Spiriva Respimat (tiotropium) will be the first long-acting anticholinergic for ASTHMA

Spiriva Respimat (tiotropium) will be the first long-acting anticholinergic for ASTHMA. It won't just be for COPD anymore.

But don't expect to see it used first-line for asthma.

Explain that adding Spiriva to a medium-dose inhaled steroid may improve lung function about the same as adding a long-acting beta-agonist (salmeterol, etc).

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