Hello gaylesunflower1 I use Alvesco twice daily for bronchiestatis and asthma along with nebulizing Brovana twice daily. Alvesco replaces albuterol for me due to other health issues. I have used it for about 5 years. Sure beats having to use antibiotics every few weeks as I used to have to do before finding an asthma/allergy specialist who tested me. Best of health to you.