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

### input:
I AM SUFFERING FROM ASTHMA AND ABPA FROM LAST 10 YEARS. I REGULARLY TAKE FORCORT 200 AND ASTHALIN INHALERS. BUT THESE DAYS EVEN THESE ARE ALSO NOT RESPONDING. KINDLY HELP AND TELL ME ABOUT THE TREATMENT.MY AGE IS 46. MY HEIGHT IS 177CM. WEIGHT 70KG

### output:

Hi, Asthma is itself an allergic disease due to cold or dust or pollen or grass etc. irrespective of the triggering factor and Allergic bronchopulmonary aspergilli (APA) is a condition characterized by an exaggerated response of the immune system means a hypersensitivity response to the fungus Aspergillus (most commonly Aspergillus fumigates)You can go for pulmonary function tests if not done. Here, the treatment is mainly symptomatic which might require inhalation steroids(fluticasone or budesonide), beta receptor agonists(albuterol or terbutaline), anticholinergics(ipratropium bromide, aminophylline) as MDI or rota haler as a regular treatment. Inhalers are comparatively safer than any other form of asthma treatment like oral or injectables. The medicine inside an inhaler goes straight into the airways when you breathe in. The airways and lungs are treated, but little of the medicine gets into the rest of the body leading to lesser and lesser side effects. The advantage of inhalers over other forms are that they are causing instant relief (bronchodilatation) by relaxing the muscle in the airways decrease the inflammation of bronchi and bronchioles, you might be given oral antihistamines with mast cell stabilizers (montelukast) and steroids (prednisolone) with nebulization and frequently steam inhalation. The best way to cure any allergy is a complete avoidance of allergen or triggering factor. Consult your pulmonologist for further advise.