Thanks for your question on HCM. Since your mother is a diagnosed case of COPD, I advice her to consult pulmonologist for better treatment of COPD. Treatment of COPD is multifactorial. Try to follow these. 1. Complete avoidance of smoking is the priority. 2. Inhaled bronchodilators. If flovent is not suitable for her, there are many other drugs available. So better to consult pulmonologist and start inhalers. 3. Chest physiotherapy with deep breathing exercise. 4. Pulmonary vaccination with adult pneumococcal and H. Influenza vaccines to prevent future infections. So we have to follow all the steps simultaneously for better control of COPD.