Hi! I'm 64 and was diagnosed with COPD about 10 years ago. Suffered for a few years before we finally got my meds right. Advair-Spiriva-Albuterol! Still had a few hospitalizations and many trips to ER. Finally in 2012 I was put on DALIRESP which was fairly new in the US at the time. Was developed in Germany. it is a small daily pill and it has changed my life. No hospitalizations or visits to ER since 2011. I call it a miracle pill. Now I may have a slight flare-up twice a year that is controlled with Prednisone and Z Pak. Ask your medics for DALIRESP!