Tiotropium nebulizer
Common Questions and Answers about Tiotropium nebulizer
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.
I know a lot of people that prefer and use a nebulizer over an inhaler. I prefer the nebulizer. My doctor has me using the neb more than an inhaler. I am to use my inhaler only when I absolutely cannot use my neb or for very minor issues.
Personally, I find it is MUCH more effective. The nebulizer produces a much finer mist than what comes out of an inhaler enabling it to get deeper into the lungs.
Xopenx 1.25 mg and Ipratropium Bromide 0.02%.
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.
Phill, the nebulizer just delivers the albuterol in a better form, doesn't it? It's still albuterol?
If your doc knows you're on that, it sounds like it would probably be safe to take. Do you have an after hours nurse you could call to confirm that?
If you can't get your breathing under control and you feel like you can't catch your breath it's an emergency situation - you can always go to the ER and they will treat you right away.
Best wishes with it.
My son is taking albuterol through the nebulizer. He is having nose bleeds Is this common?
My OB is perfectly fine with me using my nebulizer and inhaler, but always ask your OB. If you can't breathe, neither can your baby.
I just refuse to succumb to this diagnosis’s. I have used the inhalers, I have a nebulizer which I use to get me through the wheezing. I seem to have a deep chest wheeze all the time, which if I don't take the nebulizer or Advair gets worst when I work out.
How can I get rid of this deep wheezing in my chest or supposedly bronchitis? Sometimes I feel pressure. At night I need to sleep a bit upright or the wheezing get worst or apparant. I just don't want anymore drugs or inhalers.
My traveling life has become so much easier since I bought a small portable nebulizer. It is an Omron MicroAir Nebulizer and costs $200, or a little less. It is very small and fits in the cell phone slot in my purse (although it is slightly larger). Also it is completely silent. It operates on batteries. I use lithiums because they last for weeks.
You should see an allergist I would call eeach and everyone within a 3-4 hr drive to see if they take medicaid. My son has asthma and Gerd and he is on a nebulizer, a steroid inhaler, and rescue inhaler sometimes prednisone too. If the breathing treatments are stopping the attacks maybe he can get a nebulizer that is travel size ours is and we take it everywhere we go he also might be allergic to something thats causing this you would be suprised my kids have food and outdoor/animal allergies!
The answer is complicated. The reason for giving these medications sequentially, is that they have different effects. By giving one med before the other the optimal medicinal performance is obtained with a minimum of medication. There is a difference of opinion regarding this issue. My brain is foggy, but that is how it was explained to me a long time ago by a very knowledgable R.N. Ocassionally there are side effects, and mixing the drugs does not hold well for figuring out the problem.
Anyway, my questionn is, do most asthmatics need nebulizer machines? I own one at home and seem to use at least once a month, and sometimes even once a day during weather changes or severe bronchitis. I actually just made an appointment with a pulmologist (or asthma specialist I guess) this month, which I probably should have a long time ago if it wasn't for my regular primary care doctors telling me I didnt need one.
I have a question about normal saline for inhalation (as in a nebulizer). I was surprised today to find out that I needed a prescription for this! Why is that? Has it always been the case?
For the past week i have been having extreme difficulties with my asthma and no matter what i do or where i go nothing is working, my albuterol solution and iprotrium bromide for the nebulizer, my albuterol sulfate inhaler, anti-allergen medications, even herbal treatments nothing is working at all, i have frequented my doctor he says my lungs sound clear and my oxygen blood level is reading good, however there is a tightness in my left lung and its hard to breathe, im having to use the nebulize
I purchased the Omron Portable Ultrasonic Nebulizer and am using the vials of Albuterol and Ipratropium. I can only use 1/2 vial because more than that speeds my heart up too much. Can I save the last 1/2 of the vial for later use? Does anybody know of a more affordable way to get the medicine I need? I am paying out of pocket and this economy gets harder every day it seems like.
And also then Budesonide in my nebulizer. Nothing helped. I was having near-death experiences trying to get to the nebulizer to open up my air passages. I finally called my pharmacy to find out why I did not get my advair and it turned out that I could still get it and my price was the same as always with my medicare. After just one day I was immediately on the mend. I'm on day three and it's like night and day I am getting well.
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