I have C.O.P.D. and have been prescribed numerous medications i.e. symbicort; spiriva;anoro and spiriva resimat inhalers which don t seem to help anymore. I have been hospitalized just recently and was told I had inflammation on my lungs and unfortunately my breathing is labored. I have maintained so well these past years. And I hope there is some help for me in the world of pulmonology, since my energy level is so low. I would like to state that I feel like a guinea pig since a couple of these inhalers are fairly new, and I am afraid of the side effects. I would really appreciate your help. I feel like a prisoner in my home. I do have an appointment with my Doctor next week...Sincerely Jackie Davison