Doctor insights on:
Tiotropium Bromide Medication
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 moreSee 1 more doctor answer
My mother has been prescribed spiriva handihaler, (tiotropium bromide) the doctor wants her to split it in two..And do it twice a day... Is that possible
Never : Never heard of any doctor prescribing spirit this way. The only way that is fda approved in once a day everyday besides remember it is a capsule that is punctured within the disk before inhaling, how can any one split the capsule and divide powder into 2 halves to take it twice a day. ...Read more
Which is better as regards glaucoma & prostrate enlargement in elderly - ipratropium or tiotropium?
Good questions: Ipratropium is nebulizer treatment and it is short acting (does not last longer requiring more treatments). Tiotropium is a long acting inhaler and is once a day treatment. It should not be given if it is painful glaucoma or untreated one. These two drugs does not cause prostate enlargement however they can cause retention of urine if the prostate is enlarged. Side effect is very miminal for both. ...Read more
What is the basic difference between ipratropium tiotropium salmeterol inhalers? which one is more appropriate for chronic bronchitis with asthmatic symptoms?
I have asthma .tiotropium suppose to be COPD inhaler but somehow it helps me breath better a little ..is it ok to take it with asthma inhaler ventolin?
I was taking methscopolamine bromide for 6 months for nonallergic rhintis and it did not work what other medication can I take.
Relax all muscles: Rocuronium bromide is what is called a non depolarizing muscle relaxant. It prevents the transmission of nerve signals to contract muscles. It binds to the site where a neurotransmitter called acetylcholine normally binds to transmit the signal for muscle contraction. It is often used to facilitate intubation and the work of surgeons. ...Read more
Methscopolamine: Methscopolamine (Pamine (methscopolamine) (methscopolamine) , Pamine (methscopolamine) Forte) After checking several sites I was unable to find anger specifically listed as a potential side effect of Methscopolamine. However, nervousness / anxiety, emotional distress & confusion have been reported. ...Read more
Hyperhidrosis: Other systemic medications, such as sedatives and tranquilizers, indomethacin, and calcium channel blockers, may be beneficial in the treatment of excessive sweating of the hands and feet. Drysol (20% aluminum chloride hexahydrate in absolute anhydrous ethyl alcohol) is more commonly used as the first-line topical agent. Other treatment options include iontophoresis and Botox injextions. ...Read more
What's UR indication: Propantheline bromide is an antimuscarinic agent used for the treatment of excessive sweating, cramps or spasms of the stomach, intestines, or bladder, and involuntary urination. It can also be used to control the symptoms of irritable bowel syndrome as well as other functional conditions. What's your indication for its use so we can better advise you. ...Read more
Toxic: Ethidium bromide is a toxic, mutagenic chemical! why are you taking/using it? ...Read more
Maybe spasm: Pinacerium bromide is usually used for irritable bowel syndrome as it can help with smooth muscle spasms. Sometimes it can help certain gallbladder problems, but I do not prescribe it commonly. Watching what you eat can usually impact both ibs and gallbladder disease. Be very clear about the diagnosis before starting it. ...Read moreSee 1 more doctor answer
Chemistry: Yes. Let's do 2nd opinion and figure it out. ...Read more
Ethidium bromide: Most use of ethidium bromide in the lab (0.25–1 microgram/ml) is below the level required for toxicity. The level is high enough that exposure may interfere with replication of mitochondrial dna in some human cell lines, although the implications of that are not clear. Testing in humans would be required to fully understand the potential risk to lab workers —> reference. ...Read moreSee 1 more doctor answer
Short acting: Both drugs are short acting bronchodilators; albuterol is called a sympathomimetic drug because it affects beta receptors that line airways and cause bronchodilation. Ipratroprium is called an anticholinergic and affects muscarinic receptors that line the airways causing decreased muscle tone/constriction. Both are used in copd, emphysema, and chronic bronchitis. ...Read more
NO: While ipratropium is generally used for copd, and usually in combination with albuterol, albuterol is generally used in asthma. So no harm, but may not achieve the goal of therapy when used in itself in either condition. Further since it is anticholinergic, excess usage will cause its own side effects. ...Read more
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