Hopefully, you will get professional comment on your question.  But I will
provide this comment from a long-time asthmatic who has the necessary meds
on hand to manage flare-ups on his own.

I depend on the inhaled steroids for routine control of asthma.
Occasionally, this control has not sufficed and I used oral steroids as a
*supplement*.  As soon as I could, I tapered off the oral.

High dosing with oral steroid requires an often problematic transition
period.  It seems to me that this transition is much easier to manage if you
maintain the inhaled steroid at the accustomed level.

Several years ago, my dosage of the inhaled steroid was increased (from
Advair100/50 to Advair 250/50) and I have not since needed the oral
steroids.

SJF

They both have a point. The oral steorids are giving amuch larger dose than
the inhaled steroids so the inhaled steroids are probably not adding much.
However, in studies done in ED's of giving a prescription for an inhaled
steroid along with the oral steroids has been shown to prevent return trips
to the ED.  Often it is easier to just continue the steroids rather than try
to explain when to stop and restart them. Many patients will just stop the
inhaled steroid and then never restart it.

I think it is probably a bit of a tempest in a teapot to argue about it. The
important thing is that there should not be a gap between the oral steroids
and restarting the inhaled steroid.

The two weeks part is a bit off. It might take a bit to see the full effect
if you take a poorly controlled asthmatic and just start an inhaled steroid.
However, if a course of oral steroids is given that should jump start the
whole thing and allow the inhaled steroid start from a position of already
being "kicked in".

When my daughter had an asthma flareup (viral respiratory illness that
as usual sparked an ear infection), our allergy doctor said that we
should stop Flovent and instead nebulize pulmicort twice per day,
albuterol three to four times per day and, in addition, take Orapred
twice per day.  The Orapred is only taken when there is a significant
flareup.  The Pulmicort is started whenever she shows signs of a cold.

My daughter is 3 1/2, was born 7 1/2 weeks premature (very little
oxygen therapy needed from birth), and had RSV-induced bronchiolitis as
a two-year old.  Earlier this year, she had a bout with pneumonia that
prompted the allergy doctor to prescribe Flovent year around.  After
the latest bout, she is also taking Singular.

What a lot of medicines to take!