| Re: spiriva and advair
Hi
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.
Best wishes.
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