Duckie takes Asmanex as a maintenance medication for her asthma. It comes in a metered inhaler that loads a dose when the lid is snapped back on it. Duckie's doctor has had her on a double dose because of yet another cold causing her asthma to kick up. We've been trying to help Duckie feel more in control of her medications so we dose her Zyrtec but she does her Nasonex (1 squirt in each nostril) and her Asmanex (double dose right now). I was putting away her medications a few days ago... it was either Friday or Saturday... and her Asmanex showed 8 doses remaining. Duckie just told me that her inhaler hasn't been going down when she closes cap... that it still reads 8 doses. She hasn't been snapping the cap closed all the way. The best case scenario is that she hasn't had her maintenance medication in even a single dose since Saturday... but it may have been longer. This explains why she's been so difficult recently and her ODD is coming on full force... she hasn't been sleeping well because her breathing is inadequate.