{"id":632603,"date":"2025-07-07T09:30:43","date_gmt":"2025-07-07T13:30:43","guid":{"rendered":"https:\/\/www.singlecare.com\/blog\/?p=632603"},"modified":"2026-06-01T20:50:10","modified_gmt":"2026-06-02T00:50:10","slug":"inhalers-for-copd","status":"publish","type":"post","link":"https:\/\/www.singlecare.com\/blog\/inhalers-for-copd\/","title":{"rendered":"Which inhalers are used to treat COPD?"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">Chronic obstructive pulmonary disease, more widely known as COPD, is an extremely common lung disease. Globally, it\u2019s the fourth leading cause of death, causing approximately 3.5 million deaths in 2021 alone. In higher-income countries, like the United States, the World Health Organization estimates that 70% of these cases are attributed to tobacco smoking.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Despite the prevalence, there is currently no cure for COPD. However, there are several options to treat it and lessen the symptoms, including oxygen therapy, lifestyle changes\u2014especially for those who need to quit smoking\u2014and medication. For those managing this condition, inhalers are one of the most commonly prescribed drugs.<\/span><\/p>\n<h2 id=\"inhalers-and-their-role-in-copd-management\"><span style=\"font-weight: 400;\">Inhalers and their role in COPD management<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">\u201cCOPD is a progressive lung disease that makes it difficult to breathe,\u201d explains <\/span><span style=\"font-weight: 400;\">Sneha Samant<\/span><span style=\"font-weight: 400;\">, MD, a respiratory care specialist with LCMC Health in Louisiana.\u201cTreatment focuses on relieving symptoms and improving quality of life. The cornerstone of therapy is inhaled medications.\u201d Inhalers deliver medication directly to where you need it most: the lungs.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Two conditions can cause COPD: chronic bronchitis and emphysema. Many people will be diagnosed with both. The difference between these two forms is where the damage occurs in the lungs.<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Chronic bronchitis<\/b><span style=\"font-weight: 400;\"> refers to inflammation in the bronchi, which are the airways of the lungs. Bronchitis can be acute and go away after time, but persistent and long-lasting bouts can develop into incurable chronic bronchitis.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Emphysema<\/b><span style=\"font-weight: 400;\"> refers to damage to the air sacs of the lungs, or alveoli. With too much damage, these sacs can break, reducing the lungs&#8217; elasticity and making it harder to breathe.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">The most common symptoms of COPD include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Coughing and wheezing<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Difficulty taking deep breaths<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Chest tightness<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Frequent respiratory infections<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Tiredness<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">There are three main treatment options:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Lifestyle changes:<\/b><span style=\"font-weight: 400;\"> Since COPD is frequently caused by smoking, it\u2019s vital for patients to quit. Staying up to date on vaccines\u2014such as flu, COVID, or pneumonia\u2014can help prevent respiratory illnesses that exacerbate COPD. Pulmonary rehabilitation therapy can help teach exercises to improve breathing and increase exercise tolerance.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Medicines:<\/b><span style=\"font-weight: 400;\"> Many medicines help treat COPD. These can include inhalers, nebulizers, oral steroids to reduce airway inflammation, and antibiotics when infections occur.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Oxygen therapy:<\/b><span style=\"font-weight: 400;\"> Extra oxygen inhaled via a mask or canula can help those who have continuous difficulty breathing.<\/span><\/li>\n<\/ul>\n<h2 id=\"types-of-inhalers-for-copd\"><span style=\"font-weight: 400;\">Types of inhalers for COPD<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">COPD inhalers fall into two treatment categories:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Preventer (maintenance) inhalers<\/b><span style=\"font-weight: 400;\"> are taken at the same time each day to prevent symptoms of COPD before they begin.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Reliever (rescue) inhalers<\/b><span style=\"font-weight: 400;\"> provide quick relief of symptoms and are used as needed throughout the day within the dosing guidelines.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">The medication can be delivered in different types of inhaler devices, such as:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Metered-dose inhalers (MDIs):<\/b><span style=\"font-weight: 400;\"> These inhalers use liquid medication sprayed out as an aerosol. Patients must deeply inhale as the inhalers are dispensed, which can be difficult for those with severe COPD or frequent shortness of breath.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Dry powder inhalers (DPIs):<\/b><span style=\"font-weight: 400;\"> With these inhalers, dry powder is inhaled from the mouth into the lungs. They require less precise timing than MDIs, but still require a deep inhale.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Soft mist inhalers (SMIs):<\/b><span style=\"font-weight: 400;\"> A spring-based mechanism shoots medication out from the device. Since it\u2019s self-propelled, patients don\u2019t need to deeply inhale when using them.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Now let\u2019s go into the different types of inhaled medications commonly prescribed for COPD treatment.<\/span><\/p>\n<p><a class=\"cta-button sc-external-link\" href=\"https:\/\/www.singlecare.com\/resources\/copd\" target=\"_blank\" rel=\"noopener\">COPD Coupons &amp; Resources<\/a><\/p>\n<h3 id=\"bronchodilators\"><span style=\"font-weight: 400;\">Bronchodilators<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Bronchodilators are a popular type of COPD inhaler that relaxes the muscles in the lungs to widen airways (bronchi) and make breathing easier. They belong to either the antimuscarinic (a type of anticholinergic drug) or beta agonist class of drugs and can be short-acting or long-acting. Some may be prescribed a short-acting and a long-acting bronchodilator.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cAlbuterol is one of the most commonly prescribed bronchodilators,\u201d says <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/author\/lindsey-hudson\/\"><span style=\"font-weight: 400;\">Lindsey Hudson<\/span><\/a><span style=\"font-weight: 400;\">, a family nurse practitioner practicing in Charleston and a member of the SingleCare Medical Review Board. \u201cHowever, a provider should personalize each treatment, considering factors like manual dexterity or past adherence to medications.\u201d<\/span><\/p>\n<table class=\" singlecare-table\">\n<thead>\n<tr>\n<th colspan=\"3\">\n<h2 id=\"bronchodilator-inhalers-for-copd\"><span style=\"font-weight: 400;\">Bronchodilator inhalers for COPD<\/span><\/h2>\n<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr class=\"header-row\">\n<td><b>Type<\/b><\/td>\n<td><b>What to expect<\/b><\/td>\n<td><b>Coupons<\/b><\/td>\n<\/tr>\n<tr>\n<td rowspan=\"3\"><span style=\"font-weight: 400;\">Short-acting beta2-agonists (SABAs)\u00a0<\/span><\/td>\n<td rowspan=\"3\"><span style=\"font-weight: 400;\">Typically begin working in 5 to 15 minutes.<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/proair-respiclick\"><span style=\"font-weight: 400;\">ProAir HFA (albuterol) coupons<\/span><\/a><\/td>\n<\/tr>\n<tr>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/xopenex-hfa\"><span style=\"font-weight: 400;\">Xopenex (levalbuterol) coupons<\/span><\/a><\/td>\n<\/tr>\n<tr>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/terbutaline-sulfate\"><span style=\"font-weight: 400;\">Bricanyl (terbutaline) coupons<\/span><\/a><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Short-acting muscarinic antagonists (SAMAs)\u00a0<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Improve symptoms within 30 to 40 minutes. The effects will last from three to six hours on average.<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/atrovent-hfa\"><span style=\"font-weight: 400;\">Atrovent (ipratropium) coupons<\/span><\/a><\/td>\n<\/tr>\n<tr>\n<td rowspan=\"2\"><span style=\"font-weight: 400;\">Long-acting beta agonists (LABAs)<\/span><\/td>\n<td rowspan=\"2\"><span style=\"font-weight: 400;\">Typically provide a minimum of 12 hours of symptom relief<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/formoterol-fumarate\"><span style=\"font-weight: 400;\">Perforomist (formoterol) coupons<\/span><\/a><\/td>\n<\/tr>\n<tr>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/striverdi-respimat\"><span style=\"font-weight: 400;\">Striverdi Respimat (olodaterol) coupons<\/span><\/a><\/td>\n<\/tr>\n<tr>\n<td rowspan=\"4\"><span style=\"font-weight: 400;\">Long-acting muscarinic antagonists (LAMAs)<\/span><\/td>\n<td rowspan=\"4\"><span style=\"font-weight: 400;\">Typically provide a minimum of 12 hours of symptom relief<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/serevent-diskus\"><span style=\"font-weight: 400;\">Serevent (salmeterol) coupons<\/span><\/a><\/td>\n<\/tr>\n<tr>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/spiriva-respimat\"><span style=\"font-weight: 400;\">Spiriva Handihaler (tiotropium) coupons<\/span><\/a><\/td>\n<\/tr>\n<tr>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/tudorza-pressair\"><span style=\"font-weight: 400;\">Tudorza Pressair (aclidinium) coupons<\/span><\/a><\/td>\n<\/tr>\n<tr>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/incruse-ellipta\"><span style=\"font-weight: 400;\">Incruse Ellipta (umeclidinium) coupons<\/span><\/a><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h3 id=\"inhaled-corticosteroids\"><span style=\"font-weight: 400;\">Inhaled corticosteroids<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Inhaled corticosteroids, sometimes abbreviated as ICS, improve your ability to breathe by reducing inflammation in the lungs and airways. Typically used in conjunction with a LABA or LAMA inhaler, inhaled corticosteroids are mostly prescribed to those with more severe COPD.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Bronchodilators are preferred over this type of medication because they have better success treating COPD and fewer side effects. Additionally, inhaled corticosteroids are only FDA-approved for the treatment of asthma and are used off-label when given to patients with COPD.\u00a0<\/span><\/p>\n<table class=\" singlecare-table\">\n<thead>\n<tr>\n<th colspan=\"2\">\n<h2 id=\"inhaled-corticosteroids-for-copd\"><span style=\"font-weight: 400;\">Inhaled corticosteroids for COPD<\/span><\/h2>\n<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td><span style=\"font-weight: 400;\">Arnuity Ellipta (fluticasone)\u00a0<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/arnuity-ellipta\"><span style=\"font-weight: 400;\">Coupons<\/span><\/a><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Pulmicort Flexhaler (budesonide)<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/pulmicort-flexhaler\"><span style=\"font-weight: 400;\">Coupons<\/span><\/a><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h3 id=\"combination-inhalers\"><span style=\"font-weight: 400;\">Combination inhalers<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">For some individuals with severe COPD, a combination inhaler with a mix of medications may be a better fit. This also reduces the number of inhalers a person would need to take each day. These can include:<\/span><\/p>\n<table class=\" singlecare-table\">\n<thead>\n<tr>\n<th colspan=\"3\">\n<h2 id=\"combination-inhalers-for-copd\"><span style=\"font-weight: 400;\">Combination inhalers for COPD<\/span><\/h2>\n<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr class=\"header-row\">\n<td><b>Type<\/b><\/td>\n<td><b>Active ingredients<\/b><\/td>\n<td><b>Coupons<\/b><\/td>\n<\/tr>\n<tr>\n<td rowspan=\"4\"><b>Long-acting bronchodilators (LAMA + LABA)<\/b><span style=\"font-weight: 400;\">\u00a0<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Glycopyrrolate \/ formoterol<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/bevespi-aerosphere\"><span style=\"font-weight: 400;\">Bevespi Aerosphere coupons<\/span><\/a><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Aclidinium \/ formoterol<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/duaklir-pressair\"><span style=\"font-weight: 400;\">Duaklir Pressair coupons<\/span><\/a><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Tiotropium \/ olodaterol<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/stiolto-respimat\"><span style=\"font-weight: 400;\">Stiolto Respimat coupons<\/span><\/a><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Umeclidinium \/ vilanterol<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/anoro-ellipta\"><span style=\"font-weight: 400;\">Anoro Ellipta coupons<\/span><\/a><\/td>\n<\/tr>\n<tr>\n<td rowspan=\"3\"><b>Long-acting bronchodilators (LABA) with a corticosteroid<\/b><span style=\"font-weight: 400;\">\u00a0<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Fluticasone \/ salmeterol<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/advair-diskus\"><span style=\"font-weight: 400;\">Advair Diskus coupons<\/span><\/a><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Fluticasone \/ vilanterol<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/breo-ellipta\"><span style=\"font-weight: 400;\">Breo Ellipta coupons<\/span><\/a><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Budesonide \/ formoterol<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/symbicort\"><span style=\"font-weight: 400;\">Symbicort coupons<\/span><\/a><\/td>\n<\/tr>\n<tr>\n<td><b>Short-acting bronchodilators (SAMA +SABA)<\/b><span style=\"font-weight: 400;\">\u00a0<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Ipratropium \/ albuterol<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/combivent-respimat\"><span style=\"font-weight: 400;\">Combivent Respimat coupons<\/span><\/a><\/td>\n<\/tr>\n<tr>\n<td rowspan=\"2\"><b>Three-ingredient inhalers (corticosteroid + LAMA + LABA)<\/b><\/td>\n<td><span style=\"font-weight: 400;\">Fluticasone \/ umeclidinium \/vilanterol<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/trelegy-ellipta\"><span style=\"font-weight: 400;\">Trelegy Ellipta coupons<\/span><\/a><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Budesonide \/ glycopyrrolate \/ formoterol<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/breztri-aerosphere\"><span style=\"font-weight: 400;\">Breztri Aerosphere coupons<\/span><\/a><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2 id=\"choosing-the-right-inhaler\"><span style=\"font-weight: 400;\">Choosing the right inhaler<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">\u201cLong-acting bronchodilator inhalers are typically a first line of treatment, but short-acting bronchodilators may also be prescribed additionally as a rescue inhaler,\u201d Hudson says. This is because long-acting bronchodilators can provide longer symptom relief, but for those needing something more immediate, short-acting options will be more helpful.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">A healthcare professional will take a variety of factors into account before choosing the right inhaler for you. According to <a href=\"https:\/\/www.lcmchealth.org\/find-a-provider\/sneha-samant-md\/\">Dr. Samant<\/a>, this can include:<\/span><\/p>\n<ul>\n<li><b>Severity of symptoms <\/b><span style=\"font-weight: 400;\">and how frequently the patient experiences exacerbations of symptoms<\/span><\/li>\n<li aria-level=\"1\"><b>Results of lung function testing<\/b><\/li>\n<li aria-level=\"1\"><b>Ability to use the inhaler device properly,<\/b><span style=\"font-weight: 400;\"> as some inhalers require more coordination or inhalation strength<\/span><\/li>\n<li aria-level=\"1\"><b>Presence of asthma or allergies, <\/b><span style=\"font-weight: 400;\">which may influence the use of inhaled steroids<\/span><\/li>\n<li aria-level=\"1\"><b>Cost and insurance coverage,<\/b><span style=\"font-weight: 400;\"> which can affect access and adherence to inhaler use<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">\u201cUltimately, the goal is to tailor treatment to the individual to optimize symptom control and prevent flare-ups,\u201d Dr. Samant explains.<\/span><\/p>\n<p><strong>RELATED: <a href=\"https:\/\/www.singlecare.com\/blog\/anoro-ellipta-alternatives\/\">Anoro Ellipta alternatives<\/a><\/strong><\/p>\n<h2 id=\"cost-of-inhalers-for-copd\"><span style=\"font-weight: 400;\">Cost of inhalers for COPD<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">The cost of inhalers for COPD can quickly add up, especially for those who already have other medications to pay for on top of this expense. There are a few easy ways to save:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Implement lifestyle changes<\/b><span style=\"font-weight: 400;\">, mainly smoking cessation, which may lessen the symptoms of COPD and prevent them from worsening.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Use a SingleCare coupon at the pharmacy.<\/b><span style=\"font-weight: 400;\"> Even if you have prescription coverage with your medical insurance plan, SingleCare coupons may have better prices than your local pharmacy with insurance.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Ask about generic prescriptions<\/b><span style=\"font-weight: 400;\">. If you\u2019re using name-brand inhaler medications, talk to your healthcare provider or pharmacist about lowering costs by switching to a generic option.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">If the price of medication is a barrier to treatment, don\u2019t give up. Your pharmacist can help you find an option that controls your symptoms at a price you can afford.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Chronic obstructive pulmonary disease, more widely known as COPD, is an extremely common lung disease. Globally, it\u2019s the fourth leading cause of death, causing approximately 3.5 million deaths in 2021 alone. In higher-income countries, like the United States, the World Health Organization estimates that 70% of these cases are attributed to tobacco smoking. Despite the [&hellip;]<\/p>\n","protected":false},"author":135,"featured_media":632604,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[8029],"tags":[10965,20946,8905],"coauthors":[15090],"class_list":["post-632603","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-health-education","tag-asthma","tag-copd","tag-seasonal","wpautop"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.8 (Yoast SEO v27.8) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Inhalers for COPD: Types and cost<\/title>\n<meta name=\"description\" content=\"Inhalers for COPD can be preventive or maintenance and include bronchodilators, inhaled corticosteroids, or a combination of both.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" 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