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\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<\/div>\n<\/p><\/div>\n<\/p><\/div>\n<\/p><\/div>\n<\/section>\n\u00a0 <\/span><\/p>\nSpiriva Respimat<\/span> is a <\/span>brand name<\/span> medication that delivers <\/span>tiotropium<\/span> to airways via a soft mist <\/span>inhaler<\/span>. The resultant dilation of airways is warmly welcomed by many users with <\/span>asthma<\/span> or <\/span>chronic obstructive pulmonary diseases<\/span> (COPD)<\/span> such as <\/span>emphysema<\/span>. Unfortunately, you may be disappointed with the results. Perhaps your cough, wheeze, and <\/span>shortness of breath<\/span> are not any better, or maybe you are having just as many flare-ups of your <\/span>lung disease<\/span> despite faithful use of <\/span>Spiriva Respimat<\/span>. You might feel that any benefits are being offset by adverse effects. In any of these situations, you can rightfully start a search for an alternative. This is a good place to begin, as we cover your options in detail. Once you have some ideas, you can present them to your <\/span>healthcare provider<\/span>.<\/span><\/p>\nWhat can I take in place of <\/span>Spiriva Respimat<\/span>?<\/span><\/h2>\nShort-acting <\/span>bronchodilator<\/span> inhalers<\/span> are the initial drug treatment to address asthma or COPD. They act as <\/span>rescue inhalers<\/span> and can relieve wheezing and <\/span>shortness of breath<\/span> within 15 minutes, and if your symptoms are infrequent, this may be all you need. A short-acting <\/span>beta agonist<\/span> (SABA) is administered by <\/span>aerosol<\/span> inhalation<\/span> which can be provided by an <\/span>inhaler<\/span> like <\/span>Proair HFA<\/span>, or a short-acting muscarinic antagonist (SAMA) like Atrovent HFA could be used for this effect. Combivent HFA combines a SABA and SAMA.\u00a0<\/span><\/p>\nHowever, a <\/span>long-acting<\/span> prescription drug<\/span> medication may be more appropriate for those having frequent symptoms. They are more convenient, thanks to once or twice daily dosing, and they are proactive in preventing symptoms and flare ups. To that effect, an extended duration of <\/span>bronchodilation<\/span> can be achieved with <\/span>long-acting<\/span> muscarinic antagonists<\/span> (LAMAs or <\/span>anticholinergics<\/span>) like <\/span>Spiriva Respimat<\/span> or <\/span>long-acting beta agonists<\/span> (<\/span>LABAs<\/span>). <\/span>Inhaled corticosteroids<\/span> (ICS)<\/span> (such as <\/span>Dulera<\/span>) are an alternative <\/span>long-acting<\/span> drug class. These anti-inflammatory agents reduce swelling in airways. They compliment the action of <\/span>bronchodilators<\/span>. Prednisone is an oral <\/span>steroid<\/span> that can be used for similar effects, but the systemic <\/span>side effects<\/span> are often prohibitive. Other oral therapy options include phosphodiesterase 4 inhibitors (PDE 4).<\/span><\/p>\n\n\n\n\nCompare Spiriva Respimat alternatives<\/span><\/h2>\n<\/th>\n<\/tr>\n<\/thead>\n\n\n| Spiriva Respimat<\/span> (<\/span>tiotropium bromide<\/span>)<\/span><\/td>\n | COPD maintenance, asthma maintenance<\/span><\/td>\n | 2.5 <\/span>mcg<\/span> per actuation, 2 puffs inhaled once daily<\/span><\/td>\n | Spiriva Respimat<\/span> coupons<\/span><\/td>\n<\/tr>\n\n| Spiriva Handihaler<\/span> (<\/span>tiotropium bromide<\/span>)<\/span><\/td>\n | COPD maintenance<\/span><\/td>\n | 18 <\/span>mcg<\/span> inhaled once daily<\/span><\/td>\n | Spiriva Handihaler<\/span> coupons<\/span><\/td>\n<\/tr>\n\n| Incruse Ellipta<\/span> (<\/span>umeclidinium<\/span>)<\/span><\/td>\n | COPD maintenance<\/span><\/td>\n | 62.5 <\/span>mcg<\/span> per actuation, 1 puff inhaled once daily<\/span><\/td>\n | Incruse Ellipta<\/span> coupons<\/span><\/td>\n<\/tr>\n\n| Stiolto Respimat (olodaterol-<\/span>tiotropium<\/span>)<\/span><\/td>\n | COPD maintenance<\/span><\/td>\n | 2.5 <\/span>mcg<\/span>\/2.5 <\/span>mcg<\/span> per actuation, 2 puffs inhaled once daily<\/span><\/td>\n | Stiolto Respimat coupons<\/span><\/td>\n<\/tr>\n\n| Anoro<\/span> Ellipta (<\/span>umeclidinium<\/span>\u2013<\/span>vilanterol<\/span>)<\/span><\/td>\n | COPD maintenance<\/span><\/td>\n | 62.5 <\/span>mcg<\/span>\/25 <\/span>mcg<\/span> per actuation, 1 puff inhaled once daily<\/span><\/td>\n | Anoro<\/span> Ellipta coupons<\/span><\/td>\n<\/tr>\n\n| Trelegy Ellipta (<\/span>fluticasone<\/span>\u2013<\/span>umeclidinium<\/span>\u2013<\/span>vilanterol<\/span>)<\/span><\/td>\n | COPD maintenance, asthma maintenance<\/span><\/td>\n | 100 <\/span>mcg<\/span>\/62.5 <\/span>mcg<\/span>\/25 <\/span>mcg<\/span> per actuation, 1 puff inhaled once daily<\/span><\/td>\n | Trelegy Ellipta coupons<\/span><\/td>\n<\/tr>\n\n| Tudorza Pressair<\/span> (<\/span>aclidinium<\/span>)<\/span><\/td>\n | COPD maintenance<\/span><\/td>\n | 400 <\/span>mcg<\/span> per actuation, 1 puff inhaled every 12 hours<\/span><\/td>\n | Tudorza Pressair<\/span> coupons<\/span><\/td>\n<\/tr>\n\n| Duaklir Pressair (<\/span>aclidinium<\/span>\u2013<\/span>formoterol<\/span>)<\/span><\/td>\n | COPD maintenance<\/span><\/td>\n | 400 <\/span>mcg<\/span>\/12 <\/span>mcg<\/span> per actuation, 1 puff inhaled every 12 hours<\/span><\/td>\n | Duaklir Pressair coupons<\/span><\/td>\n<\/tr>\n\n| Combivent Respimat (ipratropium-<\/span>albuterol<\/span>)<\/span><\/td>\n | COPD, asthma <\/span>exacerbation<\/span> relief (<\/span>off-label<\/span>)<\/span><\/td>\n | 20 <\/span>mcg<\/span>\/100 <\/span>mcg<\/span> per actuation, 1 puff inhaled four times daily<\/span><\/td>\n | Combivent Respimat coupons<\/span><\/td>\n<\/tr>\n\n| Symbicort<\/span> (<\/span>budesonide<\/span>\u2013<\/span>formoterol<\/span>)<\/span><\/td>\n | COPD maintenance, asthma maintenance, single <\/span>inhaler<\/span> maintenance and reliever therapy for asthma (off-label)<\/span><\/td>\n | 160 <\/span>mcg<\/span>\/4.5 <\/span>mcg<\/span> per actuation, 2 puffs twice daily<\/span><\/td>\n | Symbicort<\/span> coupons<\/span><\/td>\n<\/tr>\n\n| Breo Ellipta<\/span> (<\/span>fluticasone furoate-vilanteroll<\/span>)<\/span><\/td>\n | COPD maintenance<\/span><\/td>\n | 100 <\/span>mcg<\/span>\/25 <\/span>mcg<\/span> per actuation, 1 puff inhaled daily<\/span><\/td>\n | Breo Ellipta<\/span> coupons<\/span><\/td>\n<\/tr>\n\n| Advair Diskus<\/span> (<\/span>fluticasone-salmeterol<\/span>)<\/span><\/td>\n | COPD maintenance, asthma maintenance<\/span><\/td>\n | 250 <\/span>mcg<\/span>\/50 <\/span>mcg<\/span> per actuation, 1 puff inhaled every 12 hours<\/span><\/td>\n | Advair Diskus<\/span> coupons<\/span><\/td>\n<\/tr>\n\n| Zithromax (azithromycin)<\/span><\/td>\n | COPD <\/span>exacerbation<\/span> prevention (off-label), COPD <\/span>exacerbation<\/span> treatment, various bacterial infections<\/span><\/td>\n | 250 mg once daily or 500 mg three times per week for COPD <\/span>exacerbation<\/span> prevention<\/span><\/td>\n | Zithromax coupons<\/span><\/td>\n<\/tr>\n\n| Daliresp (roflumilast)<\/span><\/td>\n | COPD <\/span>exacerbation<\/span> prevention<\/span><\/td>\n | 500 <\/span>mcg<\/span> orally once daily<\/span><\/td>\n | Daliresp coupons<\/span><\/td>\n<\/tr>\n\n| Theophylline ER<\/span><\/td>\n | COPD maintenance, asthma maintenance, acute <\/span>bronchospasm<\/span><\/td>\n | 300 to 600 mg orally once daily<\/span><\/td>\n | Theophylline ER coupons<\/span><\/td>\n<\/tr>\n\n| N-acetylcysteine<\/span><\/td>\n | Mucolytic to thin respiratory mucous (off-label orally)<\/span><\/td>\n | 200 to 600 mg orally twice daily<\/span><\/td>\n | N-acetylcysteine coupons<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n | | | | | | | | | | | | | | | | |
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