Generic Name: Spiriva Brand Name(s): Spiriva.

Uses

What is Spiriva® (tiotropium) used for?

Spiriva® is a bronchodilator that relaxes muscles in the airways and increases air flow to the lungs.

Spiriva® is used to prevent bronchospasm (narrowing of the airways in the lungs) in adults with COPD (chronic obstructive pulmonary disease), including bronchitis and emphysema.

Spiriva® is also used to prevent asthma attacks in adults and children who are at least 6 years old.

How should I take Spiriva® (tiotropium)?

Use Spiriva® exactly as prescribed by your doctor. The usual dose of this medicine is 2 inhalations through the mouth once daily. Follow all directions on your prescription label. Do not use this medicine in larger or smaller amounts or for longer than recommended.

Spiriva® is not a rescue medicine. It will not work fast enough to treat a COPD flare-up. Your doctor may prescribe a fast-acting inhalation medicine to treat a bronchospasm attack. Tell your doctor if it seems like your medications don’t work as well.

Read all patient information, medication guides, and instruction sheets provided to you. Ask your doctor or pharmacist if you have any questions.

Any child using Spiriva® inhalation should be supervised by an adult while using this medicine.

Tiotropium inhalation powder (Spiriva HandiHaler) is packaged in capsules that come with a special inhaler device. Each time you use the medicine, load a capsule into the device and click the mouthpiece closed. Push the button on the side of the device to pierce the capsule and release the medicine into the inhalation chamber. You will need 2 inhalations to get the full dose from 1 capsule.

Do not take the capsule by mouth. Spiriva® capsules are for use only in the HandiHaler device. Use only 1 capsule at a time. Do not use the HandiHaler device to take any other medicine.

Keep each Spiriva® capsule in its blister pack until you are ready to place the capsule into the HandiHaler and use the device. Throw away any capsule that is not used right after you have taken it out of the blister pack. Exposure to air can ruin the capsule.

To be sure this medicine is helping your condition, your lung function will need to be tested on a regular basis.

Use this medicine regularly to get the most benefit. Get your prescription refilled before you run out of medicine completely.

How do I store Spiriva® (tiotropium)?

Spiriva® is best stored at room temperature away from direct light and moisture. To prevent drug damage, you should not store Spiriva® in the bathroom or the freezer. There may be different brands of Spiriva® that may have different storage needs. It is important to always check the product package for instructions on storage, or ask your pharmacist. For safety, you should keep all medicines away from children and pets.

You should not flush Spiriva® down the toilet or pour them into a drain unless instructed to do so. It is important to properly discard this product when it is expired or no longer needed. Consult your pharmacist for more details about how to safely discard your product.

Precautions & warnings

What should I know before using Spiriva® (tiotropium)?

Before using this drug, tell your doctor if:

  • You are pregnant or breastfeeding. This is because, while you are expecting or feeding a baby, you should only take medicines on the recommendation of a doctor.
  • You are taking any other medicines. This includes any medicines you are taking which are available to buy without a prescription, such as herbal and complementary medicines.
  • You have allergy with any of active or inactive ingredients of Spiriva® or other medications.
  • You have any other illnesses, disorders, or medical conditions.
  • You are allergic to milk

Spiriva® capsule is for use only in the HandiHaler device. Do not take the capsule by mouth. Use only one capsule at a time.

Spiriva® is used to prevent bronchospasm attacks. Do not use this medication to treat a bronchospasm attack that has already begun. It will not work fast enough to reverse your symptoms. Use only a fast-acting inhalation medication to treat an attack.

It is not known whether this medicine will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant.

It is not known whether tiotropium inhalation passes into breast milk or if it could affect the nursing baby. Tell your doctor if you are breast-feeding.

Spiriva® is not approved for use by anyone younger than 18 years old.

Is it safe during pregnancy or breastfeeding?

There are no adequate studies in women for determining risk when using Spiriva® during pregnancy or while breastfeeding. Please always consult with your doctor to weigh the potential benefits and risks before taking Spiriva®. Spiriva® is pregnancy risk category C, according to the US Food and Drug Administration (FDA).

FDA pregnancy risk category reference below:

  • A=No risk
  • B=No risk in some studies
  • C=There may be some risk
  • D=Positive evidence of risk
  • X=Contraindicated
  • N=Unknown

Side effects

What side effects can occur from Spiriva® (tiotropium)?

Get emergency medical help if you have signs of an allergic reaction to Spiriva®: hives, itching; difficult breathing; swelling of your face, lips, tongue, or throat.

Call your doctor at once if you have:

  • Wheezing, choking, or other breathing problems after using this medicine
  • Blurred vision, eye pain or redness, seeing halos around lights
  • Sores or white patches on your mouth, lips, or tongue
  • Pain or burning when you urinate
  • Little or no urinating

Common side effects may include:

  • Dry mouth
  • Blurred vision
  • Constipation, painful urination
  • Upset stomach
  • Chest pain
  • Cold symptoms such as stuffy or runny nose, sinus pain, sore throat.

Not everyone experiences these side effects. There may be some side effects not listed above. If you have any concerns about a side-effect, please consult your doctor or pharmacist.

Interactions

What drugs may interact with Spiriva® (tiotropium)?

Spiriva® may interact with other drugs that you are currently taking, which can change how your drug works or increase your risk for serious side effects. To avoid any potential drug interactions, you should keep a list of all the drugs you are using (including prescription drugs, nonprescription drugs, and herbal products) and share it with your doctor and pharmacist. For your safety, do not start, stop, or change the dosage of any drugs without your doctor’s approval.

Does food or alcohol interact with Spiriva® (tiotropium)?

Spiriva® may interact with food or alcohol by altering the way the drug works or increase the risk for serious side effects. Please discuss with your doctor or pharmacist any potential food or alcohol interactions before using this drug.

What health conditions may interact with Spiriva® (tiotropium)?

Spiriva® may interact with your health condition. This interaction may worsen your health condition or alter the way the drug works. It is important to always let your doctor and pharmacist know all the health conditions you currently have.

Health conditions that may interact with this drug are:

  • Narrow-angle glaucoma
  • Kidney disease
  • Enlarged prostate or urination problems
  • Parkinson’s disease
  • Overactive bladder
  • Irritable bowel syndrome
  • Depression
  • High blood pressure
  • Muscle spasms

Dosage

The information provided is not a substitute for any medical advice. You should ALWAYS consult with your doctor or pharmacist before using Spiriva® (tiotropium).

What is the dose of Spiriva® (tiotropium) for an adult?

Usual Adult Dose for Chronic Obstructive Pulmonary Disease – Maintenance:

Tiotropium inhalation powder, hard capsule: 18 mcg (2 inhalations) once a day using the HandiHaler device

Tiotropium, solution for inhalation: 5 mcg (2 inhalations) once a day

Uses: Long-term maintenance treatment of bronchospasm associated with chronic obstructive pulmonary disease (COPD), including chronic bronchitis and emphysema; to reduce exacerbations in COPD patients

What is the dose of Spiriva® (tiotropium) for a child?

The dosage has not been established in pediatric patients. It may be unsafe for your child. It is always important to fully understand the safety of the drug before using. Please consult with your doctor or pharmacist for more information.

How is Spiriva® (tiotropium) available?

Spiriva® is available in the following dosage forms and strengths:

  • Capsule
  • Powder
  • Solution

What should I do in case of an emergency or overdose?

In case of an emergency or an overdose, call your local emergency services or go to your nearest emergency room.

What should I do if I miss a dose?

If you miss a dose of Spiriva®, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and take your regular dose as scheduled. Do not take a double dose.

Hello Health Group does not provide medical advice, diagnosis or treatment.

Sources

Review Date: November 17, 2017 | Last Modified: November 17, 2017

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