I have COPD. I really feel like this is not doing enough any more.
There are a number of medications available, either by nebulizer or by inhaler, for COPD. Talk with your pulmonologist regarding what meds might work for you and which ones can be nebulized and which should be taken by inhaler. If you don't have a pulmonologist, you need to find one; many PCPs don't have the experience to deal with COPD well.
There are lots of other options and you can get info from people's experiences here and of course consult your pulmonologist, if you have one.🙂