tiotropium nebulizer solution

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?

My question is, is there any general method to synthesis an inhalation solution, mine would be strictly vitamin and herbal based and targeted to help treat asthmatic sypmtoms, the solution would be used in a nebulizer, and would it be safe to use a vit/herb liquid solution to breath in?

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 really just want to know has anyone else out there ever continued to wheeze even while being on steroids and doing nebulizer treatments. knowledge is power! and i am trying to educate myself. can anyone help? i am taking advair 500/50, albuterol inhaler or nebulizer as needed, zyrtec- d, my allergist put me on symbicort, but it was too strong and i could not tolerate it. has anyone had any similar experiences?

My female cat is 21 years old and has irritable bowel syndrome as well as and intractable upper respiratory problem. She has been on daily prednisone for the IBS, but the vet said over time it would suppress her immune system and her upper resp. problem will become worse. That is exactly what has happened. We tried the nebulizer, but that didn't really help--she still sneezed her head off and sprayed mucus everywhere!

I hope someone finds a solution to treat whatever is in the nose maybe a fungal medication can be given by mouth. The bad taste and smell comes at night when I lay down and fumigates the room smells like odor of the bowels. Imbarrassing in public also it's already hard enough to get a job. Please some doctor let me know what you can do for me ASAP.

I should be getting the nebulizer sooner than the vest. I believe the perscription he wrote for the nebulizer is albuterol. My first pulmonary doctor had it in his mind that I did not have Bronchiectasis in spite of the CT scan. Up until January, I have not been sick (Since January, I have not been well) and I'm 59. When he got the 2nd CT scan report, it didn't say anything about bronc & he was too lazy to read the CD of the scan.

It keeps me awake at night and nothing seems to help. I am on a nebulizer 3 time daily. I have tried a couple of oral medications without success. I would appreciate any thoughts on the subject.

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.

Lexi will be 9 months on the 9th and we just found out that she has asthma. I had it as a child and so did my brother. DH's brother and his daughter also had/have it. It was something that we had kept an eye out for because her pediatrician said that she was at increased risk to develop it. We had to special order a chamber/mask for her inhaler (flovent) because the pharmacies don't stock them.

Xopenx 1.25 mg and Ipratropium Bromide 0.02%.

I use Duoneb (similar to combivent) in a nebulizer and find it very helpful. I discontinued the use of Advair (which is basically a combination of Serevent and Flovent) because it almost killed me (choking). It also caused adrenal fatigue, was harming my eyes, and was subverting my immune system. In place of Advair I use a variety of natural anti-inflammatories and mucolytics. My health is much improved and I found that the severe bronchitis I had was in fact CAUSED by the Advair.

After much hesitation and thought I am going to provide you with specific advice. Of course you should consult your physicians, who will undoubtedly disagree with me. You are entirely correct in viewing the mucus as the problem. The organism causing the trouble (Let's call it"Harvey") is living the good life in what is called a "biofilm". Harvey can exist in a Lugols solution (which kills every known bacteria)in one of these films.

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.

If by inhaler you mean the dose measured albuterol, I would say use albuterol in a nebulizer instead. The reason I prefer the nebulizer is that you can use as little as you need since it is not measured. I have a small portable nebulizer (slightly bigger than a cell phone) which I take everywhere with me. As far as effictiveness is concerned, albuterol is albuterol no matter how you take it. I got off the inhaled steroids because they were killing me (literally).

Prednisone seems to have no positive effect, and nebulizer treatments and my rescue inhaler will sometimes seem to help and other times will not. I am on Advair 250 twice per day (and have been for years). Adding Symbicort did not help. I have been to multiple specialists, including a pulmonologist, cardiologist, infectious disease specialist, tthree doctors of internal medicine, an allergist, and an ear/nose/throat doctor.

I cough a lot anymore to the point I can hardly breath. I am on inhalers, steroids, antibiotics and a nebulizer. The nebulizer helps most of all back can only take it 4 times a day. Should I be worried?

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?

lots of phlegm etc, she gave him a Zpak + nebulizer with Albuterol solution. We did that nothing changed. Sent him for second xray, which showed atalectasis and pneumonia altho the report didnt say any pneumonia, just atalectasis. Treated him with 10 days Augmentin and Pedia Pred. Cough cleared up, No sickness either. 6 days after antibiotics , breathing tx's and pedia pred finished, cough returns with fever. Had chest CT and doc says Atalectasis caused by Asthma.

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.

Tiotropium nebulizer solution

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