Tiotropium site of action
Common Questions and Answers about Tiotropium site of action
spiriva
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.
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?
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?
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.
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.
* Anyone who continues to post excessively, questioning a conclusive negative result or no-risk situation, will be subject to action by MedHelp. Conclusive negative results or a no-risk situation will be based up the criteria MedHelp’s doctors.
If it would provide you with peace of mind that might be worthwhile to you but I am confident the results of any testing you might do would not show that you acquired any STD through the exposure you describe. As far as discussion with your wife, only you can answer that. There is much to be said in favor of the peace of mind and clarity that disclosure results in but in some instances this sort of disclosure can be highly disruptive as well- the disclosure issue is your call.
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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.
Yes, I found this. On the CDC site they have a question and answer section. Here is the link. The 15th question down asks if HIV can be transmitted through kissing" and this was their answer.
link - http://www.cdc.gov/hiv/resources/qa/transmission.htm
I know the saliva itself cannot transmit the virus. But if there was HIV positive blood that came from a bleeding wound in the mouth and was transfered from kissing into my mouth which also had an open wound.
I am not physically restricted - I walk 1 mile or more day and do 10 minutes of other light exercises most days. My BP runs under 120/80 most of the time. I understand carvedilol helps prevent stiffening of the heart muscle and can help restore LV function to some degree. How specially, so it do this? What is the biochemical mechanism?
My question is what is the likely possibility of contracting HIV in this scenario if the razors were previously used by someone who had HIV? Again, the razor looked new (and dry) but I didn't really scrutinize it. I heard the disease can't survive very long outside of the human body and it may have been at least 5 minutes after it was delivered to my room before I started using it. Does this warrant a blood test? Thanks for your time.
Regards.
m not sure what you are referring to, exactly. The site updates in real time. Is there a particular forum you are looking at that does not seem to be updated?
Thanks!
Thank You!!!! :) Yes, his ears were "flying" as he playfully dashed back and forth. :)
That's cool! I would love to see your action shots as well.
everybody is different, some can feel the difference the first day, it normally takes 4-6 weeks to be stabilized. also it depends if it's the right dose for you. if you are put on the right dose, i think you shall feel a difference within 1 week.
hope this helps.
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