Hi Diamonds, and thanks for your post and question - it's a good one. You may be aware we cannot provide medical advice or diagnostics over the internet (for your own safety), but your concern certainly warrants a reply. If you have been using this inhaler for 27 years successfully for asthma, perhaps with the new diagnosis (COPD), the actual level of your disease may have changed. It is also possible that, after 27 years, this medication is no longer efficacious for you especially, with a new diagnosis.
However, I hear you, and your concern is a valid one! I would suggest that you discuss these concerns frankly and, at length with your physician. The doctor should be able to assess you now and perhaps a change to your medication regimen will help you to feel more comfortable. I will wish you 'good luck!' at your upcoming appointment in March. Would you be kind enough to check back and let us know how this all turns out for you?
Leon (site moderator COPD.net)