I use an inhaler and I also use med in my nebulizer and I space them at least 3 to 4 hrs apart

Thank you Judg69.I’ll be glad when I’ve had all my new tests done.I’m not trying to exercise at the moment until I know about the blood flow to my heart.I’m scared of having a stroke.You have been through the wars,thank goodness you find the strength to keep going.If only we knew what that little cigarette would do to us all way down the road but I suppose what’s done is done and now we have to get on with it.I hope you have a good night.Thank you for your concern.
Do you mind I’m going to add you to my team.Bye for now and breathe easy xxxxxxxxxx🇨🇦❤️

Gillian, it certainly sounds to me as if your oxygen levels drop to 88 or lower when you exert yourself . Very good that you are having the walk test this month as you may well need oxygen at night and when moving about. Keep us all posted. All Best Wishes, judg69

This is an issue that has been debated ever since there was an inhaler that offered something other than albuterol. Some feel that you should take the long acting bronchodilators first and the short acting ones second and you can do one right after the other. Some say the long acting ones first and two hours later the short acting ones. They believe that works because the long acting and short acting target the same receptors and if the receptors have been fired by the short acting one, they need time to dissipate before you take the long acting ones. Others feel that the short ones should come first because they open up the airways for the long acting ones to get deeper in the lungs. It's something that that has not been studied in clinical trials anywhere, so everything is supposition at this point. The one thing I do know is that LAMAs and LABAs target different receptors and even different areas of the breathing mechanism, so you can take those one right after the other. It's whether you take the short acting one before or after that's really the issue.

My suggestion? Try it all different ways for a week at a pop and see what you think works best for you.

Maybe ask the dr as shown here we are all differrnt. I dont get dizzy but Sue Reeves does. In the hospital i get them all at once.