Tiotropium with rotahaler
Common Questions and Answers about Tiotropium with rotahaler
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?
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.
Last year I was hospitalized with Stevens Johnsons Syndrome(SJS), which left me with chronic dry eye and chronic bronchitis although I did not experience any obvious respiratory symptoms. Prior to that I was absolutely healthy and played sports and worked out fairly regularly. After a few months recovering from this, when I started strenuous exercises i.e. running, sprinting, I felt my chest tightening up.
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?
At my six-monthly checkup at my local hospital here in Spain there was a replacement doctor and since he was young I thought he might be willing to hear why I was not taking spiriva and steroids. He confirmed that a person with severe COPD MUST use these medicines. But - I objected - they do not cure, they’re only supposed to make you feel a little better and have nasty adverse effects.
December 2011 i had a cough for weeks and when i had my check up..i was diagnosed with asthma..in our family all my bros and sis had asthma during their childhood and i dont have asthma. so i've been taking asthma medication like rotahaler when my asthma attacks and turbulaher as maintenance..i had flu vaccine too and then i stopped the medications after 5 months.i become alergic to chicken too and some seafoods....
I really need help with a friend of mine who's depressed. If anyone has any advice, I'd be very appreciative. Here's the story below. Thank you so much.
-Daniel
A friend of mine who I've known for ten years is battling depression. Early last year, her husband cheated on her twice and got abusive with her on at least one occasion that I know of. I've tried asking her about it, but every time I do, she gets angry at me and tells me that she doesn't want to talk about it.
Iam currently in a relationship with someone who was diagnosed with hep c about 8 or 9 mo ago. He has been on the treatment for only about 2 1/2 months. The side effects started as nothing but a few mood swings from time to time. Over the past few wks it has become much more than that. He has started what i call snapping at any moment. One night in the middle of doing dishes he started lashing out at me and screaming every name in the book at me.
I got him every weekend and I slowly laid down rules before my first got here. I would start with the no hitting thing along with another rule until you get those accomplished. With mine I would make him stand in the corner for 5 mins the first time and warn him that I would add 5 mins each time.
Another thing that my aunt did that may help you is buy them each a baby doll or buy one baby doll and teach them how to be gentle with it.
I HAVE COME TO LEARN THAT IT IS A VICIOUS CYCLE AND I WANT OUT. I HOW LONG DOES THE WITH DRAWAL LAST AND WHAT CAN I DO TO EASE THE PAIN.
I had over-cut the nail of left index finger a day before. I fingered a CSW with that finger ( may be for 10 seconds- immediately I felt little pain and withdrawn it...continued with other fingers). During that time , there was no bleeding but thin red line was visible under the over-cut nail .
I have read the relevant thread and seen that this is not a risk . Is my specific case any exception?
Since i was much younger i was pretty sure i was bi. I even use to play a sex game with y cuzin who is also a female and i use tp always beg her to make it 2 girls. Anyways, im also addcted to lesbian porn... Ive only masturbated once and it was frpm watching 3 asian girls give each other an oily sexual massage. I dont liketo watch porn but it just hapened and ive been addicted. Ive had an attrction to girls all my life n also to boys but i never think about my crush jist plowing me down.
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