Spiriva laba
Common Questions and Answers about Spiriva laba
spiriva
Yes! Spiriva is a long acting 24 hour broncho-dialator. So this means it will dialate your airway, make it bigger so air can pass thru it easier.
Adviar: is a cortico-steriod. This means it is a anti-inflammatory type med that will take the inflammed part and calm it down.
These are two very different medications. one holds it open and the other calms down the inflammed parts.
my husband has copd he uses adviar spiriva and combivent and it doesnt work what can it be thak you
Most doctors would start you on a combination medication like Advair, Symbicort or Dulera. These medication have both an inhaled corticosteroid (ICS) and a long acting broncho dilater (LABA). The ICS component can take up to 2 weeks to start feeling it full effect, while the LABA part will be effective immediately to relax and open your airways. Along with that, your doctor should give you directions to use your rescue inhaler (a form of albuterol) regularly for about a week.
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?
The warning is really against the use of long acting beta-2 agonists (LABA - bronchodilaters) alone for the treatment of asthma. Using a LABA without treating the underliing inflamation of asthma is the issue. Since Advair does contain an LABA, it was included in the warning. They are safe when used in combination with inhaled steroids as in Advair and other combination meds.
I have wet macular degeneration as well as COPD and my ophthamalogist theorizes that the weird "blisters" that are appearing at the site of the oozing veins may be caused by the steroid content of my asthma medication ( namely Spiriva). So he has asked me to change to something that doesn't contain any steroids. My pulmonologist has suggested I add floridil to my albuterol nebulizer.
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.
Alvesco is a small particle ICS that shoulce reduce that problem. I tried it, but it was ineffective for me. I hope it works for you. If you do need a LABA as well, Serevent comes as a stand alone ICS. An LABA should always be used lin combinationwith ICS by asthmatics wheter in a combination med or as two stand alone meds.
I hope that helps you.
God bless.
COPD Fev 45-50% , have been on Flovent,/Spiriva/ Proair 10 years and am sensitive to medications. I dont smoke.
Have had increasingly reactive airways for 3 years, had first Dxed exacerbation last fall triggered by woodsmoke. No congestion and did not take antibiotics. Pulmo said airways 'sounded just like asthma' but do not have that Dx. Airways felt raspy, swollen, inflamed. Have slowly recovered on a higher dose of Flovent.
m on Advair or oral steroids. So I try to avoid them if at all possible. I am currently using Spiriva HandiHaler which I believe is not suppose to have any steroids but I keep getting Thrush in my mouth ! It is a constant problem even just using the Duoneb, and especially if I have to take any antibiotics. I'm, constantly having to take Fluconazole tablets after a round of antibiotics for candidiasis under my breasts and in my mouth.
Here is a link to the FDA warning dated February 18, 2010.
http://www.fda.gov/Drugs/DrugSafety/PostmarketDrugSafetyInformationforPatientsandProviders/ucm200776.htm
The warning is ONLY on the use of LABA medications to treat asthma. LABA's are long acting beta2 agonists (broncho-dilaters that last 12 hours). IT DOES NOT INVOLVE ICS (inhaled corticosteroids) except to say that LABA's should not be used by asthmatics without concurrent treatment with an ICS.
Advair is a combination medication. It has an ihaled corticosteroird (ICS) and a long acting beta2 agonist (LABA - long acting broncho dilater). It is not recommended that you stop taking the ICS all at once. It is a steroid, although it doesn't have the same side effects of oral steroids. The ICS is really the primary treatment for asthma.
After you are feeling better, you can discus trying an ICS only medication like Asmanex or Alvesco with your doctor.
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.
For 6 mths. after diagnosis, I did have insurance. So, I was prescribed Advair, Spiriva and ProAir. While having insurance, I did get a second opinion on the COPD by a pulmonary doctor as well. But, between my family doctor and the pulmonary doctor, I was prescribed these meds for my COPD. Three months after being on all these meds, I spent the sickest winter of my life. Pneumonia, bronchitis and pleurisy. I had never had pneumonia in my life. And the pleurisy lasted 3 long painful months.
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 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.
does spiriva or alvesco cause acid reflux?
This discussion is related to <a href='http://www.medhelp.org/posts/show/284791'>Asthmatic bronchitis, how long does it usually last? Could I have something else?</a>.
I was told that one of these breathers cannot be used with Proventil. Please tell me if it is Advair or Spiriva. I can't remember which one the doctor told me.
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.
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.
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.
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.
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