I was given a breathing med (Albuterol) to place in my nebulizer to do a three times a day breathing treatment. Recently my pulmonologist gave me Spiriva to take which is a once a day inhaler. This is not doing the trick because I have problems breating at night. I want to use my nebulizer with the original medication given to me before bedtime and still continue using the Spiriva. I developed COPD recently. I am having chemotherapy for Ovarian cancer and this has caused the exacerbation of COPD