palmtrez123, my ENT stated that there are several medications in the same class of drugs. My ENT and pharmacist checked my other medications to ensure that it would not interact with my smorgasbord of meds. Just a thought. Also, when he scoped my throat,. My vocal cords were severely irritated, which is why he told me to gargle everytime (to get the inhalant medication rinsed off of the cords). He also mentioned that I get a bronchoscope done. I think I will once I see if these meds work.