Being newly diagnosed with a chronic condition, like COPD, can be overwhelming. Not only are you making lifestyle changes, but you're most likely being prescribed new medications and medical protocols. Many people may have to balance these changes with existing health conditions or comorbidities, so they may be confused about managing multiple medications and understanding how they interact. In fact, studies show that over 20% of U.S. adults aged 40 and older take five or more prescription drugs. However, the right strategies and support can make all the difference. Learn what experts and other patients living with COPD suggest for taking control of your medication plan.
Understanding Your Medications
The first step to managing your COPD is understanding the medications your healthcare provider has prescribed and how they help you. There are different types of medication delivery devices for COPD. Medications can come in the form of a pill, inhaler, nebulizer or a breath-actuated device. Some patients may also need occasional steroids, antibiotics or supplemental oxygen. Each medication has a specific role: some open the airways to make breathing easier (bronchodilators), while others reduce inflammation in your lungs or treat lung infections.
Before you begin treatment, talk with your healthcare provider or pharmacist about what each medication does. As your provider to explain when and how you should take it and if there are any foods, activities or other medications to avoid while using it. “Correct inhaler technique is critical. Many people use their inhalers incorrectly without realizing it, which reduces medication effectiveness,” explained Dr. Francesca Polverino, MD, PhD, at Baylor College of Medicine. “Using a spacer device can help improve drug delivery, particularly for those using metered-dose inhalers."
It is important to take all medications as directed, even if your COPD feels well controlled. “Patients often stop taking maintenance medications when they feel better, which increases the risk of exacerbations. That is why I always emphasize the importance of taking them no matter what,” continued Dr. Polverino.
Writing all this information down and using a COPD Action Plan, or keeping a journal is a great way to stay organized and reduce stress, especially in an emergency situation. Your notes should include medications for any and all conditions you have, so you and your healthcare team can discuss any possible interactions.
“Knowing one’s baseline health status, tracking exacerbations, and even beginning to think about long-term goals and preferences can help patients feel more in control,” Dr. Polverino said. “I suggest my patients keep a symptom diary to help track patterns or changes. Also, having a written action plan in place helps patients know exactly what steps to take if their symptoms suddenly worsen.”
Keeping Track of Timing and Dosage
One of the most common challenges people with COPD face is remembering when to take each medication. Some medications may be taken daily, others multiple times a day, and still others only as needed. Additionally, you may already be taking medication for other conditions, which can make things confusing.
One tool that many people suggest is using a weekly pill organizer with compartments for the morning and evening. This can reduce errors and help you quickly see if you’ve missed a dose “I keep daily pills and inhalers together. After breakfast I take morning pills and two inhalers. Before bed, take evening pills and one inhaler,” one Inspire Community participant shared.
Another patient suggests setting reminders on your phone, smartwatch or voice assistant device (like Alexa or Siri) for when you need to take your medications and when you need to refill your prescriptions. There are also mobile apps designed specifically for medication tracking that can send push notifications when it’s time to take a dose.
If you prefer paper, a printed medication tracker or a calendar marked with medication times can work as well. One patient suggested color-coding or using labels to differentiate medications by time of day. If you live with a partner or caregiver, consider asking them to double-check your medication routine, especially during the early stages of managing your COPD.
Dealing with Side Effects
COPD medications can be highly effective, but they may come with side effects, especially when combined with other medications. For instance, inhaled steroids may cause oral thrush, while bronchodilators might cause anxiety or an increased heart rate. Oral medications can sometimes lead to digestive issues or fatigue. Before you stop taking any of your medications, first speak with your healthcare provider about your concerns or side effects.
For this reason, you should keep track of any side effects and how often they occur in your health journal. This information can keep your doctor informed and help them adjust dosage or suggest trying a different medication. Some side effects can be eliminated by simply changing the time of day you take the medication or taking it with food. “This is not a disease to manage passively. I always encourage patients to ask questions and to track symptoms, medication effects and triggers daily,” Dr. Polverino said.
Build a Routine That Works for You
Sticking to a consistent routine makes it easier to remember your medications and incorporate them into your daily routine. Link your medication times with other regular activities, like brushing your teeth or eating meals. Keep your inhalers and other medicines in a designated spot that's visible but safely away from heat, sunlight or moisture.
Don’t forget to lean on your healthcare team and fill them in on any changes at regular check-ins. At every appointment, ask if your medications are still working and make sure you’re using inhalers correctly. Your doctor or pharmacist may also be able to help you navigate any cost or insurance challenges that might make it harder to continue your treatment plan.
For more tips for learning to manage your COPD, download the Learning to Live with COPD Workbook.
Blog last updated: June 18, 2025
