COPD, Maintenance
"My sleep doctor prescribed this med following a series of breathing tests that showed I had some narrowing of my brochunial tubes. I do have sleep apnea but not COPD. An autoimmune disorder manifests in my muscles, legs and feet makes balance and walking difficult, causing shortness of breath. That is the reason for the prescription. 

I  noticed unreasonable increasing irritability within a few days of taking the inhaler. I have a bad reaction  to Prednisone historically, experiencing psychotic fugue with disastrous consequences. My doctor assured me that Spiriva was nothing like Predisone. 

It most certainly is-at least for me! Side effects found online are: depression, irritability, feelings of emptiness, etc.  Exactly my experience with Spiriva."