His current medications include hydrochlorothiazide 25 mg daily, simvastatin 40 mg daily, and aspirin 81 mg daily. All of the medications have been stable for at least 6 months, with the exception of simvastatin. AF had been on pravastatin 40 mg for 2 years, but based on an increased low-density lipoprotein LDL cholesterol at his last visit 10 days ago, he was switched to simvastatin.
Given the information provided above, what is the most likely cause of AF's? AD, a pharmacist, has just arrived at the pharmacy when a frantic woman proclaims, "I have COPD [chronic obstructive pulmonary disease], and I accidentally swallowed my Spiriva tiotropium capsule with the rest of my medications. She continues on to explain that she always places her Spiriva capsule in her medication reminder box so she does not forget to take it.
Patients experiencing muscle pain while on a statin should have their CK enzymes checked to assess for muscle toxicity. The strong temporal relationship between the new onset of the myopathy and the change to simvastatin 40 mg strongly suggests that this is a statin-induced myopathy. The pharmacist should advise discontinuing simvastatin and starting AF on alternative therapy. Researchers found that among nearly 2, adults with chronic obstructive pulmonary disease COPD , those who ate fish, grapefruit, bananas and cheese tended to have better lung function and fewer symptoms than their counterparts who did not eat those foods.
The classic hot toddy, typically made of whiskey, honey, lemon juice and hot water, can subdue the injustices of your inevitable winter cold. If a cheat day becomes a regular part of your week, you risk completely counteracting your dieting efforts. One study found that overeating after a period of dieting can lead to further binge eating, since it sets off a cycle of feast and famine.
Skip to content Common questions. April 23, Joe Ford. Table of Contents. Spiriva should be taken once each day. You can take Spiriva either in the morning or at night. But try to take it at around the same time each day.
No, it might not be safe for you to suddenly stop using Spiriva. This is because doing so could worsen your breathing symptoms. Spiriva is sometimes also used off-label for other conditions.
COPD is a condition that includes several lung diseases that get worse over time. These diseases include emphysema and chronic bronchitis.
With COPD you may have shortness of breath, cough, or wheezing. These symptoms are caused by narrowing inside your airways. Spiriva contains the drug tiotropium bromide. Over time, it works to open up and relax your airways. This helps air to flow through them more easily as you breathe.
Some of the results of these studies are reviewed below. This was seen on the first day of treatment and 91 days after starting treatment. Spiriva Respimat is FDA-approved to treat asthma in adults and children ages 6 years and older. Asthma is a condition that causes swelling and narrowing of your airways. With asthma, you may have wheezing, tightness in your chest, shortness of breath, and cough.
For some people, these symptoms are worse during allergy season, which is typically in spring and summer. Clinical studies have shown that Spiriva is effective to treat asthma. Several clinical studies looked at using Spiriva Respimat to treat asthma in adults over a period of 12 to 48 weeks. In these studies, some people were given Spiriva Respimat, while other people were given a placebo no active drug. After 12 to 24 weeks of treatment, peak maximum FEV1 was increased by 0.
Spiriva Respimat is FDA-approved to treat asthma in children ages 6 years and older. Spiriva is meant to be used consistently as a maintenance long-term treatment for asthma and chronic obstructive pulmonary disease COPD. Rescue inhalers are drugs that work quickly to relax your airways, which allows you to breathe easier. And sometimes rescue inhalers are used before exercise to prevent breathing problems. Depending on how severe your asthma or COPD symptoms are, your doctor may recommend that you use other medications that also work over time.
Like Spiriva, certain other medications can be used consistently each day to help manage breathing symptoms over time. These types of drugs are called maintenance medications.
Spiriva can interact with several other medications. It can also interact with certain supplements as well as certain foods. Different interactions can cause different effects. For instance, some interactions can interfere with how well a drug works.
Other interactions can increase side effects or make them more severe. Below are lists of medications that can interact with Spiriva. Before taking Spiriva, talk with your doctor or pharmacist. Tell them about all prescription, over-the-counter, and other drugs you take. Also tell them about any vitamins, herbs, and supplements you use.
Sharing this information can help you avoid potential interactions. If you have questions about drug interactions that may affect you, ask your doctor or pharmacist. Spiriva belongs to a class of drugs called anticholinergic agents. Taking Spiriva with other anticholinergic agents can increase your risk of side effects from the drugs.
These side effects include having trouble urinating and acute narrow-angle glaucoma increased pressure in your eye. Before starting Spiriva or any other medications, check with your doctor or pharmacist. However, you should still check with your doctor or pharmacist before using any of these products while taking Spiriva. However, your breathing symptoms will likely get worse if you stop treatment. By using the Spiriva HandiHaler device correctly, the drug inside the Spiriva capsules will be inhaled through your mouth into your lungs.
If you happen to swallow a Spiriva HandiHaler capsule, call your doctor or pharmacist. They can recommend whether you need to be seen by a healthcare provider. Instead, Spiriva contains the drug tiotropium bromide, which belongs to a class of drugs called anticholinergic agents.
These drugs work differently in your body than steroids work. But both steroids and anticholinergic agents can be used to help improve breathing symptoms in people with either asthma or chronic obstructive pulmonary disease COPD. One study looked at 58, people diagnosed with dementia who had taken anticholinergic agents earlier in their life.
Spiriva belongs to the class of drugs called anticholinergic agents. However, the use of anticholinergics was associated with higher risk for dementia, especially in middle-aged and older adults. More research is needed to know whether using anticholinergic drugs, such as Spiriva, can increase the risk for dementia later in life. Over time, Spiriva works to open up your airways and improve your ability to breathe. But for sudden breathing problems, you should use a rescue inhaler.
Rescue inhalers work quickly to relax your airways, which allows you to breathe easier. In fact, if you have arthritis , talk with your doctor about using the Spiriva Respimat inhaler. While Spiriva comes as either the HandiHaler or Respimat inhaler, the Respimat inhaler is certified by the Arthritis Foundation as being easy to use for people who have arthritis in their hands.
Spiriva is approved to treat chronic obstructive pulmonary disease COPD and asthma. With either of these conditions, your airways become narrowed, making it hard for you to breathe.
It belongs to a class of drugs called anticholinergic agents. It does this by binding to certain receptors attachment sites in your airways. Once your airways are opened, air can flow more easily through them, making it easier for you to breathe. For people with asthma, it takes about 4 to 8 weeks to see the most improvement in their symptoms. When you get Spiriva from the pharmacy, the pharmacist will add an expiration date to the label on the bottle.
This date is typically 1 year from the date they dispensed the medication. The expiration date helps guarantee that the medication is effective during this time.
If you have unused medication that has gone past the expiration date, talk to your pharmacist about whether you might still be able to use it. How long a medication remains good can depend on many factors, including how and where you store the medication. Spiriva HandiHaler capsules come in an aluminum foil blister pack. Spiriva HandiHaler capsules can be stored until their expiration date. They should never be put into the freezer.
Once you assemble the Spiriva Respimat inhaler and begin to use it, the shelf-life of the medication is one of the following, whichever comes first:. This helps prevent others, including children and pets, from taking the drug by accident. It also helps keep the drug from harming the environment.
The FDA website provides several useful tips on medication disposal. You can also ask your pharmacist for information on how to dispose of your medication. As with all medications, the cost of Spiriva can vary. To find current prices for Spiriva in your area, check out GoodRx. The cost you find on GoodRx. Your insurance plan may require you to get prior authorization before they approve coverage for Spiriva.
This means that your doctor will need to send a request to your insurance company asking them to cover the drug. The insurance company will review the request and let you and your doctor know if your plan will cover Spiriva. If you need financial support to pay for Spiriva, or if you need help understanding your insurance coverage, help is available.
Boehringer Ingelheim Pharmaceuticals, Inc. Or you can also find more information online about cost savings programs.
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