i noticed i was having trouble. climbing the stairs, working in the garden, painting. my doctor suggested spiriva right then. announcer: spiriva is the only once-daily inhaled maintenance treatment for copd, which includes chronic bronchitis and emphysema. i love what it does. it opens up the airways. announcer: spiriva does not replace fast-acting inhalers for sudden symptoms. stop taking spiriva and call your doctor right away if your breathing suddenly worsens, your throat or tongue swells, you get hives, have vision changes or eye pain, or have problems passing urine. tell your doctor if you have glaucoma, problems passing urine, or an enlarged prostate, as these may worsen with spiriva. also, discuss the medicines you take, even eye drops. side effects include dry mouth, constipation, and trouble passing urine. it makes me breathe easier. i can't do everything i used to do. but there's a lot i can do that i was struggling with. announcer: ask your doctor if once-daily spiriva is right for you.