@hopeful33250 I am on Advair 500/50, singulaur, and Spiriva REspimat with a rescue inhaler and Ipratrobium Bromide and Albuterol Sulfate Nebulizer. From my ENT doctor I also have a sinus rinse plus 2 sinus sprays. Actually I have had asthma since I was around 18 years old but it seems to have always been well controlled. Another time it was out of control and I had respiratory arrest. That was almost 40 years ago now. I did recently spend 6 days in ICU and it is since this spring that I always seem to have this phlegm and coughing plus using PEP apparatus, etc. When I saw the doctor on Friday is when he suggested perhaps Tezspire. After reading the comments, I'm not sure I want the side effects of pain they report. Of course the price is prohibitive too.