Both nebulizers and inhalers are useful tools for those of us with chronic lung issues. Some find it more useful to use one than the other. Some medications only are available via nebulizer, like ensifentrine and saline in varying strength—0.9%, 3% and 7%.

It is true that when people have more severe obstruction due to progression of their disease of an exacerbation, using a nebulizer allows more medicine to get deeper into the lungs.

The big downside to nebulizers in my opinion is properly sanitizing them regularly. They’re also bigger, bulkier and take more time than inhalers. That said, both inhalers and nebulizers are essential tools. Using the nebulizer at the same time as a positive expiratory pressure device helps clear mucus, which is crucial for many as well.