Spiriva (Tiotropium Bromide)

Do not spray Spiriva Respimat into your eyes. Read this Instructions for Use before you start using Spiriva Respimat and each time you get a refill. There may be new information. This leaflet does not take the place of talking to your doctor about your medical condition or your treatment. You will need to use this inhaler 1 time each day, at the same time each day. Each time you use it take 2 puffs. Use Spiriva Respimat exactly as prescribed by your doctor. Do not change your dose or how often you use Spiriva Respimat without talking with your doctor. Children should use Spiriva Respimat with the help of an adult, as instructed by their doctor. Tell your doctor about all of the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements. Spiriva Respimat may affect the way some medicines work and some other medicines may affect the way Spiriva Respimat works. Do not use other inhaled medicines with Spiriva Respimat without talking to your doctor. The Spiriva Respimat inhaler has a slow moving mist that helps you inhale the medicine. Do not turn the clear base before inserting the cartridge. Your Spiriva Respimat may have either an aqua or a blue cap, depending on the strength prescribed by your doctor. The steps shown below should be followed.

How to store your Spiriva Respimat inhaler

• Store your inhaler at room temperature between 68°F to 77°F (20°C to 25°C).
• Do not freeze your inhalers cartridge and inhaler.
• If Spiriva Respimat has not been used for more than 3 days, release 1 puff towards the ground.
• If your inhaler has not been used for more than 21 days, repeat steps 4 to 6 under the “Prepare for first use” until a mist is visible. Then repeat steps 4 to 6 three more times.
• Keep your Spiriva Respimat cartridge, inhaler, and all medicines out of the reach of children.

How to care for your Spiriva Respimat inhaler

Clean the mouthpiece, including the metal part inside the mouthpiece, with a damp cloth or tissue only, at least 1 time each week. Any minor discoloration in the mouthpiece does not affect your Spiriva Respimat inhaler.

Mild Side Effects:

• Sore throat
• Dry mouth
• Upper respiratory infections, such as the common cold
• Sinusitis (swelling in the sinuses)
• Cough
• Headache
• Indigestion (upset stomach)
• Chest pain

Serious Side Effects:

• Allergic reaction, which may include raised red patches on the skin (hives), itching, rash, and swelling of the lips, tongue, or throat that may cause difficulty in breathing or swallowing

Additionally, individuals with a history of kidney problems should be aware that Spiriva can build up in the body and cause more side effects, such as dry mouth, blurry vision, fast heart rate, or constipation. If any of these symptoms are noticed while using Spiriva, inform a healthcare provider.

Seek medical advice if any side effects are experienced, and report any symptoms that do not improve or worsen while using Spiriva.

If you are allergic to Spiriva Respimat, any part of the medication, or any other drugs, foods, or substances, inform your healthcare provider about the allergy and any related signs experienced. 

If you take other drugs called anticholinergics, such as ipratropium or oxybutynin, consult your healthcare provider to ensure the safe use of Spiriva Respimat in conjunction with these medications.

Inform your healthcare providers about all of your drugs (prescription or OTC, natural products, vitamins) and health problems to ensure the safe use of Spiriva with all of your medications and health conditions. Do not start, stop, or change the dose of any drug without checking with your healthcare provider

Spiriva is intended as a once-daily maintenance treatment for COPD and should not be used for relief of acute symptoms, i.e., as rescue therapy for the treatment of acute episodes of bronchospasm.

Be aware of the potential for immediate hypersensitivity reactions and seek medical attention if any signs of allergic reactions are experienced.

The information provided here is a general guideline. For specific instructions and personalized advice on the use of Spiriva, consult the prescribing information or seek guidance from a healthcare provider.

Generic name:	Tiotropium Bromide, Tiotropium bromide
Formulation:	Capsule, Rotacaps, Rotacap
Strength(s):	18mcg
Quantities Available:	30, 60, 90