Is advair and spiriva the best copd therapy?
The short is Yes. Spiriva is a anticholinergic and works in the large airways. It is important in COPD to address bronchomotor tone. Spiriva does this by blocking the muscarinic receptors. Advair contains two agents in one. In short, Advair addresses the inflamation component of COPD. The two together are considered the “one two punch” in this disease state. The person who gave the first is correct. Seeing a pulmonologist is the best bet. Your primary care physician would have no problem prescribing this therapy and should put a COPD patient on the two way before you have to see a pulmonologist if he is on top of current therapy. You should also have a rescue therapy such as albuterol on hand. In the severe stages of COPD oxygen could also be used.
