The useful information about Tiotropium

Is There Any Advantage (Other than 1/2 Life) to Using Tiotropium Powder Over ipratroprium Mist? 
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Everyone responds different to different preparations, this is one difference. secondly one medication could have been studied more in research studies than the other. I would suggest you to talk to the prescribing physician or a local pharmacist, good luck

 Emergency! What should I do, I swallowed a Spiriva inhalation powder capsule? This is a tiotropium bromide powder that is in a capsule. I take alot of medications, and I was holding it in my hand to put in the inhaler,and I just forgot, and threw it in my mouth and swallowed!

I really hope you're not on a dial-up circuit. You could be in deep trouble by the time someone replies. Yes go to the Doctor or the Emergency room, if it a problem, they may induce vomitting, or give you something else to counteract it. Don't worry about it. Acute intoxication by inadvertent oral ingestion of SPIRIVA capsules is unlikely since it is not well-absorbed systemically. You could have read this off of the packet and had an answer much sooner!

 Asthma - am I on too many meds? I am a 32 year old male, and have been on numerous asthma medications for most of my life. My current asthma meds are as follows:Spiriva (tiotropium bromide) 18mcg one inhalation dailySymbicort 200 - 4 inhalations twice dailyAdvair diskus 250 - 2 inhalations twice dailySingulair - 1 pill a dayVentolin - relief inhaler - used only when very illWhen I get my meds filled at the pharmacy it always sets off alarms - and the pharmacist states he is concerned that I am over-medicated. Any thoughts are greatly appreciated!


HOLY COW!Go and see another doctor, get an 2nd opinion about this. It sounds like you are way over medicated It all depends on the severity of your asthma. If its severe, I would hope you are seeing a pulmonary specialist if that is the case. I have seen people who only have one rescue inhaler . But I've also taken care of patients who need need many meds to keep their asthma at bay. So for you, this may be an appropriate amt of meds.The best thing is to be under the care of a specialist who can treat you appropriately and accordingly. Spiriva is used to treat COPD. Symbicort & Advair are similiar meds. Ventolin needs to be carried at all times. follow up with a pulmonologist and remember that people die from asthma. Ask your doctor about a fairly new medicine called Xolair.I have been on it for 5 years and it has been a God send.I can now breathe like a human being.go to xolair.com for more details Spiriva is not normally used for asthma, but for COPD. It won't really help asthma symptoms.You should be on either Symbicort or Advair. People normally don't combine them.I would trim your regimen down to Symbicort or Advair, Singulair, and Ventolin (albuterol). Singulair is a unique drug because it helps with both asthma and allergies.  

Inhalers 'could cause heart attack'?? my son has bin on this long term for his breathing has recurring chest infections is there any thing in it?They open up the airways by relaxing muscles, which allows air to get in and out of the patient's lungs more easily.The latest study looked at the inhalers ipratropium (Atrovent) and tiotropium (Spiriva). The meta-analysis examined at 17 medical trials involved a total of 14,783 patients who were using the inhalers for more than 30 days.Writing in the Journal of the American Medical Association (JAMA), the authors said: "Inhaled anticholinergic use for more than 30 days significantly increases the risk of cardiovascular death, myocardial infarction (heart attack), or stroke in patients with COPD by approximately 58%."uk.news.yahoo.com/pressass/20080924/tuk-inhalers-could-cause-heart-attack-6323e80.html

 I'm glad you saw that. If more people would realize what side effects the medications they want to take or are prescribed have they would look to more natural things to do. As for me, I've seen significant improvements in children's health just by giving them chiropractic care. Just go to this website and look up ANY drug, and you'll see a whole page just on side effects for each drug: rxlist.com Have you tried to take your son to the alternative medicine? All medications have got side effects,and yes,they can damage through the years.My son had always had bronchitis and after two years of inhalers I took him to an alternative doctor (he is also a real doctor that has decided to work with less medications,using natural ones made of herbs and other goodies).After a year my son has improved a lot.uk.search.yahoo.com/search?p=alternative%20medicineHere you´ll find some pages where you can get information from.Hope your boy gets better soon.See if DR.Frank answers.He is very good.Or contact him! Yeeeesss.but COPD (chronic obstructive pulmonary disorder) is a condition of the circulatory system surrounding the heart, not a chest infection. All that article's saying is that patients with both conditions should have restrictions on inhaler use. Oh, and don't try alternative medicine. As Jeremy Hardy says, if it's alternative, it's not medicine. I'm no doctor buy my abusive nephew was using inhalers on a regular basis. Years later they told him that his blood vessels were restricted because of the inhaler use and he had some major problems that were not discussed with me. This is all I overheard. Your doctors should discuss this with you and what you have read makes sense and agrees with what I have heard. You need to discuss this with your doctors and I hope I'm wrong. Good luck and good health to your son. Oh dear, there are a lot of potentially worrying problems involved in your question. You don't give your son's age, so I am going to assume he is 20 years or less. If this is correct, he probably does not have even the correct diagnosis, let alone the correct management!Recurrent symptoms of breathlessness and or wheeze plus more prolonged chesty episodes is statistically likely to be asthma. Asthmatics don't actually get more 'chest infections' than non-asthmatics. What they get is episodes of lung instability, triggered by viral illnesses, of which we all get an average of 7 a year, ie one every 7 weeks. These are not due to bacterial infection and therefore do not respond to antibiotics.Symptomatically the wheeze, tightness and breathlessness, but often not the cough, respond to inhaled beta2 agonists, the commonest short acting drug being salbutamol (Ventolin). and the longer acting salmeterol (Serevent.) The drugs causing concern are anticholinergics, these are drugs used in COPD, chronic obstructive airways disease, not asthma. The thumbnail of a patient with this, would be a middle aged smoker or perhaps a miner with an industrial dust condition, not a young man with asthma, so he should not have been using Atrovent or Spiriva.Finally asthmatics with chronic symptoms should be managed with both relievers (Ventolin/salbutamol) + preventers, either inhaled steroids or more up to date combined inhaled steroid/long acting beta2 inhalers, to reduce the occurrence of their symptoms.I have made a lot of assumptions in my answer based on precious little information and much of it may not be applicable to your son. However if some of it strikes a cord I might suggest that you ask your GP to get your son referred to a hospital based Respiratory Physician.