### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
My daughter is a chronic Asthma patient. She has been prescribed witChatDoctorbitide Starhaler 125/25mcg 2 puffs 2 times daily by doctor of CMC,Vellore. In Kolkata I am not getting it. Can I use Combitide Starhaler 250 which is available in Kolkata with 1 puff daily ?

### output:

Hello. Thank you for asking at Chat Doctor. I went through your daughters history and understand your concern about the medication which is not available at your place in Kolkata. Combitide Star haler 125/25 contains two Chat Doctor. However, Combative Star haler 1 puff twice a day will give her total Fluticasone 500 mcg and Albuterol 50 mcg in a day. Thus, she will not get dose of Albuterol recommended by your doctor if she uses Combative Star haler 250. There are other similar inhalers containing Fluticasone 125 and Albuterol 25 which may be available in Kolkata, but they may be manufactured by other companies. So, personally I would not suggest you to use Combative Star haler 250 in place of Combative Star haler 125/25 unless her treating doctor allows you. It will be the best option for you to ask her doctor regarding this. Online purchasing her prescribed inhaler may be a good option if it is not available in your city. If it is not possible to contact her doctor in Nellore or to wait till delivery (for online shopping), in my opinion, second-best option may be to give her inhaler with similar contents manufactured by other company till your next visit to Nellore. Hope above information will be helpful to you. Should you have any further query, please feel free to ask at Chat Doctor. Wish your daughter the best of the health. Thank you & Regards.