Dear Doctor, I am 41 years old. I have Asthma, urticaria, GERD, problems. From my childhood I have Asthma problem. My Pulmonologist has given me medicine Montek AB and formoflo 250mg, Asthalin rotohaler. Recently in Echocardiogram taken at a Hospital it was showing mild PAH but Cardiologist wanted to check again 2D Echocardiogram by Senior Cardiologist. Senior Cardiologist checked 2D Echocardiogram by God's grace report is normal. No PAH. I have breathing problem. I need to take deep breath and yawning frequently. I while talking feel shortness of breath. The Formoflo inhaler Asthalin rotohaler causes high heart rate, palpitation. Is there any inhaler without palpitation or high heart rate side effects? Please advise.