Happymom, I have bad asthma and I take symbicort for my long term inhaler. You definitely need to rinse your mouth out very well. Albuterol is not meant for every day use. It is a rescue inhaler for when you have an asthma attack. You need to see a pulmonologist and have all the lung function tests. And the pulmonologist will determine the best meds for you. I am a year older than you and my asthma has gotten worse as I have gotten older. Don't just count on using the allergist and your PCP. You definitely need a pulmonologist to make a correct diagnosis and to put you on the right meds. If you don't understand how to use something ask the dr how and for any special instructions. I wish you he best and do post again to let us know how you are doing. Take care.