I've been started on Spiriva (tiotropium) by my consultant, and I've got a few questions about it which I didnt get chance to ask my con (as my appointment had ran over by way too long), and was wondering if anyone could help;
1) Is spiriva the same as atovant? and if so does that mean I can't have atrovant nebules?
2) It seams to be helping me a bit, and was wondering if there are different strengths? mines 18 micrograms.
3) can you get just the drug prescribed withought the strange HandiHaler thing? because I've had two lots prescribed and both came with a Handihaler which i feels a bit of a waste...
4) this isn't about spiriva in perticular but does anyone know if you can take the herbal drug Karlms with theophylline, singulair, sprivia, seretide, pred and citrizine? I'm rather stressed out with all my exams and was considering trying Karlms.