@A MyCOPDTeam Member Advair has a steroid component to it just like Flovent so you have to make sure you rinse your mouth carefully with fresh water every time you take a puff. I have used steroid inhalers for almost 20 years & have always rinsed my mouth & have never had trouble with thrush. When I ended up in the hospital with a pleural effusion, even the nurses did not know you needed to rinse your mouth & I had to tell them! Also, make sure you don't swallow the water you use to rinse, it has to be spit out.

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A MyCOPDT...

I use both Advair and Spiriva. Spiriva once in the morning and Advair 500/50 twice a day am and pm.

I used Advair for years for not Asthma and it really help but it did little for the COPD. My doctor tried me on Spiriva twice now and it didn't help me. I use 2 medications in a nebulizer now.

With Spiriva, one dose lasts 24 hours, with Advair you generally take it in the morning and at bedtime. I am on both. The advair was used to try and get me off predisone. There are different strengths of advair, I know there is 250 and 500 and there may be 125 also.

I use both spiriva in morning advair morming and nite