My pulmonologist recently changed my monthly prescriptions from Advair and Symbicort to Trelegy. Is there any type of spacer to use with the Trelegy inhaler? I feel like remnants of the powder remain toward the back of my mouth and on my tongue. Second question...I feel like in the past 2 years my voice has changed...it's breathy and it seems much higher. I was a teacher for 26 years so my voice was pretty booming and loud :) I find I have to repeat myself frequently ...it's even noticeable while talking on the phone. I'm curious if this is typical? Thanks for any responses.