Hello, Thank you for asking at HCM. I went through your history and would like to make suggestions for you as follows: 1. Were I treating your son, I would continue same treatment while slowly attempting to reduce medications gradually over a few months. As per my opinion, montek and seroflo are optimum for him if discontinuation of any of them causes symptoms to him. 2. I would suggest him allergy testing for common air-borne substances such as house dust mites, molds, pollens, insect proteins, pet dander, etc. This will help you identify the substances causing allergies to him as well as to know the measures to avoid them. 3. Based on allergy testing, an Allergist-Immunologist may prescribe him allergen specific immunotherapy which works on immune system to gradually improve allergy symptoms. Immunotherapy is the only proven measures that reduces medications requirements in persistent asthma patients. 4. In general, I would suggest your son to avoid exposure to dusts, smokes and air pollution as much as possible. 5. Regular breathing exercises and a healthy diet will also help him in a long run by improving his lung capacity and immunity respectively. Hope above suggestions will be helpful to you. Should you have any further query, please feel free to ask at HCM. Wish your son the best of the health ahead. Thank you & Regards.