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Doctor insights on: Quitting Spiriva

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Are there deaths related to spiriva?

Are there deaths related to spiriva?

Not sure: But any medication can produce potentially lethal allergic reactions. If one gets hive-like eruptions, difficulty breathing, trouble with heart rate, or other phenomena - get help quickly. ...Read more

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What are the alternatives to spiriva?

What are the alternatives to spiriva?

Spiriva: Excellent drug for copd. Consider advair and symbicort (budesonide and formoterol). ...Read more

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Can spiriva cause this increased coughing?

Can spiriva cause this increased coughing?

Possibly..: Any inhaled medicine can induce coughing as a side-effect, including spiriva. If the cough only occurs right after using the inhaler and is not bothersome, the inhaler can be continued. However, if the cough is bothersome, the inhaler can be switched to an alternate inhaler until one is found that you tolerate. See your doctor so this can be evaluated and a different inhaler tried, if necessary. ...Read more

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How often should I be using spiriva if i feel better?

Everyday: Spiriva isn't something you take just when you feel bad. It needs to be taken daily. ...Read more

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Since finding out that I have copied. I'm on Spiriva once daily. Anything wrong with using it twice?

Once a day: Spiriva is designed to be used once a day. You will get too much medication if you use it two times a day. ...Read more

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Is spiriva the best for copd?

Is spiriva the best for copd?

Effective drug: Spiriva is not necessarily the "best" because it is usual part of the regimen for many patients with copd. Spiriva has been shown to be very good at relieving a feature of COPD called "air trapping". That is patients on spirva can be shown to on average trap less air in the lung on pulmonary function testing. Air trapping correlates with shortness of breath, so this makes spiriva effective. ...Read more

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Is spiriva a form of steroids?

Is spiriva a form of steroids?

No: Spiriva contains no steroids. It is a medication which works to reduce the mucus production in the lungs and also helps to open up tight airways. It works by blocking certain receptors in the lungs (cholinergic receptors) which trigger these effects when activated. ...Read more

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Will spiriva show up in a urine test?

Will spiriva show up in a urine test?

Spiriva: This is an inhaled anticholinergic used chronically in patients with copd. It is predominantly excreted in the urine, and in fact patients with renal insufficiency need dose adjustments. There is no reason that it would not show up in urine if tested for, but why would anyone do this? ...Read more

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Given spiriva but I have not been diagnosed with copd?

Given spiriva but I have not been diagnosed with copd?

Possibility...: Some patients with asthma show improvement on spiriva therapy even though it is primarily for COPD patients. ...Read more

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Can spiriva cause hearing loss?

Can spiriva cause hearing loss?

Maybe / Likely not: Every drug can have side effects, and they can vary between people. Spiriva is not really known to cause hearing loss, all of all patients reporting any type of adverse effects, only 0.12% had decreased hearing, of which all happened within 1 month of use.

http://www.ehealthme.com/ds/spiriva/decreased+hearing

see an ENT for an evaluation and hearing testing if you are concerned. ...Read more

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Will Spiriva affect a methacholine test?

Will Spiriva affect a methacholine test?

The New Spiriva Test: Spiriva inhibits wheezing while the test is used to provoke it so, yes,the test will be affected.At that point maybe call it a "Spiriva Test" in that,if it resists the effects of the methacholine, then it would probably work for you! But,of course,that's not how the test is done.They'd want you off that med for a day or two before doing the test-and any other respiratory meds you take, if possible ...Read more

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Can spiriva or advair b cause double vision?

Can spiriva or advair b cause double vision?

Get checked: Spiriva has been reported to cause blurred vision. Adviar has been reported to cause dry eyes, red/itchy eyes. From my research, double vision is not reported. If you double vision persists, i would suggest going to an eye doctor. ...Read more

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Which is better Spiriva or Seretide for COPD?

2 different meds: Did you see a pulmomologist who prescribed these 2 meds? Seretide is a combination of futicasone & salmetrol.
Spiriva is a different medication- long acting anticholinergic.
One may complement the other.See a pulmonologist to discuss about these meds. ...Read more

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Is it a problem if I swallowed a spiriva inhalation powder capsule?

Is it a problem if I swallowed a spiriva inhalation powder capsule?

Anticholinergic: Theoretically it could be because of the anticholinergic properties. You would not be the first and most people do fine. The capsule will be eliminated at some point since it does not dissolve well in the GI system. ...Read more

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Please describe the medication: spiriva handihaler (tiotropium bromide)?

Please describe the medication: spiriva handihaler (tiotropium bromide)?

An inhaled COPD med: That is an anti-cholinergic drug used once daily in the treatment of chronic obstructive pulmonary disease. ...Read more

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What is the definition or description of: spiriva handihaler (tiotropium bromide)?

What is the definition or description of: spiriva handihaler (tiotropium bromide)?

COPD inhaler: There are several classes of medicines to treat chronic obstructive pulmonary disease. Everybody knows about inhaled steroids and puffer/nebulized albuterol, but some newer agents have come out in recent years. Spiriva is a once daily anti-muscarinic (anti-cholinergic) which can be added to existing treatments for smoke-damaged lungs. The effect can be enough to allow you to stop oxygen! ...Read more

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I was prescribed Spiriva and Breo for asthma. Is it OK to take together? When I am feeling better can I take one of them? If so, which is better?

I  was prescribed Spiriva and Breo for asthma. Is it OK to take together? When I am feeling better can I take one of them? If so, which is better?

See below: They are ok to take together. If you asthma is so bad you need both of them, I would talk to your pulmonologist regarding testing your IgE levels and an allergen panel. You may be a candidate for xolair or need zyflo. Also, if you get to feeling better, I would stop the spiriva first, only after discussing this with your physician though. ...Read more

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Can a spiriva inhaler be used for pregnancy?

Can a spiriva inhaler be used for pregnancy?

Spiriva and pregnany: Spiriva is a category c drug in pregnancy - meaning - its use should only be if there are no other alternatives. "risk cannot be ruled out" so - if there are other medications that have worked - i would switch to them - but this is a discussion you need to have with your physician and if needed your ob. ...Read more

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In error i ate a spiriva capsule, should I take any action I have copd, and in the past have used spiriva, but i did swallow this in error?

In error i ate a spiriva capsule, should I take any action I have  copd, and in the past have used spiriva, but i did swallow this in error?

See your doctor: Prescribing info from manufacturer website:
"acute intoxication by inadvertent oral ingestion of spiriva capsules is unlikely since it is not well-absorbed systemically" however, i would recommend further evaluation by your prescribing physician. ...Read more

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My FEV1/FVC is 85.7% , and the dr is saying for me take spiriva why do i need to take it if my PFT resutl is normal? is it a must to take it !!?

My FEV1/FVC is 85.7% , and the dr is saying for me take spiriva why do i need to take it if my PFT resutl is normal? is it a must to take it !!?

Hard to Say: Only knowing your FEV1/FVC ratio does not give enough information to answer your question. Spiriva is typically used for COPD or emphysema or added to other medications for asthma. I would not ignore what your doctor told you and if you are unsure about using a medication you should always discuss that with your doctor. ...Read more

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Have acute bronchiectasis. On spiriva for 2 weeks w/ no improvemnt. No sputum produced. 95 oximeter drops to 90 when i'm active. Will i ever improve?

No such thing: Acute exacerbation of bronchiectasis usually means bringing up purulent (green, brown) phlegm and occasionally fever. What you describe may have other causes. The fact that your oxygen falls to such levels is dangerous, see a pulmonologist asap. ...Read more

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Can spiriva be prescribed for exercise induced asthma?

Can spiriva be prescribed for exercise induced asthma?

No: A the present time spiriva is only indicated for use in patients with copd. Based on how the medication works and what causes exercise-induced asthma, it is not likely that spiriva would give any significant relief to those symptoms. ...Read more