Spiriva and combivent
Common Questions and Answers about Spiriva and combivent
spiriva
Although I get good (better) results from the combination than Symbicort alone, since starting the Spiriva, I am experiencing very dry mouth, and nasal passages to the extent that I occasionally experience light bleeding when I blow my nose.
My questions are, How serious is this side effect, Should I continue using the Spiriva, Continue the Spiriva but stop the Symbicort, or Drop both and just take Combivent which I currently use as my emergency inhaler?
Spiriva is very gritty and irritating. Also it is very drying. I stopped using it. And I got off all inhaled steroids because of the serious problems they caused. Now I use only natural anti-inflammatories and am all the better for it (as well as richer). By the way, my COPD is as bad as yours.
I was taking acetylcysteine (Mucomyst) by nebulizer for congestion. This is not always available so I had to make do in some other fashion.
ve tried spiriva and dulera, combivent and xopenex and I still have some blockage/wheezing when I exhale. I have low oxygen at 75% in my sleep and can't sleep and have terrible fog for days and exhaustion for 2 years with the sleep apnea
which medication could help my breathing/sleep apnea problems?
These include Albuterol, Flovent, Combivent, Spiriva, lasix, Diamox , Clariten and Nasonex. I follow a strict diet, no fatty , greasy, fried ,alcoholic or dairy. I elevate my head in bed and lay on my left side. I had test done which include upper and lower GI series, endoscope and a fluroscope. I do everything my Doctor tells me but I am still suffering . My Doctor also suggested that I lose weight.
it was the ipratropium bromide in Combivent causing the hives. I now stay away from any inhaler (like Spiriva) containing similar bromide components.
Also check meds you take for sulphur. I can tell a new med contains sulphur when my hands itch like crazy from hives.
I am also IGA deficient (immunoglobulin A deficient). Which explains why I seem to catch every cold and flu going around. Antibiotic supplementation fix this problem.
I take my rescue inhaler only when absolutely needed. I had no meds like Advair and Spiriva last winter. And I only had bronchitis once. Went to my family doctor and got an antibiotic for that. I am not suggesting everyone give up their breathing meds. NOT AT ALL. But, personally for me, I am doing better without all those meds. Sure I have symptoms. Some days I do good. Other days not so good. But, at least I am not getting sick nearly as much, while I was being given Advair and Spiriva.
I do use Spiriva every 36 hours, Albuteral inhalers and Combivent inhalers daily. I have a nebulizer but try to avoid using that; only if I do have a cold and a lot of phlegm to get rid of. Doctors, especially in the USA are of little help. Here, they actually care and are helpful. It is also a lot less expensive, obviously, to buy medications because no prescriptions are necessary unless it is a narcotic. You can get medical consultations for $2-$35 USD instead of having to mortgage your home.
I've been using Spiriva nearly 10 years and this year my PSA results spiked from less than 1 to above 6. Where did you get your info regarding the statistics on prostate cancer, as I would much like to study it.
I have been using Combivent for about a month together with Asmanex to treat my cough-variant asthma and have had pretty good results. However, the first inhalation of Combivent always triggers a major coughing spell (sometimes it's so severe I almost vomit or my ribs hurt). Are there other bronchodilators that might be easier to inhale and still be effective? Or would using a nebulizer help? I've heard there can be adverse side effects with a nebulizer.
You are obviously doing the right things, including mouth washing after drug use and you are correct that the Spiriva and Duo-neb do not contain any steroid.
Unfortunately, some individuals develop allergy to the ipritropium in the Duo-neb or to Spiriva and the drug simply irritates the membranes of the mouth allowing the thrush to take hold.
That you also develop candidiasis under your breasts suggests that you might, for some reason be predisposed to this infectious agent.
I have emphysema. i use advair twice a day and spiriva one a day. The biggest problem for me is that I always seem to havemucus build up in the mornings. My doctor has told me to try mucinex, but that doesn't seem to work all the time. So i try using albuterol in the morning to help loosen up the mucus so that I can breath better.
first I tried Abuterol and it took about a week and it was an incredible relief , so I went back to my doctor and started taking Advair and took about a month to start working and I'm still taking it and it works great.
Excerise:get yourself a heart rate monitor and do the same activity your doing now and record your peak heart rate during your workout.Pick a time limit( I used 30mins) and recorded the starting rate and ending rate.
If you are taking Duoneb there is no point in taking Spiriva because Spiriva is related to the ipratropium that is a consitituant of Duoneb. Also Spiriva is extremely drying which may be why you are feeling so uncomfortable.
To be using Duoneb five or six times a day you would have to be close to death. Obviously you aren't, so you can cut back without any problem. I have serious COPD and my use of Duoneb averages 3.5 vials daily.
The big question is - how bad is your COPD?
Common COPD inhalers that contain steroids are Advair, Symbicort, Breo and Dulera.
after checking, this bladder problem is a side effect of Spiriva...I had used Spiriva for over a year and the infections/non-infections got more frequent until I had to go to the urologist...I was on Azo Standard most of the time. I alerted my pulmonologist as to my problem and he took me off the Spiriva. Since being off the Spiriva, my breathing has gotten worse....my Dr said there was no replacement for Spiriva...I'm writing to find out what others might know.
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