Can I take Asaris and Spiriva additionally use Spiolto or Berotec?

You cannot additionally take these medicines without consulting your doctor. Spirivia and Spiolto Respimat contain exactly the same active substance (tiotropium) and it is possible to take too high a dose of this active substance unjustifiably. Spiolto also contains olodaterol, but you are already taking a bronchodilator, Salmeterol, as Asaris. Similarly, Berotec contains fenoterol - another bronchodilator compound. The use of several different drugs with the same mechanism of action is possible in very exceptional situations and should be proposed by a doctor familiar with the case along with the exact dosage. I enclose materials that may be helpful: https://www.gdziepolek.pl/artykuly/jak-zyc-aktywnie-z-astma https://www.gdziepolek.pl/artykuly/przewlekla-obturacyjna-choroba-pluc-pochp