Sorry to hear it scoop. I have mild pulmonary obstruction which according to NJ did not require symbicort. But in february i had sinus infection and coughed and had prednisone and my pulmonologist here thinks I do need a laba so we decided for spiriva. I don’t know if it’s spiriva or something else but I definitely breath with more effort. I used to walk easily two miles now I puff and huff every step when I do my daily walk although my oxygen level is pretty good, 95-97%. It is all very confusing.