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Spiriva And Breo Combination - Bad?

Spiriva And Breo Combination - Bad?

Hi all,
I am currently on Spiriva Respimat (2 puff in the AM) and Breo (1 puff hour later). I was told by my pharmacist that this combination came up with side effects and that I should ask my doctor to change the Breo to something else. I use to take the Spiriva alone - but had a flair a few years ago and my pulmonologist added Breo. Maybe then it was okay :)
Has anyone changed out the Breo for something else? Pharmacist suggested Trelegy once a day..
Thanks for your suggestions **

A MyCOPDTeam Member said:

I am on spriva and symbicort, I swear by my symbicort, I take it 2 times a day and before I went on oxygen I knew my 12 hours was up, and it opens your lungs within 6- 10 minutes. Hope you find one that works I would seriously ask about it, mine is. Symbicort 160/4.5, . Hope that helps, sometimes I swear the Drs don't like to listen, fortunately mine does and will go over whatever I need. Good luck,have a blessed day.

posted 3 days ago
A MyCOPDTeam Member said:

I use Trilogy once daily and so far this has been the best inhaler. I was on Trembow but did not help.

posted 3 days ago
A MyCOPDTeam Member said:

Thank you Cynthia! I've heard good things about Trelegy. With using Spiriva then Breo - sometimes I get busy and forget the latter. Having just one would be so convenient.

posted 4 days ago
A MyCOPDTeam Member said:

I have been using Trelegy for almost a year and it works great. I do use a fast acting albutrol inhaler as needed but the trelegy is like 3 meds in one

posted 4 days ago
A MyCOPDTeam Member said:

Pharmacists are educated to know what's in each medication they dispense. For one not to realize that you are getting a single dose of an ICS with your medications is a clear signal that they don't know what they should know. I think I'd find another pharmacy, or at least go back and pin them down on what conflicts with what. They should be able to tell you exactly what conflicts with what by looking at the chemicals that make up each medication. Your Breo has both a long acting beta agonist and an ICS. The Spiriva is a long acting muscarinic agent. Your Ventolin is a short-acting beta agonist. You're not getting of those classes of meds more than once and that grouping of meds has been prescribed for thousands of people with COPD and no pharmacist has ever indicated that there were things that conflicted before. Unless they're saying that your inhalers conflict with some other med you're taking, they need a refresher course. There are side effects you need to be aware of, but nothing that would negate filling the prescription.

posted 8 days ago
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