Yesterday am I put a cap into my Handihailer, pressed the button and drew a breath........not very satisfactory I thought. I drew another breath - also no change and so I opened the HH and looked at the cap. It only had one hole pierced! I split the cap and a small amount of powder could be seen - not a lot. I thought to myself....Did I get a dose or not! So for the first time a used a second cap (regardeded as a No No! - but what the hell. Strangely, I was able to go for a reasonably long walk (long for me anyway LOL). The question is did I get one dose or two and/or did the second dose increase the benefit from taking Spiriva despite what the recommendation is? I really don't know. Stay well. Martin
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