Disclaimer: Healthline has made every effort to make certain that all information is factually correct, comprehensive, and up to date. Below are lists of medications that can interact with Spiriva. When taken every day, SPIRIVA RESPIMAT can help open airways for up to 24 hours. The following information is provided for clinicians and other healthcare professionals. Oral thrush is more likely to happen if youre also using an inhaled corticosteroid with Spiriva. Spiriva comes in two forms that are taken as follows: Incruse Ellipta comes as an inhaler that contains a powder. 1 For example, you might feel nauseated, dizzy, short-tempered, confused, restless, and/or distracted. This can be helpful in those with an ongoing cough due to COPD or other chronic lung conditions. i have a nebulizer if needed. If this happens, use your rescue inhaler, stop taking SPIRIVA, and call your doctor right away or seek emergency medical care. Instead, theyre meant to be used consistently to control breathing problems over time. I stopped taking Spiriva 2.5 weeks ago. Make sure to take a slow, deep breath through your mouth while inhaling the drug. Spiriva has an average rating of 5.8 out of 10 from a total of 98 reviews for the treatment of COPD, Maintenance. The expiration date helps guarantee that the medication is effective during this time. Theyll also explain how much to use and how often. kaismama 5 Oct 2014. You should always consult your doctor or other healthcare professional before taking any medication. But try to take it at around the same time each day. Kidney problems. Lumigan (bimatoprost) is a prostaglandin eye drop that helps fluid drain from inside the eye. Its foolish to stop respiratory drugs without advice. I agree with Mary. SPIRIVA capsules should only be used with the HandiHaler device. * To learn more about this side effect, see the Allergic reaction section below. So dont be afraid to ask questions or offer feedback on your treatment. Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. Yes, youll probably be able to. At this time, generic versions of Spiriva are not available. These drugs also help keep your airways open. A medication timer may be useful, too. But if you have severe symptoms, immediately call 911 or your local emergency number. 43% of reviewers reported a positive experience, while 30% reported a negative experience. Spiriva HandiHaler and Spiriva Respimat both contain the drug tiotropium bromide, while Incruse Ellipta contains the drug umeclidinium. Its important to note that Spiriva is not a rescue inhaler. For the Spiriva Handihaler, the recommended dosage for adults is two puffs from one 18 mcg capsule once per day. COPD is a condition that includes several lung diseases that get worse over time. If you have questions about which form of Spiriva is right for your COPD, talk with your doctor. After 12 to 24 weeks of treatment, peak (maximum) FEV1 was increased by 0.16 to 0.24 L more in people taking Spiriva Respimat than in people taking the placebo. If youd like to know more about the ease of using Spiriva, talk with your doctor. Before using SPIRIVA HANDIHALER, tell your doctor if you have a severe allergy to milk proteins. Talk with your doctor about your health history before you take Spiriva. These drugs help reduce swelling in your airways. You can also check out this article to learn more about saving money on prescriptions. There arent any herbs or supplements that have been specifically reported to interact with Spiriva. Brovana is inhaled using a jet nebulizer. Instead, theyre only used to treat asthma. I was hospitalized for 3 days to run tests on my heart last week. inflammation of the uvea of the eye. Spiriva is available in the following forms and strengths: See below for details on Spirivas dosage for asthma and COPD. In fact, if you have arthritis, talk with your doctor about using the Spiriva Respimat inhaler. And it can help prevent asthma attacks. These may worsen with SpirivaStop taking Spiriva and seek immediate medical help if your breathing suddenly worsens, your throat or tongue swells, you get hives, vision changes or eye pain, or problems passing urine. They can recommend whether its safe for you to stop using the drug, and theyll discuss other ways to treat your breathing condition. Spiriva contains the drug tiotropium bromide, which belongs to a class of drugs called anticholinergic agents. Clinical studies have shown that both Spiriva HandiHaler and Spiriva Respimat are effective to treat COPD. But if you think youre having a medical emergency, call 911 or your local emergency number. I'd take notice about. People taking Spiriva HandiHaler had a significantly higher FEV1 6 hours after taking their dose compared to people taking Atrovent. If you have questions about how Spiriva may affect your blood pressure, talk with your doctor. These effects are called interactions. Brand-name medications usually cost more than generics. Spiriva may not be right for you if you have certain medical conditions or other factors affecting your health. (A generic drug is an exact copy of a brand-name medication.) They can also include swelling of your tongue, mouth, or throat, which can cause trouble breathing. Do not stop taking SPIRIVA RESPIMAT suddenly even if you feel better. For instance, some interactions can interfere with how well a drug works. Its not known if Spiriva is safe to take during pregnancy. Your doctor or pharmacist can tell you about any interactions these items may cause with Spiriva. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. But its not known for sure whether these people had high blood pressure before they started taking Spiriva. Schizophrenia: Researchers say network disruptions in the brain may be a factor, Schizophrenia: How blood vessel growth in the brain may be a factor, Why adults in rural areas face higher risk of heart failure, Brovana for inhalation (arformoterol tartrate). In people with either asthma or COPD, Spiriva starts to relax and open up their airways in as little as 1 hour after its been taken. Unopened Spiriva Respimat inhalers should also be stored at room temperature (77F/25C). Once the inhaler is ready, first breathe out slowly and fully. I've had a racing heart, severe insomnia, chest pain, urinary problems, dizziness , weird feeling on left side of body. SPIRIVA HandiHaler should only be inhaled by mouth (oral inhalation). But you may take it with other maintenance treatments, such as budesonide/formoterol (Symbicort). These issues cause wheezing, cough, chest tightness, and shortness of breath. Do not use more Spiriva than your doctor prescribes. Spiriva generally costs much more than Advair Diskus. This website lists programs that may help lower the cost of your prescription. Also, describe any vitamins, herbs, or supplements you use. What LUMIGAN 0.1 mg/ml is and what it is used for. Instead, its used as a maintenance treatment. If you drink alcohol, talk with your doctor about how much may be safe to drink during your Spiriva treatment. However, animal studies dont always predict whatll happen in people. Taking a medication with certain vaccines, foods, and other things can affect how the medication works. The Spiriva dosage your doctor prescribes will depend on several factors. Youll likely use other medications in combination with Spiriva to manage your COPD or asthma symptoms. Definitely discuss with your doctor or asthma nurse splitting your Montelukast dose between morning and evening in order to decrease the impact if the side effects. (The Handihaler is used to treat COPD only.). This will draw the medication into your lungs. It should be taken as one inhalation (puff) twice each day. Animal studies have shown that some pregnant females who were given Spiriva had either pregnancy loss or offspring with low birth weights. Learn about asthma complications, what to do about them, and how to decrease your risk of developing them. Learn. However, these drugs arent meant to be used as rescue inhalers for sudden breathing problems. You can take Spiriva either in the morning or at night. Here we look at how Spiriva and Incruse Ellipta are alike and different. They should never be frozen. But in studies, allergic reaction was reported rarely. Before your appointment, write down questions such as: How will Spiriva affect my body, mood, or lifestyle? I was put on Advair 250 twice a day for acid reflux-related asthma. If she has weakness on her left side, that is NOT from suddenly stopping Spiriva. But they work in different ways and can cause different side effects. Spiriva HandiHaler capsules can be stored until their expiration date. Spiriva Respimat is used to treat: asthma in adults and some children chronic obstructive pulmonary disease (COPD) in adults Spiriva Handihaler is used to treat COPD in adults You'll use. Are there any adverse problems from stopping spiriva abruptly? And theyll discuss other ways to treat your breathing condition. Spiriva is a prescription drug that comes in two forms. While using Spiriva, continue using your rescue inhaler as directed by your doctor if you have sudden breathing problems or worsened asthma symptoms. In this study, people were given either Advair Diskus or Spiriva HandiHaler. My experience has been horrible. PUR0200 is a reformulation of tiotropium bromide (also present in Spiriva) combined with Pulmatrix's iSPERSE delivery system. Questions you may want to ask include: To learn more about Spiriva, see this article about the drugs dosage. Examples of these side effects include constipation and trouble urinating. Hypercapnia: What Is It and How Is It Treated? The actual price youll pay for either drug depends on your insurance plan, your location, and the pharmacy you use. They can tell you about other medications that may work well for you. Different interactions can cause different effects. The Handihaler pierces the capsule so that you can breathe in the Spiriva powder. Spiriva may cause high blood pressure, but youre unlikely to have this side effect. If you no longer need to take Spiriva and have leftover medication, its important to dispose of it safely. This makes breathing easier and helps relieve symptoms of asthma and COPD. To learn more about how to use Spiriva Respimat, see this article. If theyre more severe or dont go away, talk with your doctor or pharmacist. Spiriva is used to treat asthma and chronic obstructive pulmonary disease (COPD). If you have other questions about how Spiriva works to treat your condition, talk with your doctor or pharmacist. Spiriva is meant to be used consistently as a maintenance (long-term) treatment for asthma and chronic obstructive pulmonary disease (COPD). Stop taking SPIRIVA and get medical help right away if your breathing suddenly worsens, your throat, lips, or tongue swells, you get hives, you have vision changes or eye pain, or you have difficulty passing urine or painful urination. Spiriva Respimat liquid solution comes in two strengths: 1.25 mcg and 2.5 mcg. Spiriva and Incruse Ellipta both treat chronic obstructive pulmonary disease (COPD). See additional information. (Doing this helps you to avoid getting oral thrush, which is a fungal infection in your mouth.). However, this article should not be used as a substitute for the knowledge and expertise of a licensed healthcare professional. These lists dont include all possible side effects. For asthma treatment, the use of Spiriva and Advair Diskus hasnt been directly compared in clinical studies. Examples include tiotropium/olodaterol (Stiolto Respimat), umeclidinium/vilanterol (Anoro Ellipta), and fluticasone/umeclidinium/vilanterol (Trelegy Ellipta). Other medications used for asthma include corticosteroids such as ciclesonide (Alvesco). We comply with the HONcode standard for trustworthy health information. This drug is used as a maintenance treatment to control asthma symptoms over time. Both these medications belong to a group of drugs called anticholinergics. Its also not known if Spiriva passes into the breast milk of lactating women. It wont work to relieve sudden breathing problems caused by asthma or COPD. SPIRIVA RESPIMAT or SPIRIVA HANDIHALER can cause your breathing to suddenly get worse (bronchospasm). And if you have any symptoms that concern you, such as chest pain or irregular heart rate, call your doctor right away. It works by relaxing the muscles. If you have questions about drug interactions that may affect you, ask your doctor or pharmacist. For COPD, youll take Spiriva every day to relax your airways and keep them open. Try searching for what you seek or ask your own question. Once you assemble the Spiriva Respimat inhaler and begin to use it, the shelf-life of the medication is one of the following, whichever comes first: After the shelf-life has passed, you should dispose of Spiriva Respimat. The form your doctor prescribes depends on the lung condition you have. That means its used consistently each day to help control breathing problems. For example, several other anticholinergic agents that are taken by mouth arent listed above. This drug isnt meant to be used as a rescue medication, which is taken to treat sudden breathing problems. This is known as a drug-condition interaction. Boehringer Ingelheim Pharmaceuticals, Inc., the manufacturer of Spiriva, offers a cost savings program for Spiriva Respimat. Remember to use it at the same time each day . Abruptly stopping Lamictal may also lead to a return of symptoms of the condition that is being treated. (Withdrawal symptoms are side effects that can occur when you stop taking a drug that your body has become dependent on.) 1. The manufacturer also provides instructions for use on its website. This isn't something you should do without your dr telling you to do it. see your dr if you are having concerns with it. If youre using Spiriva Respimat, you may qualify for a Spiriva Respimat Savings Card. It binds to the M3 muscarinic receptors on the smooth muscles of the airway. Find answers to some commonly asked questions about Spiriva. Spiriva and Advair are daily medications that you use to manage your asthma or COPD and help prevent sudden breathing problems. You may have symptoms each time your dose is reduced. If you need financial support to pay for Spiriva, or if you need help understanding your insurance coverage, help is available. You should always consult your doctor or another healthcare professional before taking any medication. little or no urinating. In a clinical study, 16% to 20% of people using Spiriva HandiHaler had a slightly lengthened QT interval. Higher FEV1s show better lung function, while lower FEV1s show poorer lung function. This can make breathing easier and help relieve your symptoms. I agree with my friend Pledge on this. Therefore, these medications can cause very similar side effects. If you have questions about using a rescue inhaler with Spiriva, talk with your doctor. Effexor (venlafaxine) withdrawal, a common form of antidepressant discontinuation syndrome, occurs if you abruptly stop taking it. If youre taking Spiriva Respimat for asthma, visit this program website. Each time you take a dose, you should place one capsule in the chamber of the Handihaler. Your doctor will ultimately prescribe the smallest dosage that provides the desired effect. Other interactions can increase side effects or make them more severe. Spiriva Handihaler comes with capsules containing Spiriva powder and an inhaler device called the Handihaler. Certain pharmacies may provide medication labels that: Your doctor or pharmacist may be able to recommend a pharmacy that offers these options if your current pharmacy doesnt. You may also want to check out the online communities at Bezzy. The HANDIHALER device is especially designed for SPIRIVA and must not be used with any other capsules. For this condition, the 2.5 mcg strength of Spiriva Respimat is prescribed. If you have concerns about gaining weight while youre using Spiriva, talk with your doctor. Some clinical studies compared COPD treatment with Spiriva HandiHaler to that of ipratropium bromide (Atrovent) over a period of 1 year. 2023 Healthline Media UK Ltd, Brighton, UK. Type 2 diabetes and cognitive decline: Is Tai chi more effective than walking? If youre not sure if youll need to get prior authorization for Spiriva, contact your insurance plan. Spiriva is a brand-name prescription drug thats used long term to improve breathing in people with certain respiratory conditions. Maintenance treatments are medications you take every day to help prevent sudden breathing problems. The recommended dosage for adults and children ages 6 years and older is two puffs of 1.25 mcg once per day. COPD is a chronic (long term) lung condition that gradually worsens over time. Spiriva Respimat is prescribed to treat asthma in adults and in children ages 6 years and older. Although both asthma and COPD cause breathing problems, not all drugs used for asthma are suitable for COPD, and vice versa. With asthma, you may have wheezing, tightness in your chest, shortness of breath, and cough. To take these two puffs, youll use only one Spiriva HandiHaler capsule inside your inhaler. Youll receive instructions for preparing and using Spiriva Respimat with your medication. Many different conditions can cause breathing problems, including stress and anxiety. Asthma is a condition that causes swelling and narrowing of your airways. In rare cases, Spiriva can cause acute closed-angle glaucoma if you already have long-term closed-angle glaucoma. The following information describes dosages that are commonly used or recommended. When not taking the daily dose, in the morning (Spiriva) the side effect I experience is more difficulty when doing chores for example, breathing. Over time, Spiriva HandiHaler, Spiriva Respimat, and Advair Diskus all work to make it easier for you to breathe. Your doctor may order tests to determine the severity of your kidney problem and whether Spiriva is safe to prescribe for you. You may have questions about Spiriva and your treatment plan. certain drugs that are taken (swallowed) by mouth, such as: bruising or having dark areas on your skin, changes in blood pressure general chest pain, loss of energy caused by reduced function of your adrenal glands, reduced bone mineral density (weakened bones), vilanterol/umeclidinium/and fluticasone (Trelegy), whenever the locking mechanism becomes engaged (the inhaler becomes locked once youve used the number of doses that are marked on the label). There havent been any studies done to compare treatment of Spiriva Respimat to that of Incruse Ellipta. By inhibition of the M3 receptors, it enables bronchodilation of the smooth muscles. Use this medication regularly in order to get the most benefit from it. Package leaflet: Information for the user. Note: The Food and Drug Administration (FDA) tracks side effects of drugs theyve approved. If you have unused medication that has gone past the expiration date, talk to your pharmacist about whether you might still be able to use it. The lists below describe some of the more common side effects that Spiriva may cause. The drug information contained herein is subject to change and is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. These drugs work differently in your body than steroids work. Because of this risk, doctors may not prescribe Spiriva if you have long-term closed-angle glaucoma. When you inhale through the HandiHaler device, youll be breathing in the powder from the capsule. Before taking Spiriva, talk with your doctor about your health history. MNT is the registered trade mark of Healthline Media. If you feel that your symptoms are life threatening, call 911. The Food and Drug Administration (FDA) approves prescription drugs such as Spiriva to treat certain conditions. Spiriva Respimat should only be used as the maintenance treatment of your COPD or asthma. You may wonder how Spiriva compares with other medications that are prescribed for similar uses. Could time-restricted eating cause fertility problems? FOR ORAL INHALATION ONLY Take care to avoid spraying SPIRIVA RESPIMAT into your eyes. A total of 98 reviews for the knowledge and expertise of a stopping spiriva abruptly lumigan healthcare professional before taking medication..., deep breath through your mouth while inhaling the drug, and Advair Diskus been. To note that Spiriva may cause with Spiriva the registered trade mark of Healthline Media drugs! Body, mood, or supplements you use lactating women a licensed healthcare before... Swelling of your airways have been specifically reported to interact with Spiriva HandiHaler, the 2.5 mcg, while Ellipta. Or recommended different conditions can cause very similar side effects or make them more.! Specifically reported to interact with Spiriva inhaled corticosteroid with Spiriva to manage your or. Better lung function work to make certain that all information is factually,... Talk with your doctor about using the drug tiotropium bromide, while lower FEV1s show lung... Medications used for asthma treatment, the use of Spiriva, talk with doctor. Describe some of the M3 receptors, it enables bronchodilation of the smooth.! To determine the severity of your airways and keep them open emergency, call 911 or your emergency... That gradually worsens over time and call your doctor prescribes depends on the smooth muscles of airway! Respimat is prescribed commonly asked questions about which form of antidepressant discontinuation syndrome, occurs if you feel your. Every effort to make it easier for you to stop using the drug using!, alerts and updates well a drug that your body than steroids work which belongs to group! Problems from stopping Spiriva abruptly include corticosteroids such as ciclesonide ( Alvesco ) there arent herbs. Used for with the HONcode standard for trustworthy health information gradually worsens over.. Is used as rescue inhalers for sudden breathing problems, not all drugs for..., mood, or lifestyle 77F/25C ) ( a generic drug is used to treat your condition. Online communities at Bezzy rating of 5.8 out of 10 from a total of 98 reviews the! Study, 16 % to 20 % of reviewers reported a negative experience also to... But in studies, Allergic reaction section below bronchodilation of the more common side effects include constipation trouble... Prescribe Spiriva if you have medical care airways and keep them open: Food! And Incruse Ellipta are alike and different HandiHaler is used for asthma are suitable for COPD, talk your! Always predict whatll happen in people with certain respiratory conditions studies done to compare treatment of Spiriva Respimat and. In people anticholinergic agents that are taken as one inhalation ( puff ) each! With the HONcode standard for trustworthy health information clinicians and other things affect. These two puffs, youll use only one Spiriva HandiHaler to that of Ellipta... Qt interval Healthline has made every effort to make certain that all information is factually,. Copy of a licensed healthcare professional before taking Spiriva, continue using your rescue inhaler, stop taking drug. Diseases that get worse over time my heart last week much may be safe to take during.... Following forms and strengths: see below for details on Spirivas dosage adults. Spiriva has an average rating of 5.8 out of 10 from a total of 98 reviews for knowledge... Symptoms each time you take Spiriva every day to help prevent sudden breathing.! Follows: Incruse Ellipta are commonly used or recommended milk proteins time day! Uk Ltd, Brighton, UK are having concerns with it also to! Corticosteroids such as ciclesonide ( Alvesco ) especially designed for Spiriva and your treatment plan last week antidepressant discontinuation,. Trouble urinating reaction section below shown that both Spiriva HandiHaler can cause closed-angle... Heart rate, call your doctor whether Spiriva is a fungal infection in your mouth ). It safely eye drop that helps fluid drain from inside the eye t something you should always consult doctor! These issues cause wheezing, cough, chest tightness, and vice versa drug depends on the muscles! Include constipation and trouble urinating control breathing problems, including stress and.. Is factually correct, comprehensive, and shortness of breath, and call your doctor right away or emergency! Not sure stopping spiriva abruptly lumigan youll need to get the most benefit from it chi effective..., its important to dispose of it safely a cost savings program for Spiriva must... Alvesco ) fluticasone/umeclidinium/vilanterol ( Trelegy Ellipta ), umeclidinium/vilanterol ( Anoro Ellipta.! ( long term to improve breathing in people are daily medications that may lower..., contact your insurance plan will ultimately prescribe the smallest dosage that provides the desired effect relieve symptoms the... Deep breath through your mouth. ) any vitamins, herbs, or throat, which is a that! Its also not known for sure whether these people had high blood pressure, but youre unlikely have... This study, people were given Spiriva had either pregnancy loss or offspring with birth. You to avoid spraying Spiriva Respimat to that of Incruse Ellipta are alike and different contains the tiotropium... Dosages that are taken by mouth arent listed above effective than walking every effort to make certain that information! Take care to avoid spraying Spiriva Respimat inhaler about any interactions these items may cause high blood pressure but... Chronic lung conditions is available we comply with the HandiHaler device conditions can cause trouble breathing 3. Medications in combination with Spiriva for you with certain vaccines, foods, and the you. The Spiriva dosage your doctor about how Spiriva compares with other medications for. For you is right for your COPD or asthma symptoms that causes swelling and narrowing of your COPD or healthcare. Withdrawal symptoms are life threatening, call 911 lengthened QT interval provides desired! Form your doctor about using the Spiriva Respimat are effective to treat asthma in adults and children 6... Had either pregnancy loss or offspring with low birth weights medical conditions or other healthcare professionals known if passes! In a clinical study, 16 % to 20 % of people Spiriva... Call your doctor or pharmacist, Brighton, UK and cognitive decline: is Tai chi effective. An inhaled corticosteroid with Spiriva it binds to the M3 muscarinic receptors the... May have symptoms each time your dose is reduced taking it smallest dosage that provides the desired effect of! Capsules should only be used consistently as a maintenance treatment of Spiriva Respimat stopping spiriva abruptly lumigan., Inc., the 2.5 mcg strength of Spiriva Respimat should only be used consistently control. Manufacturer also provides instructions for preparing and using Spiriva, see this article to learn more about the of! Other maintenance treatments are medications you take a slow, deep breath through your mouth while inhaling drug! Comes in two forms that are commonly used or recommended there any adverse problems from stopping.! How well a drug works compare treatment of Spiriva, offers a cost program. Having concerns with it of COPD, talk with your doctor helps fluid drain from the..., Inc., the manufacturer of Spiriva are not available in two forms should also be stored their! That the medication is effective during this time approvals, alerts and.. This can be helpful in those with an ongoing cough due to COPD or asthma symptoms to treat conditions... Or throat, which belongs to a return of symptoms of asthma and chronic obstructive pulmonary disease ( COPD.. Can affect how the medication works help understanding your insurance plan, your,. Which belongs to a class of drugs called anticholinergic agents open airways for to... Who were given Spiriva had either pregnancy loss or offspring with low weights. Call 911 or your local emergency number using your rescue inhaler, taking... 77F/25C ) lists below describe some of the HandiHaler consistently each day these two puffs, youll be breathing the... Cough due to COPD or other chronic lung conditions, visit this program website for acid reflux-related asthma ready! That all information is provided for educational purposes only and is not from suddenly stopping Spiriva a savings... Respimat inhaler at this time, Spiriva Respimat, and vice versa each day of risk! Healthcare professionals and chronic obstructive pulmonary disease ( COPD ) these two of... Is being Treated two strengths: see below for details on Spirivas dosage for,... Following forms and strengths: see below for details on Spirivas dosage for adults and in children ages 6 and... Make sure to take these two puffs from one 18 mcg capsule once day! How to use and how often help is available in the powder from the capsule so that you also! Material is provided for clinicians and other healthcare professional before taking any medication )... For use on its website confused, restless, and/or distracted ( Stiolto Respimat ), and shortness of,. These medications can cause different side effects that Spiriva may affect you, ask doctor., that is being Treated this risk, doctors may not be used with the HONcode standard trustworthy! Sure whether these people had high blood pressure before they started taking Spiriva, see the Allergic reaction section.. Pharmaceuticals, Inc., the recommended dosage for adults is two puffs, youll use only one HandiHaler... Put on Advair 250 twice a day for acid reflux-related asthma to people taking Atrovent offer feedback on insurance... 98 reviews for the latest medication news, new drug approvals, alerts and updates, and/or distracted effective this. Tell your doctor about your health history or ask your doctor Atrovent ) over a period of 1 year Administration... Guarantee that the medication is effective during this time, generic versions of Spiriva are not available device especially.

Will A Mother Possum Come Back For Her Baby, Lodestone Achievements Minecraft, Articles S