Trelegy Ellipta seems to work better tha. Spiriva fir me, except i find the mouthpiece for inhalation seems so different than my Spiriva. I used the Spiriva (capsules,) the mouthpiece that came from Alldaychemist was so much easier to use. So I'm finding that not sure if I'm getting the full benefit from it. Dud anyone else find it hard to get use yo the mouthpiece?