COPD, Maintenance
"My problem is not with the medicine, but rather the inhaler itself.  The Spiriva Respimat.  Hate it with a passion!  I&#039;ve had to make three separate trips to the pharmacy to get a replacement.  After the first time I was so careful to use it both, properly and carefully.  Did it help?  NO!  And it is a waste of time, money and I&#039;m unable to use the thing until I go to the pharmacist and get a replacement!  Apparently, Kaiser insurance doesn&#039;t want to pay for any other Spiriva inhaler.  I am currently trying to find where I can leave a formal complaint."