whether inhaled tiotropium and ipratropium increase stroke, heart attack, and death in COPD patients

November 2008

Experts are debating whether inhaled tiotropium and ipratropium increase stroke, heart attack, and death in COPD patients.

The lay press picked up on a recent meta-analysis linking tiotropium (Spiriva) and ipratropium (Atrovent, Combivent) to a higher risk of cardiovascular events.

But don't jump to conclusions. There are two sides to the story.

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