I need some advise really bad. I have dysautonomia to severe degree. I have also had asthma for a long time. I used to take inhaled steroids for symptoms. They really helped a lot. They alleviated the symptoms. About 6 years ago, after having dysautonomia for about 7 years, I became intolerant to them. They cause me to have chest pain, tachycardia, etc. I realize that you only systemically absorb some of the drug, however, just that little amount affects my dysautonomia. Dr. Robertson said they increase my already way too high adrenaline levels. I have not been on any meds for my breathing in a long time because of this. For the most part, 6 years. I have really suffered with my breathing, always gasping for air. I have had to go to the hospital with my breathing. My primary care doctor told me that I really needed to see an asthma and allergy specialist. He suspected allergies because my nose is always clogged up also. So much in fact that I consulted a Ear Nose and Throat doctor. He suggested a turbinate reduction. They stay really swollen and I cannot breathe up my nose. I could not have it however, because with the turbinate reduction, they control bleeding with epinephrine which I cannot tolerate. I went to see an asthma and allergy specialist recently. I was found to have severe allergies. I was also found to have asthma. They did a blood test that found a Very elevated IgE level. This means that my body has a really high inflamatory response going on. The asthma doctor told me that this inflamation is what is causing my asthma. He said that normally he would recommend allergy shots, anti-histamines and a new drug called Xolair and inhaled steroids. But I left the office with nothing. He said that he would need to talk to Dr. Robertson before deciding on anything. He is afraid of my dysautonomia. It's been about 10 days now and I have heard nothing. I called them back today, and was told that he had not spoken to Robertson yet. He said that what he wanted to talk to Dr. Robertson about is a medication called XOLAIR. He wants to place me on this medication. It works by lowering the IgE levels in your body, and therefore lowers the inflamation in the lungs and helps the asthma. It is given in the form of a shot every couple of weeks. It is a very new drug. This makes me nervous. Have any of you had any experience with this drug? Do any of you have asthma and what have you found that helps without aggravating dysautonomia symptoms? I really need some advise. Any responses will be very appreciated. Thank you Dino