The Effects of Tiotropium on the Cough Reflex in Patients With Chronic Obstructive Pulmonary Disease (COPD)
Condition: Chronic Obstructive Pulmonary Disease; Chronic Bronchitis
MeSH terms: Bronchitis; Bronchitis, Chronic; Lung Diseases; Lung Diseases, Obstructive; Pulmonary Disease, Chronic Obstructive
Study type: Interventional
Phase: Early Phase 1

Summary: 
      Does tiotropium effect the cough reflex in patients with COPD and chronic bronchitis.
    

Detailed description: 
      Cough Questionnaire

      This questionnaire is designed to assess the impact of cough on various aspects of your life.
      Read each question carefully and answer by CIRCLING the response that best applies to you.
      Please answer ALL questions, as honestly as you can.

        1. In the last 2 weeks, have you had chest or stomach pains as a result of your cough? 1 2
           3 4 5 6 7 All of the time Most of the time A good bit of time Some time A little of the
           time Hardly any time None of the time

        2. In the last 2 weeks, have you been bothered by sputum (phlegm) production when you
           cough? 1 2 3 4 5 6 7 All of the time Most of the time A good bit of time Some time A
           little of the time Hardly any time None of the time

        3. In the last 2 weeks, have you been tired because of your cough? 1 2 3 4 5 6 7 All of the
           time Most of the time A good bit of time Some time A little of the time Hardly any time
           None of the time

        4. In the last 2 weeks, have you felt in control of your cough? 1 2 3 4 5 6 7 None of the
           time Hardly any time A little of the time Some time A good bit of time Most of the time
           All of the time

        5. How often during the last 2 weeks have you felt embarrassed by your coughing? 1 2 3 4 5
           6 7 All of the time Most of the time A good bit of time Some time A little of the time
           Hardly any time None of the time

        6. In the last 2 weeks, my cough has made me feel anxious 1 2 3 4 5 6 7 All of the time
           Most of the time A good bit of time Some time A little of the time Hardly any time None
           of the time

        7. In the last 2 weeks, my cough has interfered with my job, or other daily tasks 1 2 3 4 5
           6 7 All of the time Most of the time A good bit of time Some time A little of the time
           Hardly any time None of the time

        8. In the last 2 weeks, I felt that my cough interfered with the overall enjoyment of my
           life 1 2 3 4 5 6 7 All of the time Most of the time A good bit of time Some time A
           little of the time Hardly any time None of the time

        9. In the last 2 weeks, exposure to paints or fumes has made me cough 1 2 3 4 5 6 7 All of
           the time Most of the time A good bit of time Some time A little of the time Hardly any
           time None of the time

       10. In the last 2 weeks, has your cough disturbed your sleep? 1 2 3 4 5 6 7 All of the time
           Most of the time A good bit of time Some time A little of the time Hardly any time None
           of the time
    

Intervention name(s): Tiotropium
Intervention type(s): Drug
Intervention description(s): Each subject will then receive Spiriva 18 ug/day for a total of 4 weeks. Each subject will be instructed by the PI on the proper use of the Spiriva inhaler and demonstrate the ability to properly perform the inhalation technique prior to leaving the laboratory. The patient will receive their first dose in the laboratory under the direct supervision of one of the investigators. In addition, subjects will be requested to take their Spiriva inhalation treatment the same time each day.
Other intervention name(s): Spiriva
Intervention MeSH terms: Tiotropium Bromide
Intervention model: Single Group Assignment
Masking: None (Open Label)
Primary purpose: Treatment
Keywords: capsaicin; COPD; COPD with chronic bronchitis