Frequently Asked Questions

Dr. Mahler answers “real” questions
often asked by his patients with COPD

Should I Use A Spacer With My Inhaler?
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Should I Use A Spacer With My Inhaler?

Dr. Mahler:

The pharmacist at the local drug store told me that I should use a spacer with my inhalers. I am confused because Bevespi and ProAir inhalers, which I take for my COPD, seem to be working fine. I asked my nurse practioner about it, and she said that it wasn’t necessary. What are your thoughts?

Judy from Chattanooga, TN

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Oral Thrush with Certain Inhalers
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Oral Thrush with Certain Inhalers

Dear Dr. Mahler:

I am concerned about getting thrush. I was diagnosed with severe COPD, and have improved with Stiolto Respimat. My pulmonary doctor said that I am now in the moderate category. A nurse who works at a community college with me asked if I was rinsing my mouth with water after inhaling the medication. She said that I should do this to prevent thrush. Is that correct?

Sophia from Key Biscayne, FL

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