I'm on Pulmicort & Albuterol. About twice a year, I get an episode where the coughing won't stop, and my peak flow readings are going down. When that happens, the Dr. gives me a 5 day burst of Prednisone. That takes care of it. You hate to take a lot of that stuff, but a short burst once in a while, shouldn't have too many side effects. This time he also gave me a "hi-test albuterol" called Combivent. It's not for emergency use, as it takes about 15 minutes to kick in, but it also helps relieve congestion.