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There needs to be more time spent when a person starts this medication, to allow them to get the most they can from it. Even though the directions are clear there is no substitute for personal direction. It has been my experience that the nurses, and in some cases the doctors do not take time to explain the do's and don'ts. I had to learn 75% of this on my own. The medicine, however, along with other drugs I am taking are making life much better.

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Spiriva appears to be working quite well for me. It's long-lasting and I've noticed no side effects so far. I've been on this drug for over a year and so far so good.

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Since the introduction of inhaled corticosteroids and long-acting beta2-agonists, theophylline is not used as often for asthma treatment.

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Properly discard this product when it is expired or no longer needed.

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Respiratory Questionnaire (SGRQ) score, after four years, was also significantly improved by SPIRIVA (-3.

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Scores regarding health-related quality of life improved relative to placebo during the entire 4-year study period.

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Make sure you bring your inhaler into the physician's office so you can demonstrate for them how you are using the inhaler.

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Often, it is very challenging to determine if a systemic medication is likely to exacerbate or cause glaucoma.

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In order to minimize the appearance of cardiac side effects, the drugs may be administered simultaneously by intravenous injection and may be mixed in the same syringe.

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It's approved for treatment of (), but not for asthma.

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Do not start or stop any medicine without doctor or pharmacist approval.

Inform patients that Spiriva Respimat can produce paradoxical bronchospasm.

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Reader comments are intended to encourage lively discussion of clinical topics with your peers in the medical community.

Because of these side effects, I am going to stop using it.

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