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After 6 weeks of taking spiriva, i find the relief effect wears down towards the 10th and eleventh hour. my dosage is 2 puffs morning, 1 puff evening. i'm 78 years old, and an asthmatic for 76 of those years. compared to symbicort, spiriva "wears off" (as above) slightly faster. each is a good maintenance medication.
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I tried spiriva with the starter pack. i experienced terrible nausea, insomnia, hot flashes, racing heart and fever. my doctor reduced the dosage back to 12.5 mg but with very little improvement of side effects. she finally told me to stop taking it. i have had great results with my other medications …