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What Causes Dizziness In An Elderly Person While On Spiriva, Atenolol And Baby Aspirin?

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Posted on Mon, 28 Dec 2015
Question: My 95 year old mother has been taking Spiriva daily in the morning since February. She also takes Atenolol 1/2 tablet daily & baby aspirin. Recently she told me that she is experiencing dizziness, and wanted to know if the prescription could be modified i.e. every 2 days. What do you think?
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Answered by Dr. Panagiotis Zografakis (41 minutes later)
Brief Answer:
it depends

Detailed Answer:
Hello,

I guess you're talking about spiriva. Spiriva is given once daily. If her pulmonary functionality is severely impaired then daily administration would be required. Otherwise you can consider missing some doses. I would suggest alternatives like ipratropium (despite being a more primitive option) or other similar drugs like aclidinium. Your doctor should be asked about it because an assessment of her pulmonary condition has to be done. A low oxygen saturation for example would make spiriva necessary.

You've got to make sure that her dizziness cannot be attributed to other causes like a slow heart rate (caused by atenolol) for example, a low blood pressure, etc.

I hope you find my comments helpful!
You can contact me again, if you'd like any clarification or further information.

Kind Regards!
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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Panagiotis Zografakis

Internal Medicine Specialist

Practicing since :1999

Answered : 3809 Questions

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What Causes Dizziness In An Elderly Person While On Spiriva, Atenolol And Baby Aspirin?

Brief Answer: it depends Detailed Answer: Hello, I guess you're talking about spiriva. Spiriva is given once daily. If her pulmonary functionality is severely impaired then daily administration would be required. Otherwise you can consider missing some doses. I would suggest alternatives like ipratropium (despite being a more primitive option) or other similar drugs like aclidinium. Your doctor should be asked about it because an assessment of her pulmonary condition has to be done. A low oxygen saturation for example would make spiriva necessary. You've got to make sure that her dizziness cannot be attributed to other causes like a slow heart rate (caused by atenolol) for example, a low blood pressure, etc. I hope you find my comments helpful! You can contact me again, if you'd like any clarification or further information. Kind Regards!