What does your lung doc say? Is there a reason you don’t have a nebulizer at home and can’t do treatments there? I bought my home nebulizers decades ago and can give myself any treatments my docs and I agree upon. It’s under $50 to get a nebulizer at CVS with coupons they apply, either your doc’s prescription for one.

I’d tell your doc you don’t feel the Breezetri is adequately controlling your condition and you’d like to try something different. I’ve had great success with once/day trelegy.