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Started using Spiriva in 2003 and noticed much improvement in breathing and endurance. As my emphysema has worsened and flare-ups occurred more frequently, my pulmonologist added Onbrez and it too is very helpful. The combination is effective for me, FEV1 went from 37% to 52%. My principal side effect is dry mouth, but a sip of water now and then beats shortness of breath or worse.
At first, lung function was markedly improved, then I started having rapid and irregular heart problems, along with high blood pressure. Because I was also taking Atrovent, my Doctor told me that I shouldn't take both. He decreased the Spiriva and my heart problems subsided. Unfortunately, I have lost some lung function, my activity level has decreased probably 70% and I am living on inhalers every 3hrs. And I feel like an elephant has parked himself on my chest! Quality of life is minimal so I'm ready to resume taking Spiriva.
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