I am curious if any if you are using just a nebulizer instead if inhaler. I have new pulmo doctor and he has me using a nebulizer with Brovana, Budesonide & Ipratroplum Bromide. I have emphysema and have been struggling last couple years ending up in ER or hospital. The nebulizer is not that convenient but if it help keep me well it will be worth it. Thanks for you input.