Many patients are getting both Spiriva and ipratropium together

January 2008

Many patients are getting both Spiriva and ipratropium together.

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

Both Spiriva (tiotropium) and ipratropium (Atrovent, Combivent, etc) are anticholinergic bronchodilators for COPD.

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Table of Contents

The DEA now allows you to write multiple Schedule II (C-II) Rxs on the same day, for the same patient and drug
Cardiology whether a beta-blocker should be started before noncardiac surgery
Psychiatry Abilify (aripiprazole) is the first antipsychotic approved for major depressive disorder
Neurology & Pain Voltaren Gel and Flector Patch will be the first TOPICAL Rx NSAIDs to be commercially available for pain
Diabetes The new Symlin (pramlintide) pen will help reduce errors
Alcohol whether they can drink alcohol with their medications
Women's Health More women will get shorter courses of nitrofurantoin for uncomplicated bladder infections
Renal & Urology Sanctura XR, a new long-acting formulation of trospium, will soon be another option for treating overactive bladder
Respiratory & Allergy Many patients are getting both Spiriva and ipratropium together
Respiratory & Allergy Cetirizine (Zyrtec, Zyrtec-D) will soon be available OTC
Respiratory & Allergy alternatives to traditional OTC cough and cold medicines for infants and young children
Diabetes & Endocrinology Nasal desmopressin (DDAVP, Stimate, etc) is no longer approved for bedwetting
Vaccines New rules will help clarify Medicare Part D billing for Zostavax (zoster vaccine)