http://www.medications.com/effect/view/29332 I am a 61 year old male and I have COPD with 40% loss in lung function. My allergist started me on Advair 250/50 a couple of years ago. As I was still having trouble with shortness of breath, my internist put me on Spiriva, also. Breathing got easier, but Thu, 05 Mar 2009 14:16:25 -0500 http://www.medications.com/effect/view/29332?item=17717 I got off the cortizone as it was causing pneumonia and sinus infections read the label it says it can cause these but doctors ignor it no pneumonia for 5 years doctors still insisting I take steroids advair etc good luck Alan http://www.medications.com/effect/view/29332?item=17717