<s>[INST] My allergist, at my request, approved cessation of Symbicort 80/4.5 (2 puffs, a.m.) while maintaining Montelukast (10mg, p.m.), with a retest scheduled for 30 days. On the second day of skipped dosage, I developed laryngitis; and reverted to 160/4.5 2puffs, a.m. & p.m. This is the protocol for URI, etc. I ve had no colds in over a year. Laryngitis last year (same month, at the start of cold weather). No use of rescue inhaler for about 4 years. Original symptomology was adult onset, precipitated by stress and exhaustion. Would a taper be better, once I get back to baseline? I m wondering whether the sudden stop (after 8+ years of habituation) added to this event? Will be following with my doc early next week. Any taper suggestions would be much appreciated. [/INST] hi sir/madam,Thanks for your question on Healthcare Magic.Other alternatives are:-1. Advair (fluticasone / salmeterol):-Take it daily and consistently for the best results. It is not for on-demand treatment of wheezing or asthma attacks.Rinse your mouth with water after each inhalation to avoid fungal infections of the mouth.2. Breo Ellipta (fluticasone / vilanterol):-Breo Ellipta (fluticasone / vilanterol) contains an ingredient, which may cause yeast to grow in your mouth and throat.Not appropriate for those allergic to milk since it contains milk protein.Other types of combination inhaler for COPD may work better to reduce the frequency of COPD attacks.Consult your doctor for further treatment.hope this was helpful.have a healthy day. </s>