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There was a transient numerical increase in severe exacerbations soon after ICS treatment was finally stopped, but this was not sustained over the study period.

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You should not use this medicine if you are allergic to tiotropium or ipratropium (Atrovent, Combivent, DuoNeb).

Ask your doctor if you are taking any anticholinergic medicines because taking them together with SPIRIVA HandiHaler or SPIRIVA RESPIMAT can increase side effects.

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After that select the required quantity and click the Add to cart button.

Also, don't take the drug if you're breastfeeding without first telling your physician.

Oral bronchodilators are taken by mouth.

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Delivery schedules may vary, but in general USA customers should expect delivery within 21 business days maximum.

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The 24-h lung-function profile of once-daily tiotropium and olodaterol fixed-dose combination in chronic obstructive pulmonary disease.

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SPIRIVA HANDIHALER relaxes your airways and helps keep them open.

Read the Patient Information and the step-by-step Instructions for Use for SPIRIVA HandiHaler before you use your inhaler.

The authors' conclusions reflect the evidence base, but because of potential publication and language bias, the conclusions should be considered tentative.

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In addition, SPIRIVA RESPIMAT was compared to SPIRIVA HandiHaler in a long-term active-controlled trial in COPD (Trial 6).

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Concerns about heart problems with Spiriva have been raised in connection with the Handihaler, following a previous combined analysis of 29 clinical trials, which found that users may face a slight increase in the risk of stroke when compared to the use of a placebo.

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SPIRIVA HandiHaler has been used concomitantly with short-acting and long-acting sympathomimetic (beta-agonists) bronchodilators, methylxanthines, and oral and inhaled steroids without increases in adverse drug reactions.

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First read the Patient Information, then read these Instructions for Use before you start to use Spiriva HANDIHALER and each time you refill your prescription.

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