Spiriva tiotropium bromide
Common Questions and Answers about Spiriva 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?
Spiriva contains tiotropium bromide which is an anticholinergic bronchodilator. So, yes, both have action against acetylcholine recptors and both are efefctive bronchodilators. You can take any one of them.
Indacaterol is an ultra-long-acting beta-adrenoceptor agonist. So, it gives bronchodialation for a much longer time. It is a more recent drug so long term efficacy data are not available. However, available data does show a marked benefit in individuals with COPD.
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.
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.
My asthma inhaler Combivent was causing the hives. I have no problem with albuterol; it was the ipratropium bromide in Combivent causing the hives. I now stay away from any inhaler (like Spiriva) containing similar bromide components.
Also check meds you take for sulphur. I can tell a new med contains sulphur when my hands itch like crazy from hives.
I am also IGA deficient (immunoglobulin A deficient). Which explains why I seem to catch every cold and flu going around.
my husband has copd he uses adviar spiriva and combivent and it doesnt work what can it be thak you
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 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.
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.
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.
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.
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.
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.
I spent about 20 minutes in our newly aquired hot tub last week without realizing the Bromide level was extremely high. The next day my genitals (female) felt burned and swollen, and I soon discovered large blisters inside and out down there! My rectum also hurts- probably similar to hemiroids. The blisters are very sore and I'm actually having trouble going to the bathroom. I have tried epsom salt soaks, silvadine cream, nystatin powder, and Aquaphor ointment. Nothing seems to be helping...
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