Symbicort alternatives: choose the right inhaler for you

Need an alternative to Symbicort (budesonide/formoterol)? Symbicort is a combo inhaler with an inhaled steroid plus a fast-acting LABA. That combo controls inflammation and helps open airways. If you want a different medicine, lower cost, or another inhaler type, here are clear options and what to ask your clinician.

Common medicine alternatives

Advair (fluticasone/salmeterol) — a steroid plus a slower-acting LABA. Works well for daily control but usually needs a separate rescue inhaler because salmeterol takes longer to kick in.

Dulera (mometasone/formoterol) — similar combo to Symbicort because it uses formoterol (fast-acting). It can feel similar in symptom relief but check whether your doctor supports its use as both maintenance and reliever.

Breo Ellipta (fluticasone/vilanterol) — once-daily option. Good if you prefer a single daily dose, but it’s not meant for fast rescue use.

Trelegy Ellipta — triple therapy (ICS + LABA + LAMA). Usually for COPD patients with frequent flare-ups. It’s stronger and not the first switch for mild asthma.

Stiolto Respimat or Anoro (LAMA/LABA combos) — these don’t have a steroid. They suit some COPD patients or people who can’t tolerate inhaled steroids, but they won’t control inflammation the way steroid combos do.

Generic budesonide/formoterol — availability depends on your country. Generic versions can match Symbicort’s effects at lower cost if your pharmacy stocks them.

How to pick the right alternative

Ask these practical questions: How fast should relief start? (Formoterol is fast, salmeterol is slower.) Do you need once-daily dosing? Will insurance cover it? Do you prefer a press-and-breathe MDI or a dry powder inhaler (DPI)?

Think about side effects: inhaled steroids can cause throat yeast (thrush) and hoarseness — rinse your mouth after use. LABAs can cause jitters or a fast heartbeat in some people. If you notice new symptoms after switching, call your provider.

Technique matters more than the brand. Poor inhaler use can make any inhaler seem ineffective. Ask your nurse or pharmacist for a demo and practice with a spacer if you use an MDI.

Cost tips: ask your doctor for a generic or therapeutic equivalent, check patient assistance programs from manufacturers, and compare pharmacy prices. Sometimes switching the device (to a cheaper generic inhaler) saves more than switching the drug.

If you use Symbicort as both controller and reliever (single-inhaler approach), don’t change that plan without your doctor’s approval — not all alternatives work the same way.

Want help deciding? Bring a list of your symptoms, attack frequency, and current meds to your next visit. Your clinician can match the inhaler to your breathing goals, lifestyle, and budget.