I was diagnosed with Emphysema about 14 years ago. I am still fairly active but have to be more patient. I have heard of a new drug called Stiolto Respimat which is a once a day dual inhaler which apparently is a great improvement on what I use just now, Symbicort and Spiriva. The new drug is also steroid free and available on the NHS. I wonder if anyone is using it and if so do they find it an improvement.