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Spivak pronoun. The Spivak pronouns are a set of gender-neutral pronouns in English promulgated on LambdaMOO based on pronouns used by Michael Spivak. Though not in widespread use, they have been employed in writing for gender-neutral language by those who dislike the standard terms he/she or singular they.
A: Spiriva (tiotropium) is a bronchodilator that helps prevent bronchospasm or narrowing of the airways. It is primarily used to treat chronic obstructive pulmonary disease (COPD), including chronic bronchitis and emphysema.Spiriva works by preventing bronchospasm attacks.piriva is the brand name of the prescription drug tiotropium, which is used to treat people with certain lung conditions.