I've used Spiriva with symbacort together now I'm using Breztri and albuterol rescue inhaler ,I had allergic reaction to trelegy!!!!But you need to talk to your doctor asap n get something that helps.....

Talk to you Dr about what inhaler is best for you. I use Trelegy Ellipa daily and Albuteral rescue inhaler.

@A MyCOPDTeam Member. Put me on Spiriva and then I couldn't drink my occasional glass of wine and it gave me heart palpatations so he switched me to Anoro and has worked great no coughing up phlegm and just no coughing at all. And my wine and beer are fine now.

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A MyCOPDT...

Nope, not a health professional, but a person who's had COPD since 1985. When I was first diagnosed there were practically no treatments for COPD so I've seen them all come along the pike. We haven't had a new treatment for COPD in over 12 years, so I'm hoping there are some new things in the pipeline.

As for your dosage of Advair, that's really up to you and your doc. Since Advair only lasts for about 12 hours and most people can tell when it wears off, there's a significant amount of both meds you're not getting for half the day. If you and your doc are comfortable with that, so be it. Advair is a maintenance med and it relies on the dosage to protect you from exacerbations and loss of lung function. If you only take half of what's prescribed, I'd say you're twice as likely to have an exacerbation. See what happens.......

See your pulmonologist and talk with them about how your meds are working. You're only taking one of three meds that are often prescribed. One is the LAMA you're taking, Spiriva, and there are a number of other LAMAs that might work for you. There are also LABAs, long acting beta agonists, and there are a bunch of them. The last class is Inhaled Corticosteroids (ICS) and there are a number of them as well. Besides the individual meds, there are combinations: LABA/LAMA; LABA/ICS and LAMA/LABA/ICS. There are a number of the first two and two of the last combination of three meds in one inhaler.

The thing with the meds is that each individual med is a different chemical, all within a "class" (LAMA, LABA, ICS), so it's very possible that you will respond differently to each one. With the combinations, sometimes you respond really well to one of the combination meds and that's good enough, but sometimes not. Finding the right med or combination med is often trial and error. So what you're experiencing isn't unusual. One thing I'd try: stop taking the Spiriva for a week and see what happens. If you don't feel any different, then you're right, it's not doing much if anything for you, but my guess is you'll see a difference.

@A MyCOPDTeam Member: The inhaled steroids don't have the side effects that oral steroids have. I took Advair for 17 years and have had no side effects; now I take Trelegy; no side effects. The other thing is that the steroid is what controls the inflammation in your lungs and you don't want to do without it. Don't take it and the chances of developing a nasty exacerbation are much greater. Take the med and watch for potential side effects: I doubt you'll see any.

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A MyCOPDT...