Spiriva

[Alice70]

I have many questions for you good people ,I'll start with ,I take my spiriva straight after taking fostair ,I sometimes wonder am I taking it the right way round ,or should it be spiriva then fostair ,also the past few days I've done a little experiment with spiriva ,I first took my peak flow which showed 1 30 then I took spiriva on it's own waited twenty minutes took peak flow agian ,the arrow didn't move still 130,looks like spiriva does not do me any good ,ofcourse I took my fostair later then peak flow went up to 180,would be grateful for opinions on this

[HungryHufflepuff]

That's something I've wondered about. I have Spiriva and seretide and wondered if it's better to take one before the other and how long to leave between taking them.

[Alice70 in reply to HungryHufflepuff]

I'm not sure,although I've been using spiriva for three years,we need to find out hungry

[soulboy118]

I always take my ,spiriva first then my fostairs second

[Alice70 in reply to soulboy118]

I'm going to ask one of the chest nurses on next appointment

[Kiiam]

Fostair is in part a drug that not only has steroid in, but also a bronchial dilator, so I’m guessing if you are concerned , the fostair may be better to take first , then the Spireva .Spireva relaxes the smooth muscles in the lungs so prevents spasms, and is long acting (24hrs) , so most likely the spireva would not show the immeadiate difference in your peak flow , as the fostair would xxxx

[Alice70 in reply to Kiiam]

Never thought of that kilam ,now there's a thought

[wheezyof]

I have 3 inhalers. With advice from a respiratory nurse my morning routine is :-

Take 2 puffs ventolin. (10 normal breaths in between)

20 mins later 2 puffs Fostair (10 breaths between)

Straight away 2 puffs spiriva (10 breaths between)

Evening is the same but without spiriva.

[Alice70 in reply to wheezyof]

When you say two puffs of spiriva ,do you use the capsul

[wheezyof in reply to Alice70]

It's Spiriva respimat, to use once the capsule is in place it's twist and puff. Not sure if yours is the same. It's measured doses lasts 30 days.

[Alice70 in reply to wheezyof]

Mine is different ,it is capsule that looks like a pill, it is a powder that you put in a small device click then in hail once a day

[HungryHufflepuff in reply to wheezyof]

I too have 3 inhalers of which ventolin. My previous doctor told me to take 2 puffs every morning. My current doctor says only to use it as and when needed 🤔

[2greys]

My routine is Spiriva (powder) at 6:30 am then Fostair at 7:30 am. I have done this for almost 3 years now and it works for me like that.

[challny]

I remember quite distinctly that my pulmonologist said I should first use Symbicort (steroid), followed by Spiriva. Several months ago I quit using Symbicort. Can't tell any difference. Still use Spiriva daily. Only occasionally use Ventolin. I believe I'm mild/moderate based on last breathing test about a year ago. My diagnosis was emphysema "with some asthma," to quote my doctor. I didn't really feel like the Symbicort was helping, so I just gave it up. I'll tell doc next time I see her and see what she has to say.