For me it includes chest tightness, constant coughing and hard to breathe.

I just started using the breztri I like it. My Dr recommend it. I was using trelegy.

I find nebulizer is better.

Hi MaryLee, how do you describe exacerbations and know when to go to the doctor? I've been having increased breathing difficulty, cannot leave house, extreme tightness in ribcage,

I work closely with an MTM Pharmacist. I think I will ask her. I'm just getting over one of the worst exacerbations I've ever had. Although it didn't turn into pneumonia and a hospital stay this time, it's been over 2 weeks on prednisone and 2 different antibiotics.