Thanks for all replies. I saw the pulmonoligist on Thurs. and we have things straightened out. He started me on Accolate, Serevent and kept the Flovent, Atrovent and Alupent mdi's and switched the alupent for my neb to a stronger dose of albuterol and stepped it up to every 4 hrs. This seems to work much better for me!
Thanks again to everyone who replied.
Lou Ann