this might be slightly incoherent or too long due to brain not working. i have lung issues.(*) my doctor's initial idea was 7 days of prednisone to calm lungs down, plus an adrenaline inhaler. i was a little concerned, but only on the basis of anecdotal reports and general caution. for example, some mcs people say they get panic attacks with adrenaline-containing dental anaesthetics. and i think some pwme have been done in by prednisone. maybe i was being too cautious? i asked about montelukast (which, could this also help with suspected mcas?). he thought that this was a more dangerous drug than a course of prednisone, because it could predispose to infection. i hadn't heard this. i also asked about trying steroid inhaler first before trying prednisone, on the theory that it would be topical and therefore safer. he agreed with the idea. === i haven't gotten anything yet, beacuse of price and availability and bureaucracy and my brain not working well and uncertainty, but here is what i have been prescribed: - albuterol inhaler [expensive] - fluticasone inhaler [unknown, probably expensive] - wheels set in motion for a /nebulizer/ and an albuterol vial for it the theory of the nebulizer is that it will have fewer inactive ingredients and will be cheaper. also, if i wanted to try adrenalin i could put that in it. i assumed a nebulizer was portable like an inhaler, but it seems to be some big contraption that has to be disinfected and cleaned? i can't really tell what a modern nebulizer would be from the web. does anybody know? i might not have a place for it. getting it cleaned might be a big issue. anyway, hoping for general comments on what these things are, what risks might be, what is usually done, etc. otherwise, i am likely to postpone decision for too long due to having no clue. === more details: (*) lung issues include whistling, gurgling, wheezing, phlegm, trouble getting enough air, pain. worse at night. the term bronchospasm was used. i don't know if a specific diagnosis like asthma was made. was told stethoscope revealed wheezing for both inhalation and exhalation. had wheezing as a child. i believe my lung issues could be caused by the fact that i am in a confirmed water-damaged building, and am extremely mold-intolerant. i am bedridden except bathroom and do not get fresh air. was seriously mold injured in late 1990s. opening window helps breathing a bit. lots of air purifiers insufficient. === i also have angioedema. this has not been narrowed down. testing suggests that c1-inh function is ok. however, i am taking four times the normal dose of antihistamines (2 cetirizine at night and 2 fexofenadine) and the episodes continue. it is possible that they are shorter duration, but not sure. i am positive for anti-ds dna. tested twice. my doctors says it doesn't necessarily mean i have lupus. does lupus-caused angioedema look exactly like angioedema? in any case, the connection with lung treatment is that perhaps i should try an adrenalin inhaler (or nebulizer with adrenalin), purely to see if it helps the angioedema. if it works, then it, or an epi-pen, would be an emergency treatment. right now, we know of no possible emergency treatment. === ok, done with confused screed. i hope somebody answers. thank you. p.s. is this the correct forum?