Is anyone else confused about all those inhalers?

thank you for the very useful information
is anybody using Aerosphere inhaler?
(breztri)
appreciate info on that one

You have Spiriva (tiotropium bromide) listed as a short-acting muscarinic agent as well as a long-acting one. It is ONLY a long-acting one. Otherwise, you have summarized it nicely.
A handy reference is free downloadable COPD Pocket Guide from COPD Foundation that is available for both android and iPhone. It has a section for patients and another for providers and does list all the current medications available for COPD, both the generic and brand names. It has a lot of other helpful information, even videos on how to use the different medications and inhalers (so many different ones).
It is useful to review your medications with your provider and/or pharmacy periodically (at least annually), to be sure you aren’t having medications that duplicate or conflict with one another. My kids (who have asthma) have accidentally been told by the student health center to add a rescue inhaler when they already have one and it was the same medicine with a different brand names. Fortunately, they politely called me to double-check and declined to fill the prescription for a duplicate medication.

Has anyone been prescribed Wixela? Im not sure it helps me…

Thanks

Wixela is the generic for Advair and is supposed to work the same. All medications work better for some folks than others. If you don’t believe the treatment is working for you, try to journal your symptoms and report back to your provider so you can have a discussion with them about adjusting your treatment.
The COPD Foundation has a FREE COPD Pocket Guide app that is available on both android and iPhone that has a handy chart of all the medications by brand and also generic, for handy reference as well.
It also has videos on how to use your inhalers, nebulizer, spacer, and much more. Check it out!

@onana

Here is an article related to risk of infections as a result of using steroid inhalers.
https://pubmed.ncbi.nlm.nih.gov/41241409/
It is interesting that there is an increased risk of infection. However the absolute risk is also important to consider. Here is what the article states:

"The results of the NMA that explored differences by ICS type showed that beclomethasone and fluticasone increased pneumonia risk compared with control, with absolute risk increases of up to 2.3%. "

Hope this is helpful to you and others.

Yes I’m very confused . I am on trelogy and I wonder about the long term effects .

@alicebrew1 HI, I'm not sure what especially concerns you, and what condition you have that Trelegy is meant to treat.
Most combination inhalers are prescribed to people with progressive lung diseases like COPD, or chronic conditions like asthma that have not responded to more conservative measures. They are generally meant to be used long-term, and your doctor should consider possible interference with other medications and your other health conditions before prescribing it.

There is an increased risk of pneumonia (about 2-3%) for some people, but there is also a decreased risk of other exacerbations - so a balancing act.
People who have heart or kidney disease, osteoporosis, diabetes or hypertension or are on antibiotic therapy need to work with their doctor to determine if the benefit of better lung function outweighs the risks of long-term inhaled corticosteroids, and probably need extra monitoring. This will very from person to person.

@sueinmn yes I’m not sure why he started me on this inhaler . I have concerns about long term use too . That was allergist who prescribed this for asthma . Do I really have asthma or is it side effect of haemophilus and or brochectatis ? Unfortunately my allergist past away . I will be having a long talk with pulmonologist. To figure out right course of action

@sueinmn yes I was never given another inhaler just this major one . What do you take ?