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I have been using spiriva for about 2 months. I find my breathing has greatly improved. I'm not using my albuterol several times a day anymore, maybe a couple of times a week. The only thing I have noticed is that I am getting severe muscle cramps in the front of my lower legs. This happens mostly at night when I go to bed. Has anyone else noticed this problem?

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Prospective studies testing effects on the progression of chronic obstructive pulmonary disease (COPD) through the evaluation of the slope of the forced expiratory volume in 1 second (FEV 1) have not shown that inhaled short-acting anticholinergic drugs, inhaled corticosteroids, or N-acetylcysteine alter this marker of disease progression.

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Tell your doctor all medications you are taking.

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Generic means using a different name for the same ingredients.

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If you miss a dose of Spiriva Respimat spray, use it as soon as possible.

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