Tiotropium Bromide (Spiriva) and Albuterol

@wangling Hello Ling, That is a question for your doctor.
Mine told me I only needed to use my formoterol, and not levalbuterol, but each case varires.
Sue

Thanks, Sue,
Will do.
Ling

I use both but not too close together

Thank You so much Rick for the info.
From Your postings, I feel I have some similar conditions to yours --- high eosinophils at some point to be stable; big nodules. I wonder what they do for your big nodules? Do you know what causes them?
How long have you been using Spiriva and how does it work for you?
I want to try it because when I have more mucus, I cough more, the cough irritates my airways. I feel my airway is inflamed. I hope Spiriva will help.
Thanks again.
Ling

Going on 2 years now. Here is a new article on LAMA (spiriva) https://www.pulmonologyadvisor.com/reports/long-term-ics-in-copd-has-significant-risk/

I had a big nodule in fall 2022 CT scan, was diagnosed with aspergillus, pseudomonas and MAC. Was treated for 3 months for the aspergillus. was on Budesonide nebbing for a year. Felt much improved while exercising and Spo2 was much higher (97-98), on the CT scan one year later, the big nodule was nowhere to be seen. I have been wondering if that nodule was just aspergillus that was eradicated by the 3 months antibiotics or if the daily cardio destroyed it. Nobody knows. But I am happy it is gone. Good luck with everything Ling.

Thank you so much Rick for sharing your experiences and good wishes.

Ling

Ling