I am an asthmatic and have 3 children with asthma. Alot of people take asthma to lightly and don't realize how serious it can be. Asthma can have many triggers and can also come on all of a sudden. My children have had asthma from seasonal changes,colds,humidty,food additive,some foods, 220,dust,mould,smoke,excercise,stress GA_googleFillSlot("minti_advice_island_logged_out_300x250"); and cold night air it can be very unpredictable and the pattern is not always the same. We have had many trips to the hospital at 2am or 3am in the morning in winter this apparently is when the tempreture drops the most. It is very important when you go to a pharmacy that you ask which medications asthmatics should not have. My husband took asprin one night and died but was revived, asthmatics should never take asprin or anything with salicylic acid or salicylates which is in alot of medications and the food additive 220 which is also found in some wines. My husband now wheres a medical alert chain with this information on it. My children have medical alert bracelets aswell. My children all take preventives and have peak flow monitors to check their air level but be aware that these are not 100% accurate as we have been told this by a specialist that some times it can not detect every part of your lungs which we found out when my son had a bad episode.We also found out that predisone does not work for everyone even though it works for my other children,my husband and myself. When my son was 14 he also was being given the wrong dose of ventolin because the doctor was going on his age and not his weight which I had to point out as he was the weight of a man. Sometimes you have to be persistent with doctors after all you spend everyday with your children so you know their health. We keep ventolin and a volumatic in one main place in the house and leave a light on.The kids also keep them in their room,in the car and at school in the office and 1 on them at all times.We also bought a video called the buteyko method off the internet from a place in brisbane which are breathing excercises and believe this is the main alternative that helped our son when we were at our witts end, he made a dramatic improvement in 2 weeks and my husband remembers doing these when he was young.We also took him to a chiropractor which we believe also helped. Asthma can also be tricky sometimes it will be the noticeable wheezing but sometimes you don't even know they have it so another way to tell is to listen to their back or chest and you can here it. Also a constant cough can also be a sign.My son use to get a rash on his back before an episode.When the children start the new year at school always give the school office and teachers a copy of your asthma plan. Also leave spare ventolins at family,and friends houses and make sure they know what to do in an emergency. My kids are responsible for their asthma management now that they are older but as they are teenagers I still have to check up on them. Regular trips to the doctors is important as well as checking on their health sometimes their are new medication or new developments you should know about .Also regualy check expiry dates on medications at home,school,family members and friends places you could write them down in a book which would be easier to keep track of them.