I am using Tudorza instead of Spiriva. Spriva caused irritation to my vocal chords as well as swelling in my throat and swallowing difficulties. I use Advair HFA for the asthma component I have too. Never hear of your med but then I am on Theophyilline and using it can limit some meds for me.

Ha...i have a mini pharmacy in my bedside table.....at least i know how to treat a flare before it gets out of control....but the last 2 had nothing to do with what i knew....LOL

Im only on one combination inhaler called ULTIBRO which is once daily..It is non-steroid and replaces the need for Spiriva....Funnily enough it has been available here n Europe/UK since 2014 but your FDA is running behind and is either in the ready to release stage or just has....

Yeah I found that out in rehab after paying about 30 dollars for my spacer. I got a second one in rehab for being a good student. My pulm gave me lots of free samples while we worked at finding the right combination of meds for me. I have two long acting meds and a rescue and that is just the inhalers...plus duo nebs and an assortment of pills that would make a pharmacist proud.

That really surprises me..but then again nothing surprises me anymore....They hand out top notch spacers at Pulmo Rehab....or if you on a trial like the one i did...got all my Ventolin free each month and even though i rarely use a rescue, much rather PLB..now i have a collection of 8 of em in my draw...LOL