<s>[INST] my father use steroids(wysolon 5mg) for more than 10yrs for asthama.After that he left using that and stated rotacap inhailer for last 01 year but recently from one month no asthama medicine is working on him .please sugest what to do. right mow I am looking to consult a pulmonologist for my father. [/INST] Hello.Thank you for asking at HCM.I went through your father's history and would like to make suggestions for him as follows:1. Using inhaled corticosteroids (in form of inhalers) is always better than taking corticosteroids orally. So it's good that your father has switched on to inhalers.2. I would like to know the drug he is using in Rotahaler. There are many drugs available to be used with rotahaler and if he is not responding to a drug since last 1 month, changing the drug or increasing the dose of the drug would be a better option. Please give details of your inhaler to the pulmonologist when you visit him.3. In general, I would suggest him two types of inhaler. One controller type (inhaled corticosteroids) to be used daily and regularly and the other rescue type (salbutamol) to be used on as-and0when-needed basis for asthma symptoms.4. I would suggest him to avoid exposure to dusts, smokes and air pollution as much as possible.5. Regular breathing exercises and a healthy diet rich in vitamins & minerals (adequate amounts of green leafy vegetables, fruits, sprouts, etc) will help him in a long run by improving his lung capacity and immunity respectively.6. If he is a smoker/was a smoker in past, I would also suggest him spirometry test to know his lung capacity and to know the kind of his lung disease apart from/in addition to asthma.Hope above suggestions will be helpful to him.Should you have any further concern, please feel free to ask at HCM.Wish your father the best of the health.Thank you & Regards. </s>