Thank you for that extra info that n/p will not get another chance to do that my dr and my pulmonologist will be coming back from vacation Tuesday I'll be able to see them only reason I went to see the NP was because they were both on vacation yeah I think he was just trying to a kind of upsetting me but what he didn't realize is I studied to be a paramedic back in the early seventies and mow some things have advanced and changed a little bit I'm not as dumb as he wanted to act like he thought I was

Your nurse practitioner is probably recommending one of the newer LABA/LAMA combinations (a long acting beta agonist, like serevent, combined with a long acting anticholinergic like Spiriva). They are often recommended because the research consistently shows that the two meds in combination work better than if they are take separately. By working better, they mean that people see an improvement in FEV1, in daily functioning and in things like the six minute walk done for distance, not for O2 qualification. So the NP has good reason to recommend a hew med. By the same token, you have every right to refuse it and if you do, the NP should really be quiet.

All that said, you could give it a try and see what happens. Don't if you can't afford it, and the new ones are really expensive, but see if you can't get a sample and see how it does work. You might find that it really works well for you. If you don't think it works well, then you can go right back to what you were taking.

a practitioner nurse is trying to change my method of how I have been treating my COPD and it was even for years he's got me trying to get some kind of stuff it's a spray mist and it cost $329 Medicare Medicaid or my Cigna Health Springs you know have it on their list and I explained to him that I didn't want any kind of new medications I knew what was working for me and I was just wondering if y'all could give me some kind of idea probably going to see my doctor in the pulmonologist down here doggone it in Jonesboro but I just want to know what can be done about it cuz this guy thinks he knows everything I know what helps me

I use Breo and I got mine free for one year. Ask the pharmacist ... go to the Breo website hope this helps.

I use Breo, I have Blue Advantage and it covers it.