Been on advair diskus (salmeterol and fluticasone) 250/50 since friday. used inhaler at the start of an asthma attack at home last night and again during class for work today. is this something i should worry about?

Advair twice a day: You are being treated by your doctor with advair250/50 which is a combination inhaled medicine containing inhaled steroid and long acting bronchodilator and is considered as controller medicine by inhalation and you may be prescribed reliever inhaler like albuterol for acute episodes in between it is ok to use albuterol inhaler for acute episodes with advair twice a day. Need change in BP meds.

Yes: Advair is intended for maintenance although used in europe as a controller drug. If your asthma is persistent, you need to use it regularly since the optimal response is not reached until after 2 or more weeks. I note that you are on a beta blocker which may also decrease your response to medication somewhat.