@sweethighland I agree with Sue @sueinmn that any drug you take has it's side effects, but you must weigh that against the positive effects it may have. Quality of Life is very important to all of us. It appears to me the inhaled steroid has a low risk of causing NTM infections. Maybe you could take a lower dose or less often and still be effective with a lower risk of side effects. You might ask your health providers their opinion. Bill