See if there's a nebulized version. That's often easier for people who have difficulty inhaling with a strong enough inhale to actually get any good from the medication. Nebulizing takes a lot longer, but you would get more of the medication.

That's odd in allergic to maple and birch trees and it doesn't bother my copd.

I also have tons of allergies and you are right. It does complicate everything. Before I use my Ventolin, I take a couple long slow breaths, concentrating on exhaling as much as I can. I use a yoga type breathing and try to use my stomach, sucking it in when exhaling and pushing it out when inhaling. It helps me to get ready to inhale sharply when I use the inhaler.

I can not remember user names or p a sswords . I get a new one every week. One t one I just s t used my name and Facebook said the name was a already used. I t old t hem it was me bu t. they said prove it
So o made up another name
Welcome. I hope you will be on my team.dwell well and breathe easy

Very helpful Mary thank you for your advice.