As far as I know, a lot of these inhalers are all so new that there are no generics. Maybe in a few more years for Advair. I don't know when the patent would expire for Azmacort. Even the basic arbuterol inhalers cost more now because they changed them and only a few companies make them. I bet the companies that got the bids on that are thrilled.
They're expensive but they help prevent the worse damage that can come from uncontrolled inflammation. We pay $48 with insurance for one Advair disc. Our previous insurance had a great mail order set up that used to let DH order 3 for $90 - so if you have mail order as an option I suggest you check into setting that up.
Since this is a steroid inhaler, please read the information sheet that came with it. And try to remember to rinse your mouth out after you take it to help decrease your chances of getting candida. DH's morning ritual is Advair, pills + water (some breakfast, huh?
). He also has a lot of decrease in symptoms because he takes Allegra for allergies, and Singular (a mast cell stablizer) - so you may vary well have to be back to the doctor to try different doses on your Azmacort and/or other drugs to help decrease your response to triggers.
If you're willing to go that route, seeing an allergist could help you find some things that may be your triggers.
I hope you find the right doses and combinations soon so you can get some relief.
Other things that help are the obvious things one does for allergies - keep things clean, use good filters in heat/air duct work and on vacuums. If you have something really dusty that needs cleaning... let someone else do it.
You may also benefit from making sure you're not using a dusty cat litter and letting someone else pour it in after litter box changes.