Unless you tried Spiriva for at least two months, you may not have given it a fair chance. It often works very slowly. I know many folks who gave up on it after three or four months with their doc's permission, of course, and discovered after a week that their breathing was much worse than when they were taking it.

Tudorza is in the same class of meds as Spiriva; it's an anticholinergic. Whether it will work any differently for you depends solely on how you react to it. Some people do very well on it; others don't. What works well for one person may not work at all for the next.

Barbara, Symbicort you reference is a completely different class of med: it's a Long-Acting Beta Agonist combined with an Inhaled Cortocosteroid. Spiriva and Tudorza tend to relax the muscles in bronchial tubes, while the Symbicort opens them up. That's why they work well together.

I to used spiriva along with other inhalers I have now moved onto fossair don't know yet if it's working as I just feel as bad x been on it for two months x

I am not on Tudorza, plus due to multiple allergies I am limited as to what I can use. We all react differently and what may work well for one may not work for someone else. Another factor depends on what other medications a person is on for other health reasons as there can be contraindications. Because of these variables no one specific medicine/inhaler is going to provide the ultimate relief for everyone.

I use Ultibro as my maintenance once daily and carry Ventolin in my bag (purse) as my rescue..

I think the same way but wonder if its because the Spiriva is a slow acting med and the albuterol is a quick one .. its used for a rescue inhaler.. Spiriva is more like a maintenance inhaler.. as I understand it..