Ive been using Trellegy Ellipta for almost 10 months. Prior to it i was using Stiolito Respimat but continued to have exasperations. Two parts here. What i didn't tell my doctor was i was still having the occasional cigarette, thus leading to the hospitalization. I have not smoked since. As instructed, i rinse immediately after using the inhaler. I be noticed especially in the evening, i get this weird feeling in my upper chest and arms. Its the type of feeling you get when you get the flu shot, like you've been run over by a bus. Is this common? What are the long term repercussions of using such a strong medical for this amount of time. 2 can someone go back to a lesser medication, although more expensive