I am 32 year old female suffering from COPD since 2015. Previously I was taking seroflo 250 twice a day and tiova once daily, two puffs each time. now I am prescribed by another doctor that I should take foracort 400 twice daily and furamist AZ nasal spray once daily. I am just wondering what should I do??
Thanks for your question on Chat Doctor. I can understand your concern. Seroflo is having albuterol and fluticasone. Foracort is having formoterol and budesonide. Both are having same group of Chat Doctor.  Forecourt 400 will have higher dose of budesonide. Now in COPD treatment, no role of increasing dose of inhaled corticosteroid (ICS) (budesonide or fluticasone). So need to take forecourt 400.COPD treatment guidelines suggests that LAMA (long acting Muscarinic antagonist) like geotropism, glycopyronium are good for COPD patients. So continue with Ti ova inhaler. So in my opinion, you should continue with Aeroflot and Ti ova. If you are having nasal symptoms like sneezing, running nose or blocked nose then start muralist nasal spray. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.