Tiotropium bromide
Common Questions and Answers about 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.
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.
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?
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.
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.
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...
t find a workable dosage of phenobartibal, you might want to ask your vet about either Dilantin, Valium, potassium bromide, felbamate, or a different type of anti-seizure medicine that can be used in conjunction with potassium bromide and/or phenobarbital together called Zonisamide. Zonisamide is totally unrelated to any of the other anticonvulsants, but, like Keppra, the full extent of its side effects is not yet known so to some vets, it is somewhat controversial to prescribe it.
Hi there was a drug around when i was a kid they used to call it (Bromide) that stopped you from getting a erection , whether you can get it from a Pharmacy i don't know , if your not satisfied with yourself masturbating why do it , i do hope you can get over your Phobia , Please take care ,
Hi, fast heart rate is due to Xopenex. Initially, use of this drug is associated with this side effect but over a period of time, tolerance usually develops. In case if you have a pre exisiting heart disease, please avoid this drug.
Consult you treating doctor to lower the dose or frequency, other alternative is sustained release deriphylline tablets.
Medications such as asthalin, trebutaline, steroids, ipratropium bromide, and chromolyn sodium can be tried. Please consult a doctor immediately. Take care!
I have read they are linked to excessive bromide in the body. I was on fluoxetine for 2 years before noticing these bumps.
am putting her on sodium bromide, rescue remedy, and acupuncture. i want to know if there are other solutions that are effective. also if there is something good to do during a seizure. i give her a spoonful of natural van ice cream after each one. is that okay or good?
I realized his quality of life suffered too much on standard drugs of first phenobarbital and then also K-Bromide, (trying to switch to K-Bromide) and sought treatment with Chinese herbs. I gradually lessened the doses of standard drugs until I could stop giving those before starting Chinese herbs. Though I am discovering most of these Chinese herbs were not exactly for seizures, the holistic vet prescribed several different herbs and combinations between April and December.
While the likelihood is as Ghilly has mentioned (that a brain tumor may be causing neurological symptoms), it is certainly worth raising this with your vet. Instead of raising the phenobarbital, it may be worth adding potassium bromide, which acts to improve the actions of the primary anticonvulsant drug.
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.
Correspondingly, an increase in the number of cations, either organic (eg, paraproteins as in multiple myeloma) or inorganic (bromide, lithium, Iodine or polymyxin B) can lead to low anion gap values. A decreased anion gap is also seen in multiple myeloma where the increased negatively-charged immunoglobulins interact with and bind cations in the blood.”
Refer: http://en.wikipedia.org/wiki/Anion_gap
Hope this helps. Please let me know if there is any thing else and do keep me posted. Take care!
Hi,
I did a search for interactions between Duolin (salbutamol/ipratropium bromide) and doxyfyline and didn't find anything, but a doctor would definitely be better equipped to answer your question. If your symptoms aren't getting any better, despite using the medication, you should definitely talk to your doctor.
nasal sprays (dymista, Ipratropium Bromide), singulair, sudafed, benedryl, various antibiotics.
My pcp said I had a sinus infection, but my ent says that's bs and I'm just overcongested. I just want my life back. I'd like to go to bed without fearing the awful feeling that morning brings.
Talcum, Aluminum Chloride with Ethyl Alcohol, Anticholinergics or Propantheline Bromide at bedtime can be used against prescription. The actual treatment would be avoidance of the primary allergen.
I suggest you to consult dermatologist for further evaluation and treatment. Take care and regards.
do you find nebulizers help?
There is a small possibility that you are allergic to the ipratropium bromide (Atrovent), which is one of the two components of Combivent. The other component is albuterol. Strange as it may seem, ipratropium bromide is made from PEANUTS, one of the foods that almost every asthmatic is allergic to. I am allergic to peanuts, but my combivent helps my asthma.
No asthma medication will give long-lasting relief, if you are still exposing yourself to the trigger or triggers that are making you sick.
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 tsh went up into the low 90s in september -- but that was because of my getting food poisoning 3 times in a row within a week. the things i got sick on were high in bromide. 3 weeks later, after it all worked its way out of my system, it dropped back down to around 8.
i am now on a gluten free diet.
blessings to you and yours.
Also, i take some antiseptic and anti-inflammatory medication like bradoral 0.5 mg (domiphen bromide ). Also, I take a syrup for common cold and influenza (dosage teaspoonful 5ml which contains 160mg paracetamol, 1mg chlorpheniramine maleate, 15mg pseudoephedrine HCI, and 4.5mg dextromethorphan HBr).
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