What other inhaler can substitute surrounded by spiriva?
Call your pharmacist. There’s not really a substitute…it’s kind of within it’s own class. – matt and masters property are both correct. Matt’s point of spiriva (tiotropium bromide) being the same as Atrovent (ipratropium bromide) is mostly true. They are in the same anticholinergic drug class. Master’s Property’s point of spiriva person…