Dr gave me wrong Spiriva Respimat

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My doctor gave me the wrong Spiriva Respimat. She gave me the one for asthma and I need the one for COPD. I am only getting half of the medicine I need. My doctor is out of the office until next week. The nurse told me to double up on this respimat to equal the dosrage I need. Does anyone think this is safe to do?

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8 Replies

  • Posted

    As far as I know there's only 1 strength of spiriva...one is in an egg shaped inhaler where u add a pill and it pierces it and u inhale the powder and 1 is in a clear looking puffer and then the kind you put in a nebulizer and inhale..what kind are you referring to?

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  • Posted

    It is called Spiriva Respimat. There is one for asthma one for COPD. They have been on the market for sometime now.

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    • Posted

      I just checked on the spiriva site jamie and you are right the dose for asthma is 1.25cg x 2 puffs.  I am not familiar with asthma doses of spiriva respimat.  Do you have asthma as well as COPD perhaps that is why you were given that dose?

      If you don't have asthma in addition to COPD I guess just check back with your doctor to be sure he wrote the prescription for COPD dose, so when you pick up your prescription from the pharmacist you can check its not the pharmacist staff who may have given the wrong dose.

      I don't know how safe it would be to double up on the dose, perhaps check that with the doc or pharmacist even, if you should do 4 puffs am once daily or 2 puffs am and another 2 puffs pm daily to make up the dose.

      Let us know what you find out.

      Best wishes V

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    • Posted

      I have just check the UK emc site and the asthma dose is not listed on that site, I wonder if NHS UK does not prescribe spiriva respimat for asthma patients,   There is a paper on NICE guidelines for UK folk who want to check it, its titled Asthma: tiotropium (spiriva respimat)  this was back in 2015

      Excerpt here:

      " Summary

      Two replicate randomised controlled trials (RCTs; total n=912) of identical design evaluated tiotropium (Spiriva Respimat) in adults with poorly controlled asthma and persistent airflow obstruction who were already treated with an inhaled corticosteroid (ICS) and a long-acting beta-2 agonist (LABA). Tiotropium improved peak and trough forced expired volume in 1 second (FEV1) and lengthened the time to first severe exacerbation compared with placebo. Differences between add-on therapy with tiotropium and placebo in patient-assessed asthma control and quality of life were small and did not meet the threshold for the minimal clinically important difference. There are no RCTs comparing tiotropium with other active treatments or in people with asthma without persistent airflow obstruction.

      Regulatory status: In September 2014, Spiriva Respimat received a licence extension for asthma. "

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  • Posted

    Hi Jamie, yes, it's confusing, the respiratory is only the half dose of the capsule thingee, took me ages to work out what it was about, you do take two doses, which is then the equivalent of the capsule in the device. The respimat is more effective in getting further toward the lungs than the capsule. Now that I am used to it find it works well. Kindest thoughts

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  • Posted

    Not respiratory ....restimat, ipad thinking for me.....sorry confusing enough as it is. The egg shaped referred to is one dose respimat is half that dose, used twice same dosage. Hope this helps. Thank you to others who have linked in with all sorts of ideas and facts that have helped me so much along the way. Regards to you all
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  • Posted

    Very odd, to my knowledge spiriva handihaler only comes in one dose of 18mcg per capsule 1 x daily, 

    Spiriva Respimat only comes in 2.5 mcg, the once daily dose is 2 puffs daily - delivery is mist.

    Do read the patient information leaflet that comes with the medicine entirely to be sure your technique using the Respimat inhaler is correct.

    Spiriva Respimat and Spiriva handihaler is the same med but just delivered by a different method hence the different dose.

    To my knowledge there is no different dose for asthma patients or COPD patients.  Perhaps you are confused with another medicine?  Or someone is pulling your leg maybe?

    Check it on a reputable medicine site.  in UK I use emc.

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