tiotropium dosage

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.

The same rules apply as with the initial adjustment period, so to be fair, you should give the medication another 4-6 weeks after your dosage was increased. Many times improvements can be seen before that, but to be safe, being that everyone responds differently to medications, 4-6 weeks will ensure you've given it ample time. If after that time, you STILL aren't seeing improvements, then it's definitely time to speak with your doc and reevaluate your regimen.

please let me know if the dosage i am taking i.e. 1/4 of 20 fluoxetine and 5mg olanzapine combo and 3/4 lorazepam is high or low.

83, The doctor has now increase my weekend dosage to 100mcg but I still feel this is not enough. I feel 125mcag along with 100mcg every other day would be more suitable for me. Please advise as I'm concern about about my baby.

76) I was feeling a little bit hyper on this dosage. I was nervous, not sleeping , etc. I think that I seem to do better when my TSH is a little higher. I already had 100 mg of Synthroid, so I started taking the 100's, with the knowledge of my doctor, but by day 3, I was crying, emotional, and not feeling good at all. What does this mean? Was the 100 already not enough or should I try maybe alternating the 112 and 100, or does this mean that I need to stay on the 112?

If the doctor prescribed that dosage, then I would trust him/her. Zoloft is typically prescribed from 50-200mg, so your son is taking a 'normal' dosage in my opinion. I was on Zoloft a couple of years ago and had no major problems coming off of it. Just ensure when it is time to come off the medication work with your doctor and taper down slowly.

Thyroid disease and what medication/dosage that works to alleviate symptoms is just as individual as you are. Barb's right when she said the healing takes time. I think you are doing the right thing, going up slowly and keeping track of how you feel, but try to relax a little, even though I know that's hard to do when you don't feel well. I wish I'd found this forum years ago, it's been very helpful.

Hi, I'm newly diagnosed hypothyroid. I've been taking 25mg levothyroxine for nearly 8 weeks now but I just feel worse and worse. It's really affecting my day to day life much more than before - I'm a student nurse and am struggling to make it through my shifts on a daily basis. Thinking my dosage is wrong - how long does it take for everything to become stabilised again? Not sure how I'm gunna carry on my nurse training at the moment :-( any comments appreciated.

My doctor change my dosage from 30mg oxycodone 3 times,a day to 20mg 4 times a day i filled my last script for the 30mill 15 days ago can i fill my new scipt,

I am curious if there is some formula for syntroud dosage. I was on 88 mcg and my tsh has gone up from 4 to 17. He is raising my dosage from 88 to 125 and will retest later. He said it's better to raise it slowly if that's not enough. Is there any way to know how much I will need? I have hashimotos and my tsh started at 6 went to 3 with synthesis then up to 40 then back down to 4 with more synth road and now up to 17. Please don't ask for t3 or 4 I don't know it .

My sisteter has takking tow time lithium noon and night is this usful dosage

Hey there, is it not going well? I thought 20mg was the max dose on Lexapro? I gave it 8 weeks!!

Tiotropium dosage

Common Questions and Answers about Tiotropium dosage

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