Another option would be a different combo med like Advair
or Dulera (very new and not on formularies yet). Some meds work better for some people than others. I did well on Advair, but when I tried Symbicort, I had horrible shaking the first three days, but then it did nothing and my asthma flared. I am now testing Dulera (a combination of Asmanex Twisthaler and Foradil Aerolizer).