I've just changed from spiriva to Eklira Genuair. I had read up a lot on it and I asked my copd nurse if I could give it a try. I can feel the benefits in a week of using it. Many people complained about he taste, but, if your desperate you don't care about the taste if it's doing a good job. Anyone out there that can't bear the taste of it, clear your mind of the taste and grainy feel in your mouth after taking it. It is wonderful. And clears the tubes straight away. Please persevere.and you might be like me and really benefit from it. Thank you all for reading this. Suzanne.