Advair: long-acting bronchodilator (salmeterol) + inhaled corticosteroid (fluticisone); often used in asthma.
Spiriva is ipratropium (another long-acting bronchodilator); works works through a different mechanism compared with salmeterol. Ipratropium blocks a substance called acetycholine (which tightens breathing tubes); salmetarol rather than stopping tightening, instead increases dilation/opening (so both have effects in stopping reduced airways/improving opening of airways).
Spiriva works best in COPD.
However, both Spiriva and Advair are compatible and may be taken together if prescribed by your doctor.
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The important thing is which is best for YOU! I tried Advair and it did nothing. Spiriva has made it possible to hardly ever use my "rescue" inhaler. My best friend had exactly the opposite results. Ask you doc fopr samples and see what happens. Good Luck
I'm now on Advair twice a day, 11 am and 11 pm. I have been taking Spiriva once, in the middle of the day. Often, I have been sort of losing my voice-not even right after the Advair [Spiriva alone didn't cause that]. Besides rinsing my mouth I gargle after Advair. Does anyone else have that trouble with Advair? I have bronchiectasis and MAC.
Last edited by daph; 01-15-2008 at 07:20 PM.
Reason: forgot to mention diseases