See a different doctor then...that does not sound good at all...

I use both all the time dr. Said to but I’m sever copd

Many people do what you describe because they feel that they get the medicine deeper into the lungs with the nebulizer than with an inhaler. I'm curious. Albuterol is usually prescribed as a "rescue" medication and budesonide is an inhaled corticosteroid. Do you take other meds besides these two? Have you had a breathing test and do you have a pulmonologist?

@A MyCOPDTeam Member; when you say you were hospitalized, was that for COVID? Have you had a breathing test? Do you have a pulmonologist? If the answer to either or those questions is no, then, your diagnosis isn't for sure. The definitive test for COPD is a breathing test. So it that's two no answers, I'd find a good pulmonologist and ask for a complete diagnostic workup so you know what you're dealing with.

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A MyCOPDT...

I use Symbicort and Spiriva daily and have for several years, so far they seem to be doing the job! I am stage 4 and have been for over 5 years. DR, said I am really holding my own! only use rescue meds when needed

I have stage 3 COPD. I do Duo Neb three times a day, symbicort twice a day and prevental four times a day.