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For the last four years I have been taking Spiriva before bed. Recently I switched to morning. What a difference! My daytime breathing has really improved.

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This article is part of a series of articles I wrote about this silent health threat.

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Tell each of your health care providers about all medicines you use now and any medicine you start or stop using.

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SPIRIVA is only used to prevent bronchospasm attacks.

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Immediate hypersensitivity reactions: Discontinue SPIRIVA HANDIHALER at once and consider alternatives if immediate hypersensitivity reactions, including angioedema, bronchospasm, or anaphylaxis, occur.

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

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STRIVERDI RESPIMAT should be used with caution in patients treated with additional adrenergic drugs, non-potassium-sparing diuretics, and beta-blockers.

Inform patients that SPIRIVA RESPIMAT can produce paradoxical bronchospasm.

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Nycomed and receiving on behalf of his institution grant support related to this clinical study from Boehringer Ingelheim; Dr.

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However, there were important lung-function benefits associated with tiotropium that were maintained during the 4 years, as well as positive effects on health-related quality of life and a reduced risk of exacerbations and exacerbation-related hospitalizations consistent with a relevant effect on the clinical course of COPD.

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The opinions expressed in WebMD User-generated content areas like communities, reviews, ratings, or blogs are solely those of the User, who may or may not have medical or scientific training.

If you have further questions about usage or side effects, contact your doctor.

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There were nine visits: a visit at the start of the trial (screening), a visit at randomization (baseline), and seven additional visits during the 48-week treatment period.

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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 (such as tapeworm and trichomoniasis).

Medications that relax blood vessels allow the much-needed oxygen to get through, and they can also prevent dangerous blood clots.

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