Stiolto is a little different than many inhalers. Atrovent contains a short-acting bronchodilater combined with a corticosteroid - as does Combivent. Some people have unfavourable side effects from steroids -- thrush is one, as is loss of ability to talk (temporary). Stiolto has a long-acting bronchdilater and an anticholinergic (drying) agent. Stiolto is steroid free and used 1time daily. (Patients on Stiolto should almost always have access to albuterol or some other fast-acting bronchodilater as a "rescue inhaler").
I was on Spiriva and Advair, and went to Stiolto respimat. Saved me some money, because inhalers are so expensive. Dr told me NOT to take Advair with Stiolto, as it has one of the same type of ingredients in it.
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