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If you do not have a rescue inhaler, contact your healthcare provider to have one prescribed for you. Do not use STIOLTO if you have asthma. STIOLTO is approved to treat COPD only. People with asthma who take long- acting beta. LABA) medicines, such as olodaterol, (one of the medicines in STIOLTO), have an increased risk of death from asthma problems. It is not known if LABA medicines, such as olodaterol (one of the medicines in STIOLTO), increase the risk of death in people with COPD. STIOLTO has been approved for chronic obstructive pulmonary disease (COPD) only. STIOLTO is NOT to be used in asthma. Do not use STIOLTO if you are allergic to tiotropium, ipratropium, atropine or similar drugs, olodaterol, or any ingredient in STIOLTO. Symptoms of a serious allergic reaction may include rash, hives, swelling of the face, mouth, and tongue, and breathing problems. Call your healthcare provider or get emergency medical care if you get any symptoms of a serious allergic reaction. Do not use STIOLTO for treating sudden breathing problems. Always have a rescue inhaler with you to treat sudden symptoms. Do not use STIOLTO more often or at higher doses than prescribed by your doctor. Do not use STIOLTO with other LABAs or anticholinergics. Get emergency medical care if your breathing problems worsen quickly or if you use your rescue inhaler but it does not relieve your breathing problems. Call your healthcare provider if breathing problems worsen over time while using STIOLTO. Tell your doctor about all your medical conditions including heart problems, high blood pressure, seizures, thyroid problems, diabetes, kidney problems, glaucoma, enlarged prostate, and problems passing urine. Tell your doctor about all the medicines you take, including prescription and non- prescription medicines (including eye drops), vitamins, and herbal supplements. STIOLTO may interact with other medicines which may cause serious side effects. 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Some alternative and complementary therapies may also help relieve your symptoms and improve your quality of life. Complementary treatments are used alongside standard COPD treatments. But often they haven’t been proven effective in large scientific studies. Some treatments may interact with certain medications or pose other risks. Always talk to your doctor before trying a complementary or alternative (used instead of standard) treatment. They can help you understand the potential benefits and risks. Herbs and supplements Herbal remedies and dietary supplements. Certain over- the- counter supplements may have a place in the treatment of COPD. Ask your doctor if any of these might be right for you. Vitamins C and EA Korean study of people with COPD, mostly men, showed that increasing dietary intake of vitamins C and E improved lung function. These vitamins are known as antioxidants. They’re believed to play a role in warding off cell damage. The results of this study indicate that antioxidants may have a place in treating COPD, alongside doctor- prescribed medications. The necessary dose of these supplements is unknown at this time. Larger studies are needed. Omega- 3 fatty acids Omega- 3 fatty acids consumed as a regular part of the diet may benefit many systems throughout your body. There are currently no studies showing that omega- 3 fatty acids have a specific role in the treatment of COPD. Omega- 3 fatty acid supplements may be useful in treating other conditions that go along with COPD, like elevated cholesterol. You can get them from supplements or via food. Food sources of omega- 3s include: flaxseedwalnutssoy beansfatty fish, like salmon or tuna. Talk to your doctor to see if this supplement could benefit you. Eucalyptus oil. This is a common herbal expectorant (mucus loosener and cough promoter) often found in cough drops. A study published in the Journal of Respiratory Research has shown positive results in people with COPD who took cineole capsules daily. Cineole is the main ingredient in eucalyptus oil. People reported less breathlessness when used together with their regular medications. Eucalyptus oil may help with opening airways in COPD as well as treating inflammation. However, breathing in concentrated eucalyptus oil can cause lung irritation and make symptoms worse. It can also interact with a wide variety of medications. Mind- body Mind- body approaches. Many people with COPD experience depression, anxiety, and stress. The challenges of living with a chronic health condition can take a toll. It’s important to manage your negative thoughts and stress levels. Meditation, yoga, and other relaxation techniques may improve your quality of life. Yoga may be especially helpful. At the 2. 01. 3 annual meeting of the American College of Chest Physicians, researchers presented evidence that yoga may: improve lung functionimprove breathingimprove quality of lifereduce inflammation. Speak to your doctor if you think you might be experiencing depression. Relaxation strategies might not be enough to manage it. Your doctor may recommend antidepressant medications, counseling, or both. Acupuncture Acupuncture. Acupuncture is a technique used in Traditional Chinese Medicine. During an acupuncture session, your acupuncturist will insert thin needles into certain points of your body. Acupressure is a similar technique. It involves applyingpressure instead of inserting needles. According to a study in Acupuncture in Medicine, acupuncture might help treat COPD. The researchers compared people with COPD who took medication alone to those who took medication and also had weekly acupuncture treatments. After 1. 0 weeks, those who received both had less trouble breathing during exercise. Another small study in China compared people with COPD who used medication alone versus those who used medications and acupuncture. After eight weeks, those who added acupuncture had less breathing difficulties in a six- minute walk test and a higher quality of life than those who used medication alone. There are no studies suggesting that acupuncture treatments can replace the current medical treatment for COPD. Lifestyle changes Lifestyle changes. Adjusting your daily habits can also make a big difference to your health when you have COPD. It’s important to: quit smoking, if you smoke, and avoid secondhand smokelimit your exposure to other lung irritants, such as toxic chemicals and pollutiondrink plenty of water and use a humidifier to keep secretions from becoming too thick get vaccinated against the flu, whooping cough, and pneumoniawash your hands regularly to lower your chances of getting lung and respiratory infectionseat a well- balanced dietexercise regularly participate in pulmonary rehabilitationget plenty of sleep. Talk to a doctor Integrative medicine. More and more doctors across all specialties are seeking further training in the field known as integrative medicine. Integrative medicine is a combination of traditional and complementary medicine. Nationally recognized integrative medicine centers can be found at: Harvard. Northwestern. Vanderbilt. The University of California at San Francisco. The University of Arizona. Integrative medicine is also a recognized medical board certification. 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