Spiriva and tiotropium bromide
Common Questions and Answers about Spiriva and tiotropium bromide
spiriva
I take Spiriva Respimat (tiotropium bromide) 2.5 mcg/actuation, and Wixela (fluticasone propionate salmeterol inhalation powder) for my COPD. Is there a sequence I should be taking these meds in? Is there a time frame I should use between the two meds?
Yes, there are. Spiriva® HandiHaler® (tiotropium bromide inhalation powder) is one and Serevent® Inhalation Aerosol (salmeterol xinafoate) another. Each is a bronchodilator and capable of giving good relief of shortness of breath.
If from the lungs, you could be experiencing Spiriva® HandiHaler® (tiotropium bromide inhalation powder) withdrawal symptoms, depending on what type of lung problem was being treated with the Spiriva® HandiHaler® (tiotropium bromide inhalation powder). These symptoms, along with your arms feeling weak and heavy, could all be due to anxiety, but could also be symptoms of more serious disease of the heart or lungs. For that reason, you do need to see your doctor to sort this out.
Spiriva® HandiHaler® (tiotropium bromide inhalation powder) has a maximum duration of action of about 36 hours. To be safe, you would want to be off the medicine for 48 to 72 hours before the spirometry. It would have been preferable, but not mandatory to do the pulmonary function tests (PFTs) at the time the diagnosis of chronic lung disease was made especially if the diagnosis was unequivocal. The other important question would be, “Why 3 CT scans, presumably of your lungs, in 16 months?
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.
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.
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.
Cause of low DLCO and drop in it from test 1 to test 1? I am currently on tiotropium bromide and salmeterol/fluticasone propionate. My reason for posting this is one doc is pessimistic and the other highly optimistic.
Thank you.
Yes, the medications you are taking, especially Flovent and Spiriva can cause burning, tingling, numbness and pain in various parts of the body. However, these are not the only COPD medications. Also Flovent can worsen asthma like symptoms and cause broncho-spasm. In my opinion you should be switched to other drugs.
Asthma can be treated in many ways and one has to find the best method by trial and error. One way to treat is through nebulization.
I got a lot of blood work done for my allergist and immunologist everything came back normal but my CU index (chronic urticaria) was slightly elevated suggesting it's autoimmune response. He tested for a large variety of autoimmune disorders. The doctor is treating my symptoms with Zantac, Zyrtec, and Singulair. I still wake up to hives every morning. And do not get any new ones during the day. I want to solve the problem at the source. Can anyone help me?
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.
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?
I was recently diagnosed with COPD. I am using oxygen in addition to a Nebulizer four times per day. The oxygen is very helpful, but the use of the Nebulizer has made me feel worse. I develop a very rapid heart rate with the first use of the day along with extreme weakness. I don't feel well all day because I can't recover from the pounding heart rate and weakness before another session with Nebulizer is due. The two medications used in the Nebulizer are: Xopenx 1.
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.
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 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.
it affects your brain and along with Bromide will mess up your Iodine levels and many experts believe, case thyroid problems. I am no expert but I have read many studies.
Google fluoride and you will find a lot about the most recent studies. I guess you may have already gotten that far since you pointed out those pictures. I encourage you to continue to research. It is very possible that where ever you live now may still fluoridate the water. Some communities are slow to remove it.
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.
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