Symbicort Comparison: How It Stacks Up Against Other Asthma and COPD Inhalers
When you're managing asthma or COPD, Symbicort, a combination inhaler containing budesonide and formoterol used to control inflammation and open airways. Also known as budesonide/formoterol, it's one of the most prescribed maintenance treatments for long-term control. But is it the right choice for you? Many people assume all inhalers work the same, but that’s not true. Symbicort combines a corticosteroid with a long-acting beta agonist, which means it tackles both swelling and tightness in one device. That’s different from using separate inhalers or picking alternatives that only do one job.
When you look at budesonide, a corticosteroid that reduces airway inflammation, you’ll find it’s also in Pulmicort — but Pulmicort doesn’t open airways. On the other hand, formoterol, a fast-acting bronchodilator that relaxes airway muscles is used alone in Foradil, but doesn’t reduce inflammation. Symbicort does both. Compare that to Advair, which uses fluticasone and salmeterol — similar combo, but different drugs. Studies show Symbicort works faster than Advair for symptom relief because formoterol kicks in within minutes, while salmeterol takes longer. Cost-wise, generic versions of Symbicort are now available, making it more affordable than branded options like Breo or Dulera, which use different steroids or delivery systems.
People often ask if they can switch from Symbicort to something cheaper or simpler. Some try using a rescue inhaler like albuterol more often instead, but that doesn’t control the root problem — inflammation. Others try Qvar or Flovent, which are steroid-only and won’t help with sudden breathing trouble. Then there’s the newer Trelegy, which adds a third drug, but that’s usually for advanced COPD cases, not early asthma. The key is matching the tool to your needs. If you need daily control plus quick relief, Symbicort’s dual action makes sense. If you only need anti-inflammatory support, a steroid-only inhaler might be enough. But if you’re using rescue inhalers more than twice a week, you likely need a combo like Symbicort.
Side effects are another big concern. Symbicort can cause throat irritation or hoarseness, but rinsing your mouth after use cuts that risk. Compared to oral steroids, it’s far safer for long-term use. Unlike some older inhalers, it doesn’t carry the same heart rhythm risks as some other long-acting bronchodilators. And unlike biologics or nebulizers, it’s portable, easy to use, and covered by most insurance plans.
Below, you’ll find real comparisons — not marketing fluff — between Symbicort and other treatments people actually use. We break down what works better, what costs less, and which options you might be overlooking. Whether you’re switching, saving money, or just trying to understand your options, these posts give you the facts without the jargon.