Spiriva (Tiotropium)

Spiriva (Tiotropium ) is used to manage the symptoms of a lung disease called chronic obstructive pulmonary disease (COPD). It works by opening up the airways to make breathing easier. Spiriva should not be used for treating sudden breathing problems. Always carry a quick-relief rescue inhaler with you for sudden asthma attacks. You should tell your doctor about all your medical conditions before starting the treatment. Make sure you use Spiriva exactly as instructed by your healthcare provider. If you have shortness of breath, blurred vision, or skin allergies after using Spiriva, get medical help right away.

Spiriva

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Select your dosage:

Brand Choices

Brand Spiriva Respimat Inhaler 2.5mcg
Product of United Kingdom United Kingdom Flag
Prescription Required
Manufactured by Product of UK
Brand Spiriva 18mcg
Product of New Zealand New Zealand Flag
Prescription Required
Manufactured by Boehringer Ingelheim
Brand Spiriva With Handihaler 18mcg
Product of United Kingdom United Kingdom Flag
Prescription Required
Manufactured by Product of UK
Brand Spiriva Refill Pack 18mcg
Product of United Kingdom United Kingdom Flag
Prescription Required
Manufactured by Product of UK
Brand Spiriva 18mcg
Product of Turkey Turkey Flag
Prescription Required
Manufactured by Boehringer Ingelheim
Brand Spiriva Caps 18mcg
Product of Canada Canada Flag
Prescription Required
Manufactured by Boehringer Ingelheim Ltd

Generic Alternatives

Generic Equivalent to Spiriva Rotacaps 18mcg (COMES WITH DEVICE)
Product of India India Flag
Prescription Required
Manufactured by Cipla Limited

Brand Choices

Brand Spiriva Respimat Inhaler 2.5mcg
Product of United Kingdom United Kingdom Flag
Prescription Required
Manufactured by Product of UK

Generic Alternatives

Generic options for this medication aren't available currently.

Brand Choices

Brand Spiriva 18mcg
Product of New Zealand New Zealand Flag
Prescription Required
Manufactured by Boehringer Ingelheim
Brand Spiriva With Handihaler 18mcg
Product of United Kingdom United Kingdom Flag
Prescription Required
Manufactured by Product of UK
Brand Spiriva Refill Pack 18mcg
Product of United Kingdom United Kingdom Flag
Prescription Required
Manufactured by Product of UK
Brand Spiriva 18mcg
Product of Turkey Turkey Flag
Prescription Required
Manufactured by Boehringer Ingelheim
Brand Spiriva Caps 18mcg
Product of Canada Canada Flag
Prescription Required
Manufactured by Boehringer Ingelheim Ltd

Generic Alternatives

Generic Equivalent to Spiriva Rotacaps 18mcg (COMES WITH DEVICE)
Product of India India Flag
Prescription Required
Manufactured by Cipla Limited

FREQUENTLY ASKED QUESTIONS (FAQs):

What is Spiriva Rotacaps?

Spiriva Rotacaps is a prescription medicine used to reduce the symptoms of a lung disease called chronic obstructive pulmonary disease (COPD). It belongs to a class of drugs called anticholinergics and contains the active ingredient Tiotropium bromide. Spiriva blocks the muscarinic receptors in the airways to relax the muscles. It helps to open up the airways and makes breathing easier.

Spiriva should not be used in pediatric patients.

Uses and Benefits of Spiriva

Spiriva is approved for the long-term treatment of the following health conditions:

  • Bronchospasm in patients with chronic bronchitis and emphysema (chronic obstructive pulmonary disease): Bronchospasm is the constriction of the muscles that line the airways within the lungs. It causes symptoms such as wheezing, chest pain, coughing, fatigue, and shortness of breath.

  • Chronic Obstructive Pulmonary Disease exacerbation: An exacerbation of COPD is a worsening of symptoms such as wheezing, cough, mucus, shortness of breath, fatigue, muscle weakness, and swelling of the legs or ankles.

Spiriva helps relieve bronchospasm in patients with COPD by opening the airways, and it also reduces exacerbations in COPD patients.

Side Effects of Spiriva

Patients using Spiriva may experience some common side effects, including:

  • dry mouth

  • upper respiratory tract infection, sinus infection

  • sore throat, runny nose

  • urinary tract infection

  • indigestion, constipation

  • increased heart rate

  • blurred vision

Spiriva may also cause adverse side effects that require medical attention, including:

  • Narrowing of the airways (Bronchospasm): It causes worsening of your symptoms such as coughing, wheezing, and shortness of breath.
  • Narrow-angle glaucoma, red eyes, eye pain, blurred vision, seeing colored rings.
  • Urinary retention, difficulty urinating, painful urination, ( symptoms of enlarged prostate or blockage in the bladder).
  • Severe allergic reactions, rash, swelling of your face, mouth, or tongue, and breathing problems.

If you notice symptoms that bother you, stop using medicine and call your doctor immediately.

How to use Spiriva?

Spiriva is for oral inhalation use only with the handihaler device. Do not swallow the Spiriva Rotacaps. The recommended dose is two inhalations of a Spiriva capsule once a day using a handihaler device. Read and follow all the instructions carefully before using a Spiriva handihaler.

Place a Spiriva capsule into the center chamber of the handihaler device. Put the mouthpiece in your mouth in a horizontal position. Press the green piercing button 1 time and breathe in 2 times. Do not shake the device. Never press the button more than one time and never take more than one dose in 24 hours.

Clean the device with warm water as needed and use it after drying it thoroughly.

Drug Interactions

Spiriva may interact with other medicines and cause adverse reactions in the body. Before using the inhaler, tell your doctors about all the medications you are taking, especially:

  • bronchodilator medication such as anticholinergics

  • antidepressants, anti-anxiety drugs

  • allergy medications

  • medicine for Parkinson's disease

  • medications to treat gastrointestinal disorders, or uterine problem

Taking birth control pills with Januvia can reduce the effectiveness of the drug. Therefore, patients should discuss with the doctor all their medical conditions and any other medicine or supplements they are taking to avoid any drug interactions. 

Safety Information

  • Do not use a Spiriva handihaler if you are allergic to any of the ingredients of the medicine and milk proteins.

  • Tell your doctor if you have had medical conditions such as glaucoma, an enlarged prostate, kidney, or bladder problems.

  • Consult your doctor about the safety of the medicine if you are pregnant or breastfeeding.

  • Do not use a Spiriva handihaler to relieve sudden breathing problems, and always keep a rescue inhaler with you all the time.

  • Patients with kidney problems should be monitored closely.

  • Avoid getting the powder into your eyes as it may cause blurred vision and pupil dilation.

  • Do not drive or use heavy machinery just after using a Spiriva handihaler.

Reference:

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October 18, 2021

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FL , United Kingdom

September 09, 2021

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VT, United States

September 21, 2021

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VA, United States

August 11, 2021

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OK, United States

July 16, 2021

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