I used Spiriva and Symbicort I did Spriva first then Symbicort right after

I do spiriva respamat first then do advair
Not sure if it makes a huge difference in the order they’re taken
In the hospital I did the nebulizer first, have one at home but don’t always need it,
Would be interesting to see how others do it

My husband uses Symbacort 2 puffs in the morning and bedtime. He uses Spariva mid day. He only uses his nebulizer when he really needs it.

i take spiriva in the morning and symbicort 4 times a day

When I walk useing Sypriva and Symbicort I used Spiriva first then Symcort right after Spriva that's the way they did it in the hospital. I hope you find out so you will have peace of mind