Patient: I have had rhinitis since I was a child, and 4 years ago I got asthma labs and over asthma, and have been using Pramipexole, 4 sprays a day, and hanging azithromycin and aminophylline for severe attacks. Now that I am pregnant, I wonder if I can use the medicine during pregnancy? Do I need to reduce the dosage? Can I still use salbutamol aerosol? I haven’t had an attack for three months, but I still have severe nasal congestion, and I can’t smell at all. Kaisheng Yin, Department of Respiratory Medicine, Jiangsu Provincial People’s Hospital: The inhalation of Pramipexole does not affect the child, it is safe for pregnant women, but azithromycin and aminophylline do not necessarily have no effect. You have not had an asthma attack for 3 months and now you are pregnant, it is recommended that you reduce the dose of Pramipexole to 2 inhalations per day. It is not necessary to inhale albuterol aerosol when there is no asthma attack. The effect of salbutamol on the fetus at regular doses is not significant. However, there is still some risk if it is applied regularly or inhaled at too high a dose. Therefore, it is best to keep asthma under control. The use of inhaled hormones to avoid asthma attacks is safer than inhaling salbutamol aerosol (e.g., Ventolin) during an attack. Allergic rhinitis can be treated with a nasal spray of radicort. The composition of the drugs is the same for both Ranocort and Budesonide, one due to the treatment of bronchial asthma and the other due to the treatment of allergic rhinitis, both of which require a long course of treatment.