Why is my asthma acting up if i take the highest type of medicine?

Asthma: I am wondering what your asthma triggers are, what meds you are on, and what you mean by "acting up". There are definitely some good meds for asthma these days, but you still need to work to avoid triggers. Certain nutritional issues like low magnesium level lowers the threshhold for an asthma symptoms.

It's possible that: You may have been exposed to a "trigger" that is causing a mild "flare", disruption is your asthma control. Any form of asthma, regardless of the potency of your controller medications can worsen at times related to numerous factors. This sounds like something that you may want to keep track of your peak flow testing and report this to your doctor if significantly different that your "normal".

Highest type of meds: there is no such thing, even if you are on the most expensive medicine, but not indicated/ used wrong or not used as prescribed, your condition won't be controlled, you may be having flares due to multitude of reasons: triggers, other conditions, not optimally evaluated, etc, follow up regularly with your doctor who might refer you to an asthma specialist/allergist, good luck

Try lifestyle change: Avoid all milk products since the milk protein causes respiratory tract inflammation. Also avoid grains, lentils. Consume veggies, flesh foods, olive oil. Getting 30 -45 min of sunshine at noon daily or taking vitamin D3 10,000 IU/day and taking a good probiotic (not yogurt) help reduce inflammation Yoga breathing exercises 10-30 min/day help too. This may help avoid the need for meds