You're getting the same medications, just in a different combination. The Stiolto is a combination of Spiriva and the long-acting beta agonist (LABA) that was in symbicort. The Alvesco is just a corticosterois, which was in the symbicort along with the LABA. So you're getting the same classes of meds, it's just combined differently.
That said, we all react to different meds differently, and if you're not feeling as good with this new combination, talk with your doc and ask to go back to Spiriva and symbicort. Not everyone does well with some of the new things, while other people feel like they've just had a breath of fresh air.
Because of its finer makeup, Spiolto reaches further into the lungs, opening the narrowest areas; and keeping them from closing/gluing together; hence making it easier to breath.
With end-stage COPD (14% lung function/320% inflated lungs) I find it extremely difficult to breath in ... but, the benefits are clearly superior to Spiriva ... so, I keep on keeping on!!!
Best wishes for you all. ♥️🤗
I had only a sample (week) worth of Stiolto and I think Spariva and Symbicort worked better! Long term a month I need to try! Both give dry mouth and more side effects. Already getting threats from my insurance I'm using to many drugs!