Spiriva and combivent used together
Common Questions and Answers about Spiriva and combivent used together
combivent
Combivent is another option used by many COPD patients. It contains albuterol and ipatropium. Combivent may be off the market in the US though as the EPA has banned the use of CFC's propelants in inhalers. I don't think they were able to reformulate this medication to fit these new laws. However, since Combivent is unique, it may have gotten an exemption or extension.
If you are an asthma patient, the use of anticholenergics like ipatropium and Spiriva for therapy is increasing.
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.
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 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.
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.
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 have moerate COPD. As to Spiriva, I used it briefly and it turned my lungs to glue. If any of you have thick sputum that is hard to expel (caused by all those drying medications), vitamin B5 is an outstanding mucolytic (mucus thinner). I take 1000 mg. daily. It is also specific for adrenal fatigue.
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.
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.
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