Tiotropium copd
Common Questions and Answers about Tiotropium copd
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.
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.
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How would you interpret the results? What do you think the cause of my COPD is? Long term prognosis? 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.
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?
I have COPD. I caught a mild cold around thanksgiving. I secreted small amounts of clear mucous for about a week. I didn't cough regularly, but I did cough to clear my throat for a few days. I had a very mild sore throat for about a day. I never secreted any mucous with any infection. So my question is whether or not a mild cold like I have described would cause more loss of lung function?
The cat would not be the cause of COPD. It may be an irritant, but COPD, if diagnosed as it would not be caused by it. Most COPD is caused by damaged lungs (which could have been done many years ago), or is hereditary. You may want to check if you are allergic to cats. That may be the cause for your discomfort.
Endstage COPD means the final stage of COPD. I cannot predict the life span. I though did have an uncle that was in the endstage of COPD with congestive heart faillure. Doctors gave him 18 mths. to live. My uncle lived over 8 yrs. in this final stage of COPD. It all depends on the individual basicallly.
Do you smoke? Do you cough up mucous every day? I've read up that to qualify for COPD you must cough up mucous for at least 3 months over two consecutive years. Do you suffer a lot of chest infections like pneumonia or acute bronchitis? If your pulmonary function test came back fine and your x-ray was clear, then you may just have the warning signs of COPD. Now would be a good time to quite and you will most likely enjoy good health the rest of your days.
Hello and hope you are doing well.
COPD is Chronic obstructive pulmonary disease, which a chronic disease and causes symptoms of cough, breathlessness and wheezing. The commonest cause for COPD is smoking. The lungs age with smoking as in comparison to the person’s age. If you stop smoking at this point, the lungs are not damaged any further, though the damage that has already been done cannot be reversed. So, giving up smoking would be first step towards controlling COPD.
Scarring, that can resemble interstitial fibrosis, can occur with chronic obstructive pulmonary disease (COPD), but COPD and interstitial pulmonary fibrosis (IPF) are 2 different diseases. Smoking causes COPD. The cause of IPF is unknown, and at this time, there is no proven effective treatment for it. Asbestos can also cause scarring, but unlike COPD and IPF, it frequently involves the membrane that encases the lungs, called the pleura.
He confirmed that I did indeed have COPD. Doctor just cannot say you have COPD, without giving you these tests. Plus, doctor will want blood test, to determine if you have a defiency. The defiency sometimes causes the COPD. I had the blood test and I did not have the defiency. Smoking and some heredity caused my COPD. You can quit smoking years ago and still later develop COPD. But, as I suggested, go to your doctor. Hopefully, you may not even have COPD.
My COPD was diagnosed in October 2007. I was diagnosed by a pulmonary specialist and told I was in the moderate stage. I recently visited my family doctor and I told him that I had been diagnosed with COPD. Family doctor asked me if I was coughing up blood yet. I told him that I was not coughing up blood nor had I been coughing up blood. My family doctor then stated to me that I would cough up blood and then it would be too late for me.
did the COPD show up immediately when the tests were done? or did it take a while before you figured it out?
does the nsaids are contraindicated in COPD.
You might want to try to be seen by an allergist/immunologist. They know more about some of the rarer causes of asthma and COPD, and can also help you if it's something more common like allergies/GERD/etc. Best of luck!
It is a much better way than the chest x-ray to distinguish between asthma and COPD. If you should turn out to have COPD, it will allow for a quantitative assessment of the severity and enable your doctor to speak to prognosis. Whatever prognosis is rendered, it will be enhanced by cigarette smoking. Finally, if you should have COPD, you should know that it is a treatable disease.
Good luck.
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