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In the other four, patients were treated with another formulation of tiotropium approved in Europe, Spiriva Respimat. When inhaled, Spiriva opens up narrow air passages, allowing more oxygen to reach the lungs. Spiriva (tiotropium inhalation) is used in the treatment of bronchospasm associated with chronic obstructive pulmonary disease (COPD) such as chronic bronchitis and emphysema. That translates to an estimated excess risk of any type of stroke due to Spiriva to two patients for each 1,000 patients using Spiriva over a one-year period. Spiriva is used to treat Chronic Obstructive Pulmonary Disease, Maintenance. ("When inhaled, Spiriva opens up narrow air passages, allowing more oxygen to reach the lungs.
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