Spiriva
"Not so much of a comment about the effectiveness of Spiriva, but more about the company's "QUALITY CONTROL" which sucks! I've had a ongoing discussion with Boehringer Ingelheim, the company that makes Spiriva for the last year after receiving "blank capsules" in their packages.

At a cost of over $12.00 (in my case) per capsule, this is unacceptable. I honestly expected that this was a isolated incident at first and reported it to the company (and pharmacy) immediately, and again, and again, and again! 

At first they stated it was a "isolated incident", then it was  a "equipment malfunction". Seems like they have a endless supply of excuses, rather than fixing the problem!"