My pulmonologist at Mayo is a huge fan of AirSupra. She has had me replace Albuterol inhaler with AirSupra when I’m sick. It works great. I still do Albuterol nebulizer. I am also on Budesonide. To add: I’ve had sinus surgery and use Muciprocin for the inside of my nose. ENT said other gels like neosporin or Vaseline are bad. Ayr is okay though.