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Spiriva. Active substance : tiotropium. Therapeutic class : bronchodilator. Spiriva is used in the long term treatment of chronic obstructive pulmonary disease (COPC).

Spiriva. Active substance : tiotropium. Therapeutic class : bronchodilator. Spiriva is used in the long term treatment of chronic obstructive pulmonary disease (COPC).

Spiriva. Active substance : tiotropium. Therapeutic class : bronchodilator. Spiriva is used in the long term treatment of chronic obstructive pulmonary disease (COPC).

Spiriva. Active substance : tiotropium. Therapeutic class : bronchodilator. Spiriva is used in the long term treatment of chronic obstructive pulmonary disease (COPC).

Traffic jam on the A40 motorway or Ruhrschnellweg, in front of a long-term construction site between Essen and Gelsenkirchen, bus lane with a guided bus on the central lane, North Rhine-Westphalia, Germany, Europe

Workers prepare transuranic nuclear waste from America's nuclear weapons program for long-term storage at the Waste Isolation Pilot Plant, here a fork lift moves a TRUPACT shipping container used to transport nuclear waste by truck from distant places.; t

Workers prepare transuranic nuclear waste from America's nuclear weapons program for long-term storage at the Waste Isolation Pilot Plant, here a worker checks radiation levels on the outside of storage containers because they are stored in rooms carved o

Long-term exposure of a Ferris wheel behind the statue of Karl Marx and Friedrich Engels, Berlin, Germany, Europe

Lignite-fired power plant, Schkopau am See power plant at sunrise, long-term exposure, Saxony-Anhalt, Germany, Europe

Long-term exposure of a Ferris wheel behind the statue of Karl Marx and Friedrich Engels, Berlin, Germany, Europe

Waterfall flows over rocky outcrop, long term exposure, River Cold Spring Creek, Tamanawas Falls, Oregon, USA, North America

Long, dense traffic jam on the highway A40, so-called Ruhrschnellweg, in front of a long-term construction site between Essen and Gelsenkirchen, Ruhrgebiet region, North Rhine-Westphalia, Germany, Europe

Waterfall, long-term image, McArthur-Burney Falls Memorial State Park, California, USA, North America

Long, dense traffic jam on the highway A40, so-called Ruhrschnellweg, in front of a long-term construction site between Essen and Gelsenkirchen, Ruhrgebiet region, North Rhine-Westphalia, Germany, Europe

Long, dense traffic jam on the highway A40, so-called Ruhrschnellweg, in front of a long-term construction site between Essen and Gelsenkirchen, Ruhrgebiet region, North Rhine-Westphalia, Germany, Europe

Trees with colourful autumn colours, red orange leaves, autumn vegetation at the river Marion Creek, long-term photo, Oregon, USA, North America

Long, dense traffic jam on the highway A40, so-called Ruhrschnellweg, in front of a long-term construction site between Essen and Gelsenkirchen, Ruhrgebiet region, North Rhine-Westphalia, Germany, Europe