A pretty good neb solution is DuoNeb, containing a combination of Albuterol and Ipratropium. Albuterol and Ipratropium are bronchodilators that relax muscles in the airways and increase air flow to the lungs.

Although I only do the 8 puff ventolin version via a spacer, there are many other combinations like Combivent (Ipratropium Bromide and Albuterol Sulfate) or plain Saline (Saline solution of sodium chloride)

That was not true for me. The Nebules I used in hospital were exactly the same as the ones I use at home. They have the quantity and strength printed on them.

Then I'm sorry @A MyCOPDTeam Member I have nothing to offer you. The ventolin was weaker but there was lots of it when I was in hospital so I asked them about the strength. It was given in a nebuliser.

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A MyCOPDT...

The ventolin you inhale is stronger than the hospital ventolin. That's why they give you so much in the hospital.

Quite often saline alone is effective and avoids pumping a powerful drug into my body.