treatment problem

I have been using Combivent for about a month together with Asmanex to treat my cough-variant asthma and have had pretty good results. However, the first inhalation of Combivent always triggers a major coughing spell (sometimes it's so severe I almost vomit or my ribs hurt).  Are there other bronchodilators that might be easier to inhale and still be effective?  Or would using a nebulizer help?  I've heard there can be adverse side effects with a nebulizer. I'm currently using the Combivent 2-3x/day and the Asmanex 2x/day.  Thank you for any suggestions that might help.

[peekawho]

This would be a perfect question for the Ask A Pharmacist forum:

http://www.medhelp.org/forum_disclaimers/show/296

Otherwise, contact your MD and let them know how much trouble you are having.  I've been on certain inhalers that actually triggered bronchospasm, and maybe you are having the same problem.  

Do you have nut or soy allergies? Combivent should not be used by people with those allergies.

[heartfluttersflyawayplz]

hey was wonder when you use the asmanex do you have any side affects from it , does it clear the tubs is that what its for ? i have the asmanex 220 never used it scared to say only use at night for me one puff

[judith925]

I have no side effects from the Asmanex.  It's supposed to relax the lungs and I find it helpful.  Also, I've started on Atrovent alone and that's solved the coughing problem I had with the Combivent. Good luck.