If you’ve been told to stop using Symbicort, you’re probably wondering what to switch to. You don’t have to stay stuck with a single inhaler – there are several options that give similar relief for asthma and COPD. Below we break down the most common substitutes, why they might suit you, and how to get them safely.
People change inhalers for many reasons: insurance coverage, side‑effects, or simply a doctor’s recommendation. Symbicort combines a steroid (budesonide) with a fast‑acting bronchodilator (formoterol). Any replacement should offer both anti‑inflammatory action and quick relief. Skipping one of those parts can leave you wheezing or short‑of‑breath, so choose a partner that covers both.
1. Advair (fluticasone/salmeterol) – This is the most widely used Symbicort look‑alike. It pairs a steroid (fluticasone) with a long‑acting bronchodilator (salmeterol). It works well for both asthma and COPD and is often covered by insurance.
2. Breo Ellipta (fluticasone/vilanterol) – One puff a day keeps your lungs calm. Vilanterol is a newer bronchodilator that lasts 24 hours, so you don’t need multiple doses.
3. Dulera (mometasone/formoterol) – Similar to Symbicort but uses a different steroid. Some people find it easier on their throats.
4. Trelegy Ellipta (fluticasone/umeclidinium/vilanterol) – Adds a third component, a long‑acting anticholinergic, for extra airflow. It’s a good pick if your COPD is more severe.
5. Generic budesonide/formoterol inhalers – In many countries you can buy the same combo under a generic name at a lower price. Check the packaging for the same dosage strength (e.g., 160/4.5 µg).
When comparing these, look at three things: dosage strength, dosing schedule, and cost. Your doctor can tell you if the dose you need matches the generic version or if a brand‑name inhaler is safer for you.
First, talk to your prescriber. Explain why you need a switch – maybe your insurance stopped covering Symbicort or you’re having a sore throat. Ask if the new inhaler needs a different technique; some devices require a deeper inhale or a slower breath.
Second, check your insurance formularies. A drug that’s $30 a month on one plan might be $120 on another. Use the pharmacy’s price‑check tool or call the insurer’s helpline.
Third, consider side‑effects. If you noticed tremors or a fast heartbeat with Symbicort, a different bronchodilator might feel smoother. Keep a short diary of how you feel after each puff – it helps your doctor fine‑tune the prescription.
Never buy inhalers from an unknown online store. Look for pharmacies that require a valid prescription and display a national licensing badge (e.g., GPhC in the UK, PSI in Ireland, or the NABP in the US). If you need a new prescription fast, many telehealth services can connect you with a licensed clinician who can verify your history and send the inhaler directly to a vetted pharmacy.
Remember to keep your old inhaler until the new one arrives. Switching too early can leave a gap in your medication, and that’s when asthma attacks happen.
• Write down the exact medication name, dose, and device type (e.g., DPI vs. MDI).
• Ask your pharmacist to demonstrate the inhaler technique before you leave.
• Set a reminder on your phone to use your rescue inhaler if you notice worsening symptoms.
Finding a Symbicort replacement doesn’t have to be stressful. With the right info and a quick chat with your doctor, you can keep your lungs happy and your budget intact.
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