A member asked:

I have asthma and copd, i use a nebulizer for treatment along with the albuterol sulfate solution. is there a better solution to use to help me?

4 doctors weighed in across 2 answers
Dr. William Harris answered

Specializes in Family Medicine

Yes: You probably have smoke-damaged lungs. Albuterol works well for asthma, but atrovent may be better for the copd. Inhaled steroids like dulera, symbicort, (budesonide and formoterol) and advair are good maintenance inhalers for asthma/copd. Of course, if your lungs are in this shape at 36yo, you have to quit smoking! you don't want to continue to throw gasoline on your fire!

Answered 7/5/2016

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Proper treatment: In my opinion, contrary to others, these conditions should always be treated with inhaled steroid first and then add. This prevents inflammation and twitchy airways. In COPD there is bowing of midsize airways due to tissue destruction. This is helped with anticholinergics (thiotropium or ipratropium) this allows the rescue albuterol to get into the distal airways for rescue, more mainstay in asthm.

Answered 12/10/2019

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