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Any side effects from Advair & Spiriva taken together

My physician has prescribed both Advair 50/250 and Spiriva, along with Pro Air p4-6h prn and nebulizer treatment (Albuterol) q4-6h prn. I am still having problems breathing. Is it okay to take these all at the same time?  Will there be any side effects?  
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639831 tn?1223063080
MEDICAL PROFESSIONAL
It is ok to use all 3 of the medications mentioned. Although rare, albuterol and Advair can cause adverse cardiovascular effects such as hypertension, angina, palpitations, sinus tachycardia, or arrhythmias. Only take these as directed, do not take it more often than instructed by your physician.
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Avatar universal
Thank you for responding. I need clarification on one point. When you say Advair and Albuterol can cause adverse cardiovascular effects, do you mean both of them can cause adverse effects (either/or) or the two used together can cause adverse effects?
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