Tiotropium pharmacology
Common Questions and Answers about Tiotropium pharmacology
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.
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Hi Jennifer,
FMXSMKR just gave you the best advice possible. Pharmacists are Doctors of Pharmacology and will be able to tell you if your "itch" attack was from the meds.
Let us know, OK?
I'm afraid I can't find anything in my pharmacology books about "seredyn." Are you sure you have the correct name and spelling of this med? You mention "other natural treatments...." is this something you found on the Web under natural ways to help with anxiety?
I would recommend you speak with a pharmacists for correct information on this.
There may be others on the forum who can speak to this drug/supplement. Sorry I wasn't any help.
Good luck.
They say on divalproex you need to be careful brushing and flossing because you can be more prone to infection.
The first rule in pharmacology is if a drug is not working stop taking them - with these you will need to taper slowly
Pharmacists are DOCTORS OF PHARMACOLOGY and can tell you the correct way to proceed. Please do not attempt this on your own.
i wanna to know that can i be a professional physian after getting USMLE in USA?/can i do research/ Phd in pharmacology/biochemistry/anatomy/microbiology???????please please please give me my answer.
Is there a nurse on this forum or someone with a pharmacology knowledge who could provide a better answer? Thank you!
As long as the correct ************** is given to a person who has atypical (absence) seizures, they will not become a more severe form of epilepsy. However, left untreated, atypical seizure symptoms can get much worse, increasing in number and severity. There are many kinds of seizures and epilepsy, and it is critical that the correct medicine is used to keep them at bay, so a doctor who understands pharmacology well, they'll know what the best drugs are for certain types.
Im a student of pharmacology,so just as all folks in the medical field, id like to know the reason as to why.
If you still have further questions or problems with these meds, then you need to take those concerns to your doctor, or speak with your local pharmacist, who IS a DOCTOR OF PHARMACOLOGY and can tell you probably more than your PCP.
Let us know if you still have questions and we'll do our best to get an answer for you.
It is a well know fact in veterinary pharmacology that high doses of metronidazole can cause neurological symptoms. The neurological symptoms are usually dose specific and once the medication is discontinued your dog should return to normal unless there is concurrent neurolgical disease.
It is best to discuss your desires for a medication change with the prescribing physician. You can also call your pharmacist or a pharmacist at a local pharmacy for an answer best on pharmacology but not an answer based on your own individual needs. I wouldn't make any changes unless your doctor advises you to do so.
re taking in any of my pharmacology books. It must go by a different name here in the states. I will try to find it on the Net and get back to you. In the meantime, you could perhaps speak with a pharmacist (chemist) and ask these same questions. They can't tell you to start or stop a medication, but they can give you all the information you want about it.
s a health-care professional who not only has studied pharmacology but is willing to risk you no longer paying for care when they tell you all the bad things that might happen to you or how little we know about the long-term effects of medications, especially those affecting the brain. Are you trying to promote the use of medication? Who is paying for this survey?
I hope you are being prescribed this med by your OB/GYN. My nursing pharmacology book lists Zoloft TWICE under "Precautions!" I am not a doctor nor a pharmacist, but I would sure as hell get on the phone with my OB and discuss the use of this med while pregnant.
As far as drinking milk with Zoloft, again my nursing book actually recommends drinking milk with the Zoloft if you're having any GI symptoms.
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