I use symbacort 2x a day as my regular inhaler and it has done wonders for me. Yes I learned too that the steroids cause me to go manic too and I wait as ling as I can before having to go on them. I also wait as long as I can before using my nebulizer because I don't like the way it makes me feel either. However the symbacort has greatly reduced my episodes. I very rarely use my emergency inhaler now either which is good because it didn't ever seem to work anyway.