On consultant's advice tomorrow my wife (end stage COPD) switches from Trimbow (after 2 years) to Fostair 200/6 twice a day plus Spiriva Respimat once daily. Also stays with Ventolin on an 'as needed' basis.
We assume the best time to take the Spiriva is first thing in the morning together with the first Fostair of the day. Has anyone found a more effective time scale?
I must say, first time I've grappled with a Spiriva, what a cack handed system ! It was a challenge just to get the cartridge in properly. The phrase "press down until it clicks" took on a new meaning for me, a mere 12 stone weakling!