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Spiriva (Tiotropium Bromide)

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Full information about Spiriva

Spiriva

Spiriva (tiotropium bromide) is medication for the daily maintenance of asthma in adults and children 6 years old and up. It should not be used as an emergency inhaler to treat wheezing, trouble breathing, or a bronchospasm. Spiriva is available in two forms:

  • Spiriva Respimat
  • Spiriva Handihaler

Buy Spiriva Online at North Drugstore.

The following text is for informational purposes only and every effort was made to ensure the accuracy of the information. North Drugstore is an online Canadian and international prescription service that sources medication from dispensaries all over the world. We do not supply any medication without a prescription. Only your doctor or healthcare provider may prescribe Spiriva, or any other medication. If you have questions about your Spiriva prescription, consult the product information or speak to your doctor. All North Drugstore prescription medication information should be read as supplemental to the advice given by doctors and official product literature. The information about side effects and safety warnings is incomplete.

About Spiriva

Keep out of reach of children and pets. Store at room temperature. Do not take more than was prescribed to you. Do not take Spiriva unless it was prescribed by your doctor. Do not give someone medication that wasn’t prescribed to them. Take Spiriva at the same time every day.

The contents of the capsule should only be inhaled through your mouth using the Handihaler device. Do not spray Spiriva Respimat into your eyes, as this may cause blurring of vision and pupil dilation. Tell your doctor about all your medical conditions including kidney problems, glaucoma, enlarged prostate, problems passing urine, or blockage in your bladder. Tell your doctor all the medicines you take, including eye drops. Ask your doctor if you are taking any anticholinergic medicines because taking them together with Spiriva can increase side effects. Do not use Spiriva Respimat and Spiriva Handihaler together.

How to Use Spiriva Respimat

Take two puffs twice daily unless otherwise indicated by your doctor. Before initial use, your Spiriva Respimat inhaler should be primed. Read the product literature or ask your doctor for a demonstration.

  1. Turn the base
  2. Remove cap and place lips around the mouthpiece
  3. Press all the way down as you inhale deeply.

How to Use Spiriva Handihaler

Take at the same time every day, unless otherwise indicated by your doctor. Ask your doctor for a demonstration if you aren’t sure how to use your Spiriva Handihaler. Do not swallow your Handihaler capsules.

  1. Press green button to open the lid. Pull the cap away from base to expose the mouthpiece. Open the mouthpiece.
  2. Remove a Spiriva capsule from the blister pack and insert it into the Handihaler.
  3. Pierce the Spiriva capsule with the green button.
  4. Release a deep breath to empty out your lungs. Place lips firmly around the mouthpiece and breathe in deeply, then hold your breath for a few seconds as you remove the Handihaler. If you are inhaling correctly, you should hear the capsule rattle.
  5. Repeat one more time.

Important Health & Safety Information

This is not a complete publication of Spiriva’s important health and safety information. Consult your doctor or the product literature for more information. According to the official Spiriva patient information leaflet:

  • Do not use Spiriva Respimat or Spiriva Handihaler if you are allergic to tiotropium, ipratropium, atropine or similar drugs, or any ingredient in these medicines.
  • Spiriva Respimat and Spiriva Handihaler are not rescue medicines and should not be used for treating sudden breathing problems. Your doctor may give you another medicine to use for sudden breathing problems.
  • Spiriva Respimat and Spiriva Handihaler can cause allergic reactions. Symptoms can include raised red patches on your skin (hives), itching, rash and/or swelling of the lips, tongue, or throat that may cause difficulty in breathing or swallowing. If you have any of these symptoms, stop taking the medicine and seek emergency medical care.
  • Before using Spiriva Handihaler, tell your doctor if you have a severe allergy to milk proteins.
  • Spiriva Respimat and Spiriva Handihaler can cause your breathing to suddenly get worse (bronchospasm). If this happens, use your rescue inhaler, stop taking Spiriva, and call your doctor right away or seek emergency medical care.
  • Spiriva Respimat and Spiriva Handihaler can increase the pressure in your eyes (acute narrow-angle glaucoma) which can cause the following symptoms: eye pain, blurred vision, seeing halos or colored images along with red eyes. If you have any of these symptoms, stop taking your medicine and call your doctor right away.
  • Dizziness and blurred vision may occur with Spiriva Respimat and Spiriva Handihaler. If you experience these symptoms, use caution when engaging in activities such as driving a car, or operating appliances or machinery.
  • Spiriva Respimat and Spiriva Handihaler can cause new or worsened urinary retention. Symptoms of blockage in your bladder and/or enlarged prostate may include difficulty passing urine and/or painful urination. If you have any of these symptoms, stop taking your medicine and call your doctor right away.

Possible Side Effects of Spiriva

This is not a complete publication of Spiriva’s possible side effects. Consult your doctor or the product literature for more information. According to the official Spiriva patient information leaflet:

The most common side effects with Spiriva Respimat in adult patients with asthma were:

  • sore throat, headache, bronchitis, and sinus infection; the side effect profile for adolescent and pediatric patients was comparable to that observed in adult patients with asthma.
  • The most common side effects with Spiriva Respimat in adult patients with asthma were:

  • sore throat, headache, bronchitis, and sinus infection; the side effect profile for adolescent and pediatric patients was comparable to that observed in adult patients with asthma.
  • The most common side effects reported with Spiriva Handihaler in patients with COPD include:

  • upper respiratory tract infection, dry mouth, sinus infection, sore throat, non-specific chest pain, urinary tract infection, indigestion, runny nose, constipation, increased heart rate, and blurred vision.

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