@rstel7272 glad spiriva helped you. I tried it twice. Both times it dried my lung mucus making it more difficult to expel but at first made my breathing better. I have asthma and am using symbicort 1 puff twice a day, sometimes a total of 3 puffs. Budesonide is better than the fluticasone inhaler (Flovent) I used for years. The literature says fluticasone results in more lung infections than budesonide.