Chronic Obstructive Pulmonary Disease (COPD) is a progressive lung condition that makes it hard to breathe. If you've been diagnosed with COPD, inhalers are likely a key part of your treatment plan. They help open the airways, reduce inflammation, and improve quality of life.

Here’s what you need to know about COPD inhalers, the different types available, how they work, and tips for using them effectively.

What Are COPD Inhalers?

COPD inhalers are devices that deliver medication directly to your lungs to help manage symptoms such as:

• Shortness of breath
• Wheezing
• Chest tightness
• Coughing

Inhalers can relieve sudden symptoms or prevent flare-ups depending on the type of medication they deliver.

Types of COPD Inhalers

There are three main categories of inhalers for COPD management:

1. Bronchodilators

These relax the muscles around the airways, making it easier to breathe.

• Short-acting bronchodilators (SABAs and SAMAs):
• Provide quick relief and are often used as needed.
• Examples: Albuterol (ProAir, Ventolin), Ipratropium (Atrovent)
• Long-acting bronchodilators (LABAs and LAMAs):
• Taken daily to maintain open airways and prevent symptoms.
• Examples: Salmeterol (Serevent), Tiotropium (Spiriva)

2. Steroid Inhalers (Inhaled Corticosteroids)

These reduce airway inflammation, helping to lower the risk of COPD exacerbations (flare-ups).

• Examples: Fluticasone (Flovent), Budesonide (Pulmicort)

Steroids are often prescribed if you experience frequent flare-ups despite using bronchodilators.

3. Combination Inhalers

These inhalers combine two or three types of medications—typically a long-acting bronchodilator and a steroid.

• Examples:
• Fluticasone/Salmeterol (Advair)
• Budesonide/Formoterol (Symbicort)
• Umeclidinium/Vilanterol/Fluticasone (Trelegy Ellipta)

Combination inhalers are very common for moderate to severe COPD because they provide both symptom control and flare-up prevention.

How to Use a COPD Inhaler Properly

Correct technique is critical for inhalers to work effectively. General tips include:

• Shake the inhaler (for certain types) before use.
• Exhale fully before inhaling the medication.
• Seal your lips tightly around the mouthpiece.
• Inhale slowly and deeply as you press the inhaler.
• Hold your breath for 5–10 seconds to allow the medication to settle in your lungs.
• Rinse your mouth after using steroid inhalers to prevent infections like thrush.

Tip: Ask your healthcare provider or pharmacist for a demonstration if you’re unsure about your technique. Spacers (a tube attached to the inhaler) can also make it easier to use correctly.

How Much Do COPD Inhalers Cost?

Inhaler Type and Typical Price Range (Without Insurance)

Short-acting Bronchodilators$30–$70 per inhaler

Long-acting Bronchodilators$200–$500 per inhaler

Combination Inhalers$300–$600 per inhaler

Ways to save:

• Manufacturer discount programs
• Generic inhaler options
• Using prescription discount cards (GoodRx, SingleCare)
• Medicare Part D or other insurance coverage

When to Talk to Your Doctor

Let your doctor know if you experience:

• More frequent shortness of breath
• Using your rescue inhaler more often than usual
• Waking up at night coughing or wheezing
• Side effects like hoarseness, oral infections, or tremors

Adjustments to your inhaler type, dosage, or adding additional medications can help you better manage your COPD.

Final Thoughts

COPD inhalers are a cornerstone of treatment, helping you breathe easier and live more comfortably.

Knowing the types of inhalers, using them correctly, and staying on top of your symptoms can help you stay active and independent longer.

Always work closely with your healthcare team to find the best inhaler combination for your individual needs—and never hesitate to ask questions if you're unsure about your inhaler technique or treatment plan.