<s>[INST] Hi doctor,My mother is 76 years old and has Alzheimer's for the last five years along with ischemic heart disease, hypothyroidism, and type 2 diabetes. Recently, she developed COPD. The doctor recommended Foracort 400 inhaler twice a day and Foracort 0.5 mg respules through nebulizer once a day along with Deriphyllin retard 300 at night. Is it safe to use the above three medicines considering that she experiences muscle spasms in the rib area from time to time? [/INST] Hi. Thanks for your question. I can understand your concern. May I know her Alzheimer’s and IHD drugs. And, better not to take Foracort (Budesonide and Formoterol) three times a day. I will be happy to help you further. Wishing good health to your mother. Thanks. </s>