When used with a good technique, a rescue inhaler may provide relief of symptoms. However, some people are certain that they respond better to using a nebulizer and, therefore, they should use one. Nebulizers may also work better for those in great respiratory distress,.may provide a higher amount of medication to the lungs. A nebulizer tends to be more effective for children, especially for young children when combined with a mask. Adverse effects from corticosteroids are correlated with dose and duration.
Inhaled corticosteroids are less absorbed and thus have a lower propensity for side effects.
Because the goal with asthma treatment is to prevent symptoms and normalize lung function, many people need to continue taking daily medication, including inhaled steroids. In this circumstance, the lowest dose needed to control symptoms and maintain normal lung function should always be used. Reduction of this dose should only be attempted with your physician's supervision. She seems to be needing increasingly higher doses to get the same benefit. Recently she was feeling worse and her spirogram showed mod.