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You should read all product information carefully before purchasing and if you suspect you have a medical problem, promptly consult your health-care professional.

Spiriva does not treat sudden episodes of breathing problems (bronchospasm).

The FDA is urging caution for patients using Spiriva and suggesting they speak with their physician about determining their best course of action.

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As a LAMA, it is steroid-free and works differently than a long-acting beta 2 agonist (LABA).

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Emphysema is one of the diseases classified as COPD.

The drug opens up the narrow air passages, which allow oxygen to reach lungs and hence is used as a long term medication.

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Read your prescription label or the patient information guide from your healthcare provider or pharmacist before initiating treatment.

Erythromycin had a similar effect in another trial, but has poor gastrointestinal tolerability.

These drugs include tiotropium (Spiriva), ipratropium bromide (brand name Atrovent) or Combivent, which is ipratropium combined with albuterol.

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In our study, the decline in lung function averaged 30 ml per year before bronchodilation and 41 ml per year after bronchodilation in the two study groups, a change that is less than that in any of the previous studies.

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FDA informed healthcare professionals that FDA has reviewed preliminary data from UPLIFT (Understanding the Potential Long-Term Impacts on Function with Tiotropium), a large, 4-year, placebo controlled clinical trial with Spiriva HandiHaler in approximately 6000 patients with chronic obstructive pulmonary disease.

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Improvement of lung function was maintained for 24 hours after a single dose and consistently maintained over the 1-year treatment period with no evidence of tolerance.

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Tiotropium also improved lung function, as compared with placebo, beyond the improvement resulting from serial administration of maximal doses of salbutamol and ipratropium.

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To diagnose asthma, a health care professional will usually take a full health history, including family medical history, and inquire about the presence of any symptoms that appear to be asthma-related and what might be triggering those symptoms (allergies, pets, smoke in the home, foods, etc.

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Leukotriene antagonists include montelukast (Singulair, generic), zafirlukast (Accolate, generic), and zileuton (Zyflo).

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Other diseases that must be considered during diagnosis are pneumonia, bronchitis, severe allergic reactions, pulmonary embolism, cancer, heart failure, tumors, psychosomatic illnesses, and certain rare disorders.

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