No, spiriva is once every 24 hrs. Advair is once every 12 hrs.

Going to ask the consultant doc about this. Thanks for the info Peter x

Hi i did post it somewhere but evverything gets swallowed up around here...Never mind..here is a link...BTW if you are in the US your FDA is dragging it's feet to approve it...We n Europe/UK have had access to it since 2014.

Sydney, Saturday 8 November 2014: Australians with COPD – a serious lung disease that is estimated to affect almost one-in-seven Australians aged 40 years and over2 – now have reimbursed access to effective dual bronchodilation treatment in a single device for the first time, with Ultibro® Breezhaler® 110/50 listed on the Pharmaceutical Benefits Scheme (PBS).1

Ultibro® Breezhaler® 110/50 should not be used in combination with other long-acting β2-agonists, such as eformoterol and salmeterol, or long-acting muscarinic antagonists, such as tiotropium or ipratropium or their combination products.4

Combination therapy involving the bronchodilator action of a LABA and a LAMA for moderate to severe COPD has been shown to be more effective than single bronchodilator monotherapy (either a LABA or LAMA in a single inhaler) due to the complementary mechanism of action of the individual components

http://www.nps.org.au/publications/health-profe...

Hi peter. Im supposed to go and see the cosutant in April. As she put me on spiriva and all my other meds im going to ask her to review them. I really think if your on them for to many years they are not as effictive or is that just me? Hope your well and take care x

Yes....most do not work as we expect them too no matter what the Pharma companies want us to believe....it is easier in the early stages of the disease...I skipped both 1 & 2 before i even heard of COPD...the thing is we are all different in how this illness affects us...

Pat comes a time you just gotta experiment for yourself and find what suits you...but doubling up on a med delivered by a metered inhaler by dry powder inhalation can be heading for an overdose scenario,,,,Nebbing is completely different....Good on you and hey..keep in touch...xxxxxx