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Spiriva is a COPD inhaler that is used to prevent bronchospasm and asthma attacks in adults. Spiriva contains tiotropium bromide and comes with its own inhalation device known as a handihaler. Spiriva treats the symptoms of the chronic obstructive pulmonary disease by relaxing the muscles in your airways and increasing airflow into your lungs.

Always read the medication information and instructions before using this medication.
Always follow your doctor’s directions.

• Load a Spiriva capsule into the handihaler device. Make sure that the mouthpiece has closed and press the button on the side of the device. This will release the medication into the inhalation chamber.
• You will need two inhalations in order to get a full dose from each Spiriva capsule.
• Spiriva is not a rescue inhaler and should not be used to treat a flare-up of your COPD symptoms.
• Exposure to air can ruin Spiriva capsules. Keep each capsule in the blister pack until you are ready to use it.
• Do not use your handihaler inhalation device to take any other medication.
• Only take Spiriva capsules with the handihaler device. Do not take them orally.

Make sure to tell your doctor:

• If you have any drug or other allergies.
• If you take any other prescription or over-the-counter medications.
• Your medical history especially of an enlarged prostate, urination problems, bladder obstruction, kidney disease or narrow-angle glaucoma.
• If you are pregnant or planning on becoming pregnant.
• If you are breastfeeding. It may not be safe to use this inhaler while breast-feeding.

Other information you should also know:

• Spiriva is not a rescue inhaler and should not be used to relieve a COPD flare-up or bronchospasm attack.
• Spiriva capsules should only be used with the handihaler device and should not be taken orally.
• Do not use your handihaler to take any other medications.

Common side effects of Spiriva:

• Cold symptoms such as sinus pain, stuffy or runny nose or sore throat.
• Dry mouth.
• Constipation.
• Upset stomach.
• Chest pain.0
• Fast heart rate.

If you have any of the following side effects of tiotropium bromide, seek medical help:

• Breathing problems after using your Spiriva inhaler including wheezing or choking.
• Eye pain or redness.
• Vision changes such as blurred vision or seeing halos around lights.
• Burning or painful urination.
• Little or no urination.
• Symptoms of an allergic reaction including difficulty breathing, hives or swelling in your face, lips or throat.

What should I do if I miss a dose of Spiriva?

If you miss a dose of Spiriva, you should take it as soon as you remember. However, if it is almost time for your next dose, then skip your missed dose. Do not take more than two doses within a 24-hour period.

What is the generic alternative to Spiriva?

Generic Spiriva is known as a tiotropium bromide inhaler and is available in the same 18mcg strength.