Spiriva and patient information
Common Questions and Answers about Spiriva and patient information
spiriva
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.
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.
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?
I also see a rheumotologist for UCTD and am on Placquenil and prednisone (5 mg or less QD during flares.) Was put on Spiriva and Symbicort. Had to stop Spiriva due to intolerable cholinergic effects. Am fine so far with just the Symbicort. Talked with Rheumy about value of CT scan and if it would change any of the treatments. He felt no. To me is just seems like a very expensive test and wouldn't really change anything. I don't have any clinical signs at this time of PH.
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?
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.
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.
Now, he is on portable oxygen concentration to ease his oxygen intake, about 2 Liter. And patient encounter several problems such as cold sweat and strengthless as compared to previous month. Sometimes his hands are shaking while his performing activities such as writing as so. And he is feeling less strength on the feet as well.
He is on nebulizer with Combivent about 1-2 times a day, Spiriva, and Seretide medication.
I am taking Flovent, Spiriva and ProAir. Since I've been on the medication I've been Dxed with idiopathic neuropathy, cervical radiculopathy, carpel tunnel. I also have other entrapment symptoms, ulnar ,and I think in my legs as well.
Sometimes I get a burst of nerve pain in my arms and legs a few minutes after using the Flovent and it also causes some tendon swelling. I've shown over and over that I have less pain on lower doses of meds.
I was told to stop my spiriva in Aug. that I had been using for about 3 yrs. This was after I had a PFT for the first time. I've had three ct scans over the past three yrs. Shows granulomata and calcified nodules..no change. For the past couple of days I've been very SOB and my arms feel weak and heavy. My chest doesn't hurt it just feels tight/full. Today has been worse. I was also put on neurontin 1 1/2 weeks ago for headaches and wonder if that could have anything to do with it.
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 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.
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 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.
Sinusitis, chronic bronchitis then COPD. All because doctors refused to treat the sinusitis. Because of this I can't afford the meds that are the staple of COPD treatment. But it did lead me into an alternative that works better and with less side effects. Benadryl works on the same principle as does ipratropium but I have never been told to use it. I can't tolerate Advair (causes angina) nor Albuterol (causes worse congestion and coughing).
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.
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