Advair does come in a regular "puff" metered inhaler. I used to use the diskus, but then the powder started bothering me. Now I use the inhaler with a Vortex chamber and I feel like I get much more of the med and that it works better. I also take 2 puffs (the meter is a 112, so 2 puffs of that is equivalent to my old 250 diskus), so I feel like that helps too. It also may just not be the right drug for you, but the inhaler is worth a try, IMHO <img src="i/expressions/face-icon-small-wink.gif" border="0"> .