The kind of asthma I deal with has more to do with inflammation of the lung surface than narrowing of the bronchial passages, so the rescue inhalers like albuterol don't really help. So my airway is open, it's just messed up.
I switched from albuterol to Advair about the same time the old propulsive gases went off the market, so I'm unfamiliar with the current designs for the rescue inhalers. A lot of people complained that the change from one type of delivery system to the other was all about profits for Big Pharma (going from a generic to a patented form.) It was really all about taking certain gases off the market to protect the ozone layer. Once those gases weren't used for all kinds of spray cans, it wasn't economically feasible to make up a single small batch to supply medical inhalers. My guess is that some medications can be mixed with other propellents, and some like the steroids in Advair don't.
I'm feeling somewhat better as the Advair takes hold, and my husband will take me to the ER if I get in trouble. I think I can wait until Monday to see the doctor. But - if I didn't have the Advair, I'd be in the ER today.
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