I only do my Advair in the morns. I ain't a breakfast person. :)I Save my Spiriva dose & 2nd dose of Advair, till 8pm, usually about an hr after I have ate.

Try it that way, Maybe it will work for you. :) Set a specific time to take them & stick to it, make it a habit. SAME time every day & 12 hrs apart. I take the majority of my vitamins/supplements, plus my Pheno's in the evening, also. Since I was already on a schedule w/ the Pheno's it was easy to make a habit of inhalers. :) Pick a time that you know works for you.

Love Candi

I do Spiriva and Symbicort, both done after breakfast at the same time I brush my teeth. Then do them again after dinner. Haven't had any side effects with these, although I did have with Advair and had to change to Symbicort. For me, it was this achy body all the time, feeling wiped out and pain in joints. Disappeared once I stopped it and went on Symbicort.

I never have had any reactions like that, could just be nerves or your body adjusting, since this is all so new to you,
I take my spiriva first thing in the a.m. @ 6 w/ my anxiety med....then about noon I use my nebulizer, and then use my advair, take my anxiety med @ 2pm, then later in the eve after supper,around 7'ish, I use my nebulizer again, and a second dose of advair then. Just be careful with the advair and be sure to rinse your mouth well after each inhalation because it can cause thrush of the mouth. The nystatin is about 28 bucks to get rid of the thrush, we have no ins.....ssome rince with a salt water mixture, or just water, or I think it would be ok to use like listerine, but id ask the doc forst about that, or maybe someone else her knows.

I have been rinsing with water then mouthwash then water again, I hope that is enough

I have been on Advair (and Spiriva) for allmost 2 years and I have never had thrush.

I rinse really well after use but I think that while that may work for me, it might not for others. it could be that the enzyme level in your mouth determines how well any one method would work.

That's the beauty of this forum. You get all kind of suggestions cause we are all dealing on a different level.

The best solution to all,

I get thrush in my mouth from them so now I just use my advair twice a day every other day and use my Spiriva in between days. It is working out pretty good for me this way. The doc wants me on them both every day but gee wiz, I get tired of my mouth being sore.

LOL about 2 weeks ago I was talking with one of my friend and I was telling them IF I did not know better I would say I was Pregnant. Never throught about my sprivia and Advair doing it.

Be sure to follow what your doc suggests, if he suggests using themm both daily, then you should folow his advise...you really need these meds, together daily as spiriva provides some lung function, and advair provides similar functions too, so its like double protection against an exerbation. Not eveyone gets thrush, but its important to rinse well...I also rinse with water, swish it around, gargle, do the same with listerine, then rinse with water. You really only et the thrush when you foget to rinse...I know its alot but the help to my breathing is worth it. I do have alot of pain and achy painful joints, can advair cause that. Is symbicort as good as advair?

Someone here told of the use of vinegar in water for gargling and rinsing -- I've been using that and it works great -- no more thrush. I use about a 1/4 cup of vinegar in a 16 oz bottle. Very handy.

yikes vinegar? I guess as long as your just swishing and spitting it out thats cool.

Thank you all for your comments because of this post was on before I listen to you all.. Started rincing everytime I use my Advair.
I was just brushing.

I suppose to use twice a day, I use only mornings. I still can't believe I have copd.
just me.