Can you take spriva with ipratropium and Albuterol?

I've done it but I didn't like it. I have a prescribed Albuteral inhaler and it makes me shake like the dickens. I just take 2 Primatene tabs and I'm good. I guess you could buy the Primatene inhaler because I noticed faster and stronger effects from the inhaler version of Ephedrine. However, the inhaler seems to be shorter lived. Bottom line is that it might be dangerous to take 1 or 2 tabs and then use any inhalation bronchodilator on top of it. I did have an alergist tell me that I should use my inhaler before any work outs but Im not sure if this is right for you. It's too bad that we can't find doctors that can say stuff that is "outside the box" to help minimize risks at the gym. The internet can connect a lot of people with experience but we are all different. Personally, I loved taking a product that was called "Max-Alert" tablets but I can no longer find them. But I think all they were was Bronkaid or Primatene like tablets in higher dosage. I only wish I knew what dosage that was so I could equate that to the Bronkaid or Primatene. Anyway sorry to finish my answer with a question. Like I said I've done both the tabs and inhaler and it did stimulate me but the inhaler made me shaky and I didn't feel as stimulated as I liked.