My question is, I take symbicort 200/6 and spiriva and singulair and a budesonide nasal spray. Should I wait for any amount of time between taking the symicort and spiriva? I hear about the different receptors and wonder if by taking these two one right after the other is the best way to do it.
A: Hi Mary,
You should take the Spiriva and Symbicort one after the other with only a few minutes space in between, if you wait any time at all. They go to different receptor sites and so will not interfere with each other in any way. Indeed, the evidence suggests that when used close together as opposed to hours apart, they may have an additive or activity-enhancing effect. So they SHOULD be taken close together. The Budesonide nasal spray and Singulair have no bearing upon taking the Symbicort and Spiriva.
Best Regards, Mark