Symbicort is a steroid inhaler that I use twice a day plus rescue Ventolin. I've been on SeeBri, Incruse and Ultibro bronchodilators--they are not steroids. They don't seem to work for me. Just quit Ultibro after 5 days because I was gasping for breath all the time and even used my walker thingy for around my apartment. My oxygen dropped to 90-91. It is usually 97 -98. I have 35% lung capacity. My doctor told me to keep on it for 4-6 weeks but I am not. Have to call him this week to let him know and he will give me a lecture I'm sure, but he's not inside my lungs. If I am gasping with 90% oxygen and using Ventolin all day long without much effect, that is not a win for me. I recommend that you research LABA and LAMA medications - some are long and some short acting. One good place where my sister went when she had MAC disease was the lung hospital in Denver. Website: www.nationaljewish.org---they are looking for former and current smokers for COPD research. My Dr. in Vancouver BC is a world authority on it and offered me 3 studies to be in but my job interfered with timing. I also look at COPD International for many things, exercise, treatment, etc. You really have to be your own advocate, especially women because most of the research has been on men.