I was diagnosed with moderate COPD
in Oct. 07. I too was put on
Spiriva and Advair. About 3 mths. on these meds, I had the sickest winter of my life. Pneumonia, bronchitis and 3 months of painful pleurisy. I instantly stopped the Advair. Then, I stopped the Spiriva. And for almost 2 yrs. now, I am doing better without these meds, then when I was taking them. I don't suggest this stopping of meds for everyone. But, personally these meds made me much worse.