Hi and welcome!! Thanks for your post and question - it's a good one and has been a topic of conversation within the medical profession for many years! You actually hit the proverbial 'nail on the head', with this one. The conversation has focused on just what you articulated, namely - metered dose inhalers are so convenient but, they can be expensive! On the other hand, small volume hand-held nebulizers, with liquid medication, can be cumbersome, inconvenient, and time consuming but, they can be much less expensive.
Studies have shown that the efficacy of each mode of delivery is pretty much the same. Knowing that, the choice becomes a very individual one, to be made by each patient.
I know patients who use the nebulizers (when at home), but rely on the MDI's when they are out and about. This 'hybrid' means of resolving the issue may be suitable for you, too!
Should you want to read more about this topic, we actually have some material (by our own ), which focuses on this concern: https://copd.net/clinical/inhalers-vs-nebulizers.
What do you think?
Wishing you well,
Leon L (author/moderator)