The word "Puler" may not be commonly used, but it still has a variety of synonyms depending on the context. If you are talking about a person who pulls something, you can use words like tug, yank, drag, or haul. If you are referring to the act of pulling something, terms like draw, extract, wrench, or pluck can be used. For a more forceful way of saying "pull", you have options like heave, jerk, or yank. In medical terms, "puler" can be synonymous with coughing or wheezing. For example, you can use terms like hack, gasp, or wheeze in place of "puler" when describing respiratory symptoms.