Spiriva twice daily
Common Questions and Answers about Spiriva twice daily
spiriva
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.
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?
COPD Fev 45-50% , have been on Flovent,/Spiriva/ Proair 10 years and am sensitive to medications. I dont smoke.
Have had increasingly reactive airways for 3 years, had first Dxed exacerbation last fall triggered by woodsmoke. No congestion and did not take antibiotics. Pulmo said airways 'sounded just like asthma' but do not have that Dx. Airways felt raspy, swollen, inflamed. Have slowly recovered on a higher dose of Flovent.
m on Advair or oral steroids. So I try to avoid them if at all possible. I am currently using Spiriva HandiHaler which I believe is not suppose to have any steroids but I keep getting Thrush in my mouth ! It is a constant problem even just using the Duoneb, and especially if I have to take any antibiotics. I'm, constantly having to take Fluconazole tablets after a round of antibiotics for candidiasis under my breasts and in my mouth.
At my six-monthly checkup at my local hospital here in Spain there was a replacement doctor and since he was young I thought he might be willing to hear why I was not taking spiriva and steroids. He confirmed that a person with severe COPD MUST use these medicines. But - I objected - they do not cure, they’re only supposed to make you feel a little better and have nasty adverse effects.
Thanks for the response,
Bill
my husband has copd he uses adviar spiriva and combivent and it doesnt work what can it be thak you
My lungs are great. I had a V6 test and the radiaation is very accurate. I take Spiriva once a day and Advair twice a day. Then I take breatihing treatments three times a day. And I have an inhaler. I still wheez like crazy at different times of the day. Help!
This discussion is related to <a href='/posts/show/955603'>research</a>.
I take 500 MDI of Advair twice a day and spiriva. I still smoke a little a day. I also have to work in a hot humid kitchen in the summer. I started having panic attacks when I would get busy and I would get winded easily and fustrated. I am off work presently but I want to go back soon. Anyone in a similar situation and if so, any suggestions.
I have wet macular degeneration as well as COPD and my ophthamalogist theorizes that the weird "blisters" that are appearing at the site of the oozing veins may be caused by the steroid content of my asthma medication ( namely Spiriva). So he has asked me to change to something that doesn't contain any steroids. My pulmonologist has suggested I add floridil to my albuterol nebulizer.
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.
I'll try to be brief. My dr. ordered a pft last week (following three ct scans over 16 months). I had been using Spiriva for three years. My question is how long should I have been off the Spiriva for the test to show accurate results? Shouldn't I have had the test before being given Spiriva? Thanks in advance.
I was very recently prescribed Wellbutrin XL, after trying several medications that have not helped [including Wellbutrin SR]. When I saw my doctor, she simply said 'I'm putting you on Wellbutrin twice daily' and I assumed it would be the SR. But what I was given was XL, with the instructions to take it twice a day [morning and around noon]. My doctor's office is closed today, or I would have asked her. I did ask the pharmacist, and he said that yes, this is okay.
5MG once-twice daily, with a qty of 20! that is no way to taper some one off this medication, right? I talked to my aunt who is a doctor (she will not prescribe any narcotics through out our family because of DEA ref's etc) and she told me to go to a new doctor because stopping this drug is way to risky especially for someone my age (18). She actually doesn't even want me on the medication, because a few years ago I would take them to get high.
Is there anything I can avoid, which would help me, to produce less mucus, I live in a very damp part of England, and recently,2002! I was diagnosed as having Bronchiectasisis. Daily I produce Mucus, but recently it has got a lot worse,and is now continuous, It's very Anti Social.
The test revealed that I either had very bad asthma or very mild emphysema. My regular doctor gave me Spiriva inhaler to use as a trial. That seemed to stop the cough. I was immediately referred to a pulomonary specialist who put me on Advair 250/50 twice a day. This inhalation treatment has stopped my chronic cough.
coughing phlegm from lungs for the past six months, have taken antibiotics with no results, did take predrisone together with SPIRIVA 18 mcg and ADVAIR 500/50 for the past month. Still coughing up phlegm and have limited lung capacity. Any suggestions comments.
I read that roflumilast is a new drug that controls the inflammation that causes copd to get more severe. I currently use Spiriva and this article said that there was a higher rate of sudden death with the mist inhalers in people with vascular disease. So I am thinking about switching up after talking it over with my doctor.roflumilast is a pill you take daily.So I guess your answer would be anti-inflammatory.
does spiriva or alvesco cause acid reflux?
This discussion is related to <a href='http://www.medhelp.org/posts/show/284791'>Asthmatic bronchitis, how long does it usually last? Could I have something else?</a>.
I was told that one of these breathers cannot be used with Proventil. Please tell me if it is Advair or Spiriva. I can't remember which one the doctor told me.
This would include a long-acting bronchodilator, such as Serevent® Inhalation Aerosol (salmeterol xinafoate), Foradil® Aerolizer™ (formoterol fumarate inhalation powder) or Spiriva® HandiHaler® (tiotropium bromide inhalation powder) along with an inhaled steroid. Another potentially helpful, oral medicine is called theophylline. Your doctor may also want to prescribe this.
You should have your blood oxygen level checked, in case it is low and you would need supplemental oxygen.
My guess would be if it is day 5 without the inhalers, then they should be out of your system. I too had problems with Advair and Spiriva. I was diagnosed in Oct. 07 with moderate COPD. Was put on Advair, Spiriva and ProAir as my rescue inhaler. After being on the Advair and Spiriva for several months, I began to become ill. Spent the sickest winter of my life, while on these inhalers. Bronchitis, pneumonia and pleurisy that was so painful for 3 months. I was doing okay before the inhalers.
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