two ladies doing yoga

Give your health a boost

As you consider your health and wellness, be sure to talk to your doctor before starting a new exercise program or making any changes to your diet. Your doctor is the only one who can advise you on the appropriate level of exercise and nutritional guidelines that best meet your needs. The information provided here is not meant to take the place of your doctor’s advice.

Taking your medication as prescribed, keeping active, and eating well can help you stay in charge of your condition. Exercise can help improve your body’s use of oxygen. Eating well can help you maintain a healthy body weight, which may affect your symptoms. So let’s start incorporating some healthy habits.

Exercise and Breathing

Always talk to your doctor before starting or making any changes to your exercise program. With proper guidance, exercise may be beneficial for COPD, and it may even be fun. Moderate exercise has been linked with a reduction in inflammation in the lungs and throughout the body. It may also affect the way your body responds to triggers.

Potential Activities:

  • Aerobic exercise: Walking, biking

  • Interval training: Short bursts of activity with breaks

  • Strength training: Light weights or resistance bands

Ready to ask your doctor if exercising is right for you? Start off slow. Consider these modified chair examples when you have your discussion. These exercises can be done with or without light weights.

cat cow

Cat cow

As you inhale, arch your spine so your shoulder blades touch. As you exhale, round spine and drop your chin to your chest. Repeat.
gentle twist

Gentle twist

Start with your arms overhead. Slowly twist and bring your arms down. Your left arm should drop behind you as you bring your right hand to your left knee. Repeat on the opposite side.
ear to shoulder

Ear to shoulder

Move your chin toward your chest and gently roll your right ear toward your right shoulder. To intensify the stretch, place your finger on top of your head and gently press down. Repeat on the opposite side.
overhead press

Overhead press

With or without light weights, hold your fists at your shoulders. Exhale as you raise your arms. Inhale as you bring your arms down. Repeat.
bent-over rows

Bent-over rows

With or without light weights, hang your arms toward the floor. Pull your arms up toward you. Your elbows should move back, causing your shoulder blades to touch. Gently lower your arms down toward the floor. Repeat.
knee extensions

Knee extensions

Keep your knees together and feet on the floor. Straighten one leg out in front of you and hold for 1 second. Slowly place your foot back on floor. Repeat on the opposite side.

Breathing Exercises

Always talk to your health care professional before beginning any new breathing exercises.

Over time, conditions like COPD can reduce the lungs ability to take in fresh oxygen and breathe out carbon dioxide.

Breathing exercises can help your lungs work more efficiently. If practiced regularly, breathing exercises may help rid the lungs of stale air, increase oxygen levels, and help you breathe better.

Two types of breathing exercises taught by health care professionals are pursed lip breathing and belly breathing.

Pursed Lip Breathing

This breathing exercise helps keep airways open longer so more air is able to flow in and out of your lungs.

Practicing pursed lip breathing is simple:

  • Breathe in through your nose

  • Breathe out at least twice as long through your mouth through pursed lips

Belly Breathing

Belly breathing, also called diaphragmic breathing, helps retrain your diaphragm to assist with filling and emptying your lungs as your breathe.

To practice belly breathing, follow these steps:

  • Start by breathing in through your nose. Pay attention to how your belly fills up with air. You may want to put your hands lightly on your stomach to feel how your belly rises and falls as you breathe

  • Breathe out through your mouth at least two to three times as long as your inhale

  • Be sure to relax your shoulders as you breathe

Important Exercise Tips:

  • Always keep your rescue medication on hand

  • If needed, take medication before exercising

  • Start with a warm-up, end with a cooldown

  • Limit outdoor exercising if air quality isn’t great

  • Stop exercising if you experience chest pains or shortness of breath, or if you develop a cough

  • Use your oxygen if prescribed

  • Do not exercise if you’re sick, have chest pain, are out of oxygen, or are feeling dizzy

Nutrition and Cooking Tips

Making healthy choices matters for COPD. Discuss any dietary changes or food allergies with your doctor before hitting the grocery store.

Incorporate more:

  • Fresh fruits and vegetables

  • Healthy carbohydrates like whole grains

  • Plant oils

  • Fish

  • Vitamin D: fortified milk, salmon, orange juice, eggs

  • Vitamin E: almonds, raw seeds, mustard greens, kale, broccoli, hazelnuts

Consume less:

  • Alcohol

  • Processed, refined, high-saturated-fat foods

  • Sweets, including drinks with added sugars

  • Cured/red meats

  • Sulfites: dried fruits, pickled food, shrimp, alcohol

  • Gassy foods: beans, carbonated drinks, onions, garlic, fried foods

Tips while eating:

  • Sit up straight

  • Take small bites and eat slowly

  • Take breaks while you eat

Tips while cooking:

  • Sit instead of stand while preparing food

  • Use a slow cooker if you can

  • Take a break before cleaning up after your meal

Quick and Easy Recipes

A little variety keeps things interesting. Give one of these flavorful recipes a try.

Source: National Heart, Lung, and Blood Institute; National Institutes of Health; U.S. Department of Health and Human Services.

APPROVED USE FOR STIOLTO RESPIMAT

STIOLTO® RESPIMAT® (tiotropium bromide and olodaterol) Inhalation Spray is a prescription medicine used long term, 2 puffs 1 time each day, in controlling symptoms in adults with chronic obstructive pulmonary disease (COPD). COPD is a chronic lung disease that includes chronic bronchitis, emphysema, or both.

STIOLTO is not for treating sudden symptoms of COPD. Always have a rescue medicine with you to treat sudden symptoms.

STIOLTO is not for asthma.

IMPORTANT SAFETY INFORMATION FOR STIOLTO RESPIMAT

Do not use STIOLTO if you have asthma. People with asthma who take long-acting beta2-agonist (LABA) medicines, such as olodaterol, (one of the medicines in STIOLTO), without also using a medicine called an inhaled corticosteroid, have an increased risk of serious problems from asthma, including being hospitalized, needing a tube placed in their airway to help them breathe, or death.

Do not use STIOLTO if you are allergic to tiotropium, ipratropium, atropine or similar drugs, olodaterol, or any ingredient in STIOLTO.

Call your healthcare provider or get emergency medical care if you experience symptoms of a serious allergic reaction including: rash, hives, itching, swelling of the face, lips, tongue, throat, and difficulties in breathing or swallowing.

Get emergency medical care if your breathing problems worsen quickly or if you use your rescue inhaler but it does not relieve your breathing problems. Call your healthcare provider if breathing problems worsen over time while using STIOLTO.

Do not use STIOLTO more often than prescribed by your doctor. Do not use STIOLTO with other LABAs or anticholinergics.

Do not use STIOLTO for treating sudden breathing problems. Always have a rescue inhaler with you to treat sudden symptoms.

Tell your doctor about all your medical conditions including heart problems, high blood pressure, seizures, thyroid problems, diabetes, kidney problems, glaucoma, enlarged prostate, and problems passing urine.

STIOLTO can cause serious side effects, including sudden shortness of breath that may be life threatening, fast or irregular heartbeat, increased blood pressure, chest pain, tremor, headache, nervousness, high blood sugar, or low blood potassium that may cause muscle weakness or abnormal heart rhythm. If any of these happens, stop taking STIOLTO and seek immediate medical help.

STIOLTO can cause new or worsening eye problems including narrow-angle glaucoma, and can increase the pressure in your eyes, which can cause the following symptoms: eye pain, blurred vision, seeing halos or colored images along with red eyes. If you have any of these symptoms, stop taking STIOLTO and call your doctor right away.

STIOLTO can cause new or worsened urinary retention. Symptoms of urinary retention may include difficulty passing urine, painful urination, urinating frequently, or urinating in a weak stream or drips. If you have any of these symptoms, stop taking STIOLTO and call your doctor right away.

The most common side effects of STIOLTO are runny nose, cough, and back pain.

Tell your doctor about all the medicines you take, including prescription and over-the-counter medicines, eye drops, vitamins, and herbal supplements. STIOLTO and certain other medicines may affect each other.

STIOLTO is for oral inhalation only.

The STIOLTO cartridge is only intended for use with the STIOLTO RESPIMAT inhaler.

Do not spray STIOLTO into your eyes. Your vision may become blurred and your pupils may become larger (dilated).

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.FDA.gov/medwatch or call 1-800-FDA-1088.

Read the step-by-step patient Instructions for Use for STIOLTO RESPIMAT before you use your inhaler.

Please see full Prescribing Information, Patient Information, and Instructions for Use for STIOLTO RESPIMAT.

CL-STO-100047 6.5.2019