Many patients are getting both Spiriva and ipratropium together

Many patients are getting both Spiriva and ipratropium together.

This is usually...but not always...a mistake.

Both Spiriva (tiotropium) and ipratropium (Atrovent, etc) are anticholinergic bronchodilators for COPD. Ipratropium is shorter acting and has a faster onset than Spiriva.

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