I am too, my Friend! With all the Hype one would expect more, much more! Even bought stock in Verona Pharm as it's almost tripled in last couple of months...LOL! Since Ohtuvayre is of the PDE 3& 4 medications perhaps Daliresp would be a good substitute. I am going to do more reading. I do know that alot of Nurse Practitioners have commented that they have used both Ohtuvayre and Daliresp in tandem. To me it would be worth a try. Daliresp is also a PDE 3 & 4 Inhibitor. Food for thought