. Before this, I had experienced wet coughs and post nasal drip. I have used several inhaled steriods and albuterol for many years. My symptoms would wax and wane. Now for the past 2 years they are persistant. I use Arnuity, and albueterol and for the past 6 months added Fluticasone Propionate nose spray. I use my Albueterol several times a week, not every day.
My doctor said this is probably as good as it will get and referred me to allergist or pulminoligist. I am undecided about the referral. Maybe there is another combination that would help. Of course an allergist or pulminolgist may be an option I should tryl

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Replies to "I have had asthma all my life. Around 2020 I had a mild case of COVID...."

There is a new protocol for chronic asthma that has helped me - Symbicort, which is a combination of budesonide and formoterol. It is also available as a generic. The budesonide is a corticosteroid considered safe for long term use. Formoterol is a long-term beta-agonist, it helps keep the airways open longer than albuterol.
Another is Subair - a combination of albuterol and budesonide.

So it is quite likely worth your time to visit the pulmonologist. And if you end up on one of the newer inhalers, you can share the experience with your primary so they can get an updated view of treatment.