My Mom, now 85 years old, has been treated for asthma since she was 36 years old. Treatment spanned all the meds mentioned above. June of 06 Mom had a near fatal asthma attack. Since then I have become more involved.
Long story short we have found that Mom's asthma is actually symptoms or after effects of re-flux or at the least exacerbated by the re-flux. From the time she started taking Zegerid (a very expensive capsule that incorporates two very inexpensive drugs: omeprazole and sodium bicarbonate, not sure of spelling of both) first thing in the AM, at least one hour before any food, her asthma or COPD has been more easily controlled.
Step 2 for us was to understand the part that mucous plays in her condition. We have added one Musinex tablet (over the counter) to her morning meds and make sure she drinks a full, large glass of water with it.
Then we ask her to do some exercise, walking, deep breaths in thorough her nose out thorough her mouth. Within a short time her body's response will be a cough, small but it is just a message.
We then remind her that that is the signal we have been waiting for and that all that we did up till then was to get that response. Now all she has to do is work that little cough with everything she's got to get the loosened mucous out.
We may clap her back with cupped hands if needed to help her along.
We have found that anything with a "DM" (cough suppressant) works AGAINST our goal. We don't give Mom a second dose at night as it will be working to bring up mucous and we want her to rest as much as is possible.
Before our discoveries of 1. the part that acid re-flux played in Mom's asthma/COPD and 2. the mucous removal techniques, Mom was jumping on high doses of prednisone every 6 or 7 weeks (soon after her countdown off, she'd have to start up again), going to the ER 2 to 3 times per year and put on antibiotics about once very 3 or 4 months.
Mom is now 1 year and 2 months from her last ER visit for asthma/COPD, high dose prednisone (Mom has to take 5 mg per day because of her past excess, but that is virtually zero to her body) and antibiotics.
The amount of mucous Mom's body seems to produce varies with the season. Because of a heart problem that arrived only because of her June 06 near fatal asthma attack, Mom has to be careful of the amount of fluids she has each day. Like Goldie-locks she can't have too much because of the heart thing and can not have too little because fluids are vital to thinning the mucous to get it out. We were told by her cardiologist to keep her fluids at about a quart each day.
Mom finds all the pestering to "keep that cough going Mom, there it is, that's what you've been working towards all day" a real PIA. But then we remind her that her now fragile spine is being sparred more damage from the high doses of prednisone and that she has passed the one year mark just by being diligent about the whole mucous routine.
Mom also does 4 nebulizer treatments per day. Each one of those if done well (deep and slow breaths) will yeild some more coughed up mucous.
It's not easy to live with this but it is possible to manage this condition and minimize the amount of ER visits, antibiotics and prednisone taken if you find your own system to stay a step ahead of the mucous.
I hope this has helped.