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What may interact with Spiriva?

Tell your doctor about all other medicines you use, especially:

• atropine (Atreza, Sal-Tropine);
• belladonna (Donnatal, and others)
• benztropine (Cogentin);
• dimenhydrinate (Dramamine);
• methscopolamine (Pamine);
• scopolamine (Transderm-Scop);
• theophylline (Elixophyllin, Theo-24, Theochron, Uniphyl), and others;
• bladder or urinary medications such as darifenacin (Enablex), flavoxate (Urispas), oxybutynin (Ditropan, Oxytrol), tolterodine (Detrol), or solifenacin (Vesicare);
• cough, cold, or allergy medicine;
• irritable bowel medications such as dicyclomine (Bentyl), hyoscyamine (Hyomax), or propantheline (Pro Banthine);
• steroid medication such as prednisone (Deltasone, Sterapred), methylprednisolone (Medrol), fluticasone (Advair , Flonase, Flovent, Veramyst), beclomethasone (Qvar), budesonide (Pulmicort, Rhinocort, Symbicort), dexamethasone (Cortastat, Dexasone, Solurex, DexPak), mometasone (Asmanex, Nasonex), triamcinolone (Nasacort), and others; or
• ulcer medications such as glycopyrrolate (Robinul) or mepenzolate (Cantil).

This list is not complete and other drugs may interact with Tiotropium. Tell your doctor about all medications you use. This includes prescription, over-the-counter, vitamin, and herbal products. Do not start a new medication without telling your doctor.

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Vibrio vulnificus can get spiriva alternative medication seriously ill and need intensive care or limb amputation. Vibrio vulnificus s have been reported to the state health department. The Connecticut Department of Public Health is warning residents about the potential risk of consuming raw oysters and exposure to salt or brackish water in Long Island Sound, because of severe Vibrio vulnificus s from oysters can result in severe illness, including bloodstream s spiriva alternative medication. Vibrio vulnificus is an extremely rare illness.

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