Brief Answer: Consult your doctor before stopping spiriva or pul Detailed Answer: Hi, Thanks for your query. Till mow there is no interactions in between the drugs you are taking. BUt there is significant interaction between celecoxib and losartan, celecoxib and budesonid (pulmicort), so needsclose monitoring. If you have got pure COPD features then inhaled steroid is not very much needed. You can take a combination of formoterol plus tiotropium. But that is true when you don't have asthma concomitant with COPD. Getting lungs clear only doesn't mean that you have no COPD or controlled disease. Better monitor it with spirometry. And since COPD is progressive disease so stopping the medication will be risky.. Dizziness symptom may be attributable to your ear disease and better go for treatment for that. I don't think any of the medication is attributing to the symptoms. With losartan there should not be hypovolemia in the body...so take care for that... Ask your doctor regarding all these....They may add some antivertigo medication like beta histine to alleviate the symptom...

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Brief Answer: Can stop pulmicort and continue spiriva Detailed Answer: Hi, Thanks for your query. I do knew by your prescription that you have hypertension (losartan) and hypothyroidism (l thyroxine). Formoterol and tiotropium can only be taken without steroid if you have COPD only i.e without asthma. For this you will have to be checked for spirometric reversibility testing or methacholine challenge test. Spiriva itself contain tiotropium... One option can be continue spiriva and stop pulmocort. If you feel ok for few days do continue that without pulmicort... Best wishes

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