spiriva and duoneb

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?

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.

my husband has copd he uses adviar spiriva and combivent and it doesnt work what can it be thak you

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 currently take advair and Spiriva medication.. is this the one and only mediacation,since there are no genericand here in the united states unlike the rest of the world which has a free market, we are controlled by the drug industry.

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?

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 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 not take prednisone or inhaled steroids as I found they affected my health very badly. I do use Duoneb and natural anti-inflammatories. I have not found any benefit from Spiriva or Singulair. The progress of my illness is slow and my pulmonologist refuses to speculate on my life expectancy. He says there is great varieability.

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 might try asking your doctor to prescribe Combivent/Duoneb. This is an already prepared mixture of Albuterol and Ipratropium. It is available as an inhaler, as well as a nebulizer solution. Although you can ask your doctor to be sure, Pulmicort should probably be taken separately.

Severent (salmeterol) can have very serious side effects, death being the most notable. Flovent is a corticosteroid. Read the FDA warnings of February 2010. Like you I have moderately severe COPD. I use Duoneb (similar to combivent) in a nebulizer and find it very helpful. I discontinued the use of Advair (which is basically a combination of Serevent and Flovent) because it almost killed me (choking). It also caused adrenal fatigue, was harming my eyes, and was subverting my immune system.

I will have to check that out. I still us a nebulizer with Duoneb. A big help and no side effects that I can see, as long as I keep the mist out of my eyes.

Before I use to take the inhaler and my coughing and shortness of breath and tightness would go away almost instantly. Now it's not helping and if it does it barely does anything. I'm thinking this medication isn't doing anything or helping me. I wanted to know what I should do. If I need to try other medications. I wanted to see if my doctor would think about duoneb? I got told it would be a big help if I did a few treatments a day.

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.

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.

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.

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.

I have heard "not" I was diagnosed with acid reflux and yet I also have asthma, so they put me on spiriva and activar (something like that) and it didn't bother my so called acid reflux. It's just suppose to help with breathing. It can however bring on thrush, so be sure to wash the inhaler each time after use.

It can be used occasionally, for transient worsening of COPD with Advair, and more regularly with Spiriva. If you find that you have a need for Proventil more than once a day, you should report that to your doctor who may then opt to increase your long acting medication.

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.

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 input. My MD put me on Spiriva, and during the summer I experienced what felt like about 2/3 lung capacity. Symptoms improved when I went to the coast to get some "clean" air. When I got back to the valley I had a lung function test conducted, and the MD said Spiriva was not medically indicated. So now I'm not sure if I actually have COPD or not. Will take your advice and get a second opinion.

office who ordered an ambulance and forwarded me to the ICU at local hospital. Spent a few days in ICU and general population with steroids, antibiotics, etc. Came home just fine did not feel bloated, short of breath, etc. Two weeks later I started to feel bloated again, then last night the breathing issue began, used bronchodilator, which eased the problem, thought I would be in emergency room again, but used the dilator about every 1 1/2 hr. which slowed things down.

I use Albuterol, SPIRIVA and ADVAIR to control Asthma & COPD. I also take CRESTOR for cholesterol and ADVIL for arthritis. In the last month (after starting SPIRIVA), when I first wake up in the morning, my eyes "roll" from right to left in an arcing motion when I attempt to focus on something. After a few attempts to focus on an object (the clock on the clock radio), the movement stops and I'm fine. Any thoughts?

does anyone use the inhauler spiriva if so have you had any side affects

Spiriva and duoneb

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