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  Hi JennyRN,   Kathi M. provided very good recommendations in addressing your question.   I see many patients with similar experiences and questions. When they mention (and I always ask) they smoke, even occasionally, I list smoking cessation as one of the top goals of managing their asthma.   Any level of smoking intensifies the inflammatory process in the lung and may reduce lung function at a more rapid rate. Asthma is much more difficult to treat when there is active or passive tobacco inhalation. Total smoking cessation is essential. Establishing a smoke free home and car is important.   If you suspect quitting may be difficult ask your doctor about available smoking cessation programs or medications that may help you.   To Your Health,   J. Thompson, MD