1. concerned patient concerned patient United States says:

    It is very concerning that the FDA hasn't required a further investigation of SPIRIVA, which contains the same tiotropium as respiramat, just using a different mode of delivery.  Prior studies suggested there may be some increased risk of cardiac events including deaths and now the European data is also suggesting this via the new inhalation device, respiramat with the SAME medication.

    Would love an explanation from the FDA why there isn't further required study of safety of tiotropium dispensed via handihaler, sold as Spiriva in the US.

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