Hi again. So I was diagnosed with emphysema this week and they put me on Symbicort and Spriva. Now since I’ve been taking the Symbicort it doesn’t help my breathing, to me it makes it worst. My heart rate goes up and I feel some minor chest pains. The Spiriva seems to do the trick. Should I get a new inhaler prescribed or is my copd getting worst? How long does it take for you to see a change with an inhaler?