I live in Grenada and getting prescription drugs is not always easy... Since using Spiriva for the first month I have been using Salbutamol and Beclometasone for 2 weeks now on their own. I feel OK now. I did go into hospital about 6 weeks or so ago with an infection and that's where I was prescribed Spiriva (the doctor told me I had COPD although I would need a scan to be totally sure - I can't afford to do this.). I feel good at the moment, am exercising, walking and swimming and don't feel breathless. I am 7 weeks smoke and nicotine free Yay!!! and now wonder if I actually need Spiriva. Any advice welcome.