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Is It Safe To Have Coreg Along With Spiriva And Dulera Inhalers?

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Posted on Tue, 3 Mar 2015
Question: I have COPD - controlled by Dulera and Spiriva. Primary doctor prescribed Coreg because my heart had been damaged by Herceptin for breast cancer - EF went down to 17, now up to 40ish. Am taking Coreg 3 x day. I recently also had a colostomy reversed, doing extremely well. Need I be concerned about combining Coreg with COPD inhalers? He also told me to stop taking Hawthorn for my heart but ok to take CoQ10. I usually do not do well with pharma drugs. Thank you for your help. XXXXXXX XXXXXX
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Answered by Dr. Satyadeo Choubey (1 hour later)
Brief Answer:
Use them and relax.

Detailed Answer:
Thanks for query.
You are receiving two sets of inhalers I.e Tiotropium (spiriva) which is the drug of choice and dulera. These two has got immense exacerbation protection role.
Now coming to carvedilol (coreg) which is cardioselective beta blocker has theoretical risk of causing airway constriction and increasing breathlessness. But since it has cardiomodulatory action so guidelines do suggest their use in cardiac patients like you who has got lowered ejection fraction.
Apart from this concern there is no other significant interaction.
If you have tolerated all these and have had got your EF improved, further continuation of all the three is highly recommended.

Best wishes
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..
Above answer was peer-reviewed by : Dr. Raju A.T
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Answered by
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Dr. Satyadeo Choubey

Pulmonologist

Practicing since :2006

Answered : 554 Questions

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Is It Safe To Have Coreg Along With Spiriva And Dulera Inhalers?

Brief Answer: Use them and relax. Detailed Answer: Thanks for query. You are receiving two sets of inhalers I.e Tiotropium (spiriva) which is the drug of choice and dulera. These two has got immense exacerbation protection role. Now coming to carvedilol (coreg) which is cardioselective beta blocker has theoretical risk of causing airway constriction and increasing breathlessness. But since it has cardiomodulatory action so guidelines do suggest their use in cardiac patients like you who has got lowered ejection fraction. Apart from this concern there is no other significant interaction. If you have tolerated all these and have had got your EF improved, further continuation of all the three is highly recommended. Best wishes