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Spiriva has been a miracle for me. Yes there is some hoarseness, sinus issues and difficulty urinating, but for me the benefits far outweigh the side-effects. The inhalers did nothing for my COPD - Spiriva made a HUGE difference in my ability to take in air. My illness is more emphysema type of COPD. I love it - 2 days without it and I can tell a huge difference. With Spiriva I can breathe again.

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