Hello. Thank you for asking at HCM. I went through your history. For detailed assessment, I would like to ask a few more questions like - Do you have any nose symptoms (nasal congestion, sneezing, running nose, etc)? If yes, then how frequent? Do you have regurgitation/vomiting, especially after eating hot, spicy foods? Do you have any other medical problems? However, from your history, I would like to make following suggestions for you: 1. If you are having daily breathing problems despite using Foracort 200 rotacaps daily, were I treating you, I would prescribe you daily montelukast in addition to rotacaps. 2. I would highly recommend you to get your technique of using rotacaps reviewed by an experienced physician. If all the necessary steps are not followed, you might not be getting adequate amount of drug into your lungs. 3. Personally I would suggest you to use metered does inhaler with spacer device, which causes more deposition of drug into lungs as compared to other devices. However, it is not so portable as Rotahaler. 4. If you have nose symptoms as described above, I would also add cetirizine or levocetirizine. 5. I would suggest you to get allergy testing done which might help you to identify substances that may be causing troubles to you and also to know measures to avoid them. If allergy testing is positive, I would suggest you to consult an Allergist-Immunologist who may advise you allergen specific immunotherapy which changes your immune reactions to improve your allergy symptoms for long-term. 6. In general, I would suggest you to avoid exposure to dusts, smokes and air pollution as much as possible. Regular breathing exercises and a healthy diet rich in vitamins and minerals (e.g., adequate amounts of green leafy vegetables, fruits, sprouts, etc) will also help you in a long run. 7. Mental stress also has an important role in worsening asthma. If you are having any kind of mental/emotional stress, please seek professional help. Hope above suggestions will be helpful to you. Should you have any further query, please feel free to ask at HCM. Wish you the best of the health. Thank you & Regards.