Multiple inhaled medications for COPD are available and are delivered by different devices. The most used devices are MDIs, DPIs, and nebulizers. All have limitations, particularly in elderly adults; error rates increase with age and the severity of airflow obstruction.25–27 Within the framework of the challenges that elderly patients with COPD face, as discussed in the preceding paragraphs, the advantages and limitations of these devices for this specific population warrant careful clinical consideration when planning optimal COPD management.