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BALTIMORE, June 14, 2011 - People who use a mist inhaler to deliver a drug widely prescribed in more than 55 countries to treat chronic obstructive pulmonary disease (COPD) may be 52 percent more likely to die, new Johns Hopkins-led research suggests.

Other clinical studies with SPIRIVA HANDIHALER did not detect an effect of the drug on QTc intervals.

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Spiriva Handihaler is sudden narrowing and blockage of the airways into the lungs (bronchospasm).

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H2 receptor agonists, such as Tagamet (cimetidine, Prestige Brands) and Zantac (ranitidine, Boehringer Ingelheim), which are indicated for relief of peptic ulcer disease and gastro-esophageal reflux disease, are weak anticholinergics that may cause angle closure.

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It is not known whether tiotropium is excreted in human milk, but because many drugs are excreted in human milk and given these findings in rats, caution should be exercised if SPIRIVA HandiHaler is administered to a nursing woman.

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Cody, The new research on tylenol type medications is beginning to take the front stage in asthma research.

It is used to treat breathing difficulties caused by chronic obstructive pulmonary disease (COPD).

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