Gramaoreo, with the Advair and the Stiolto Respimat (which you call Inspiolto Respimat), you are getting two LABA doses. You might check with your doc to see if that's what she really intends for you to get. Some pulmos would say that's double dosing on the LABA. Just sayin'........

My Pharmacist told me just today, that Stiolto is an alternative for Spariva. It shares the same active ingredient, and most insurances including Medicare are covering it.

Insurance companies should not have the right to choose your meds. If they work for you they should let it be

I was on Spiriva Respimat approximately 9 months. I really liked it .. especially when inhaling.. had no problems getting the dose. Than I was given an Alternative ( Anoro ) to try as took me off of Spiriva due to the fact that I DID NOT have ASTHMA. However, found that I was not feeling that great as they took me off of Advair and Spiriva same time. I sampled the Inspiolto Respimat ( which contains Tiotropium Bromide Monohydrate and also Olodaterol)

Anoro was a possible replacement .. ( I did not like the inhaling as well as the Respimat ). So I resorted to the Inspiolto Respimat 2.5mcg/2.5 mcg per puff. As well as went back to the Advair 125 25mcg/125mcg as the Pulmonologist felt that I needed the corticosteroid.

Since that time, about 2-3 wks ago, I have been feeling just GREAT. I still have my bricanyl rescue inhaler but a big change with the new Respimat and Advair.

Spiriva contains Tiotropium Bromide Monohydrate ... same as Inspiolto but Inspiolto has the Olodaterol too.

Originally changed from Spiriva with the capsule .. as capsules were breaking off large pieces of the capsule instead of just piercing the capsule.

Stiolto is an equivalent med for Anoro. They have ingredients that do the same thing: a long acting muscarinic antagonist (LAMA) and a long acting beta agonist (LABA). They use different chemicals so you may not have as good a response with one as with the other. Hopefully it won't make any difference.

Stiolto contains Spiriva, plus the LABA, so in one sense your doc's right, but there's that added LABA he didn'[t tell you about.