Hi Lisa, I was actually on the drug before the test and had started to improve significantly on that. If you will notice on the test results,the albuterol really didn’t do much and I had noticed that before, as that was the original drug she gave me. I’m still taking the Symbicort probably once every other day, and the doctor said it was fine to do that. I find it all very interesting and am mystified by why that drug is not supposed to make any difference in the testing, since it does have a steroid in it. That said I’m going to assume that they know what they’re doing. The girl that did the testing was quite knowledgeable and gave me several hints on how to improve. One thing she told me was that by using an extender, which you can only get by prescription, will allow you to utilize 67% more of the drug than without it. I don’t know if that was from any of the inhalers or just the albuterol that she gave me during the test, however, by the way she was talking I assumed it was all of the inhalers. She cave it to me to take it home and said to use it with the Symbicort, after cleaning.