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

### input:
Respected sir...I have asthama and taking asthalin rotocap 2-3 tablets per day(.from 12-14years) Is it safe? I m taking otrivin for nosal relief What i have to do for completly relief from asthama? Somebody told allergy test is useful for this..isnt it ?...please help me to solve this problem.Awaiting ur reply. Thank you

### output:

Hello, Thank you for asking at Chat Doctor. I went through your history and would like to make suggestions for you as follows:1. Common side effects of Stalin (albuterol) rota caps are tremors, palpitations, increased heart rate, etc. However, inhaled albuterol is better than tablet albuterol. However, if you need to take 2-3 rota caps daily, it is not recommended as per my opinion. It suggests that your asthma is not well controlled, and you need to take regular asthma controller/preventer medications. 2. I usually suggest my such patients regular montelukast, levocetirizine and inhaled corticosteroids for at least 6 weeks. Please use Stalin (albuterol) rota caps for as-and-when-needed use only and not on regular basis.3. I also do not prescribe decongestant nose sprays (such as origin) for more than 3 days at a stretch. As there is possibility of rebound nose congestion/obstruction upon stopping such nose sprays. As suggested above, montelukast and levocetirizine will work for allergic rhinitis.3. I would also suggest you allergy testing for common air-borne allergens such as house dust mites, molds, pollen, insect proteins, animal dander, etc. It will help you identify the substances causing allergies to you and also to know how to avoid them.4. Based on allergy testing, an Allergist-Immunologist may prescribe you allergen specific immunotherapy which works on immune system to gradually improve allergy symptoms.5. In general, I would suggest you to avoid exposure to dusts, smokes and air pollution.6. Regular exercise and a healthy diet will also help you in a long run by improving lung capacity and immunity respectively.7. I would like to mention here that treatment of asthma requires combination of medicines, immunotherapy, yoga/Panama/breathing exercises, lifestyle and diet changes. With sucChatDoctorbined efforts, one can have an improved life with minimum possible use of medications. Such treatment requires patience and understanding of the disease from patients side as well. Hope above suggestions will be helpful to you. Should you have any further query, please feel free to ask at Chat Doctor. Wish you the best of the health ahead. Thank you & Regards.