Yes, my exacerbations do include bronchospasms. And actually, levalbuterol (either inhaler or neb) is better at relieving them. The beta-agonist (levalbuterol) relaxes the airways, which is what makes it a good rescue inhale. The steroid acts as an anti-inflammatory, to reduce the overall irritation in the airways.

I referred in an earlier post to using generic Symbicort (formoterol plus budosenide) to control my asthma. According to my pulmonologist this is a fairly recent protocol for managing asthma with overreactive airways or bronchospasms. It is my understanding that it doesn't work for everyone, but it has been the answer for me - one single mild exacerbation in 2022, versus three or four moderate ones in a typical year.

Do you use a beta agonist as well as budosenide?
Sue