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Prescription Required
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Dosage: 18mcg
Quantity: 90
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Tiotropium Bromide

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Tiotropium bromide
Dosage: 18mcg
Quantity: 60
Price: $37.25
Tiotropium bromide
Dosage: 18mcg
Quantity: 90
Price: $48.80


Spiriva Handihaler is an inhalation medication used to treat symptoms of chronic obstructive pulmonary disease (COPD).

Tiotropium is an anticholinergic bronchodilator that widens your airways by relaxing smooth muscles in your respiratory system. This action allows Spiriva Handihaler to improve your airflow and reduce obstructions that lead to COPD bronchospasm attacks.

Dosage and Administration

The dose and administration of Spiriva Handihaler that is prescribed will vary depending on the individual and severity of the COPD being treated. Follow all directions given by your healthcare provider and read packaging instructions carefully to ensure the best results during treatment. Do not change your Spiriva dose on your own.

  • Take your dose at the same time each day
  • Remove a Spiriva capsule from the blister pack and place into the handihaler’s centre chamber
  • Close mouthpiece until you hear a click
  • Press piercing button with the mouthpiece facing upwards then release to prime your dose
  • Breathe out and then close your lips over the mouthpiece
  • Inhale fully and hold your breath for as long as is comfortable while removing the device from your mouth
  • Most adults take 2 inhalations once daily to treat symptoms of COPD
  • Do not take more than one dose within 24 hours
  • Avoid getting the spray in your eyes, rinse well with water if contact occurs
  • Store at room temperature away from children and pets

Side Effects

Spiriva handihaler may cause some side effects to develop while widening your airways. Speak with your healthcare provider to learn more about any symptoms you may encounter when using this inhaler.

Common Spiriva Handihaler side effects:

  • Dry mouth
  • Sore mouth or throat after inhalation
  • Oral thrush
  • Hoarse voice
  • Nose bleeds
  • Cough
  • Dizziness
  • Constipation
  • Trouble sleeping
  • Sinusitis

Serious Side Effects

Some more serious adverse effects may develop during treatment with Spiriva Handihaler. Stop using this medication and contact your healthcare provider if you notice any of the following symptoms:

  • Blurred vision
  • Increased eye pressure
  • Difficulties swallowing
  • Heartburn
  • Trouble urinating
  • Pain while urination
  • Increased need and frequency to urinate
  • Troubles breathing after inhalation
  • Severe stomach pain with bloating, cramps, and vomiting
  • Fast, slow, or irregular heart rate or beats

Allergic Reactions

Do not use Spiriva Handihaler if you are allergic to tiotropium, milk proteins, or any of the other listed ingredients. If you notice any signs of an allergic reaction, stop using this inhaler medication and call your healthcare provider.

Spiriva Handihaler allergy symptoms may include:

  • Shortness of breath, wheezing
  • Swelling of face, lips, tongue, or throat
  • Rash, itching, hives


  • Do not use Spiriva Handihaler to treat sudden breathing attacks. This medication is designed to improve your airflow to prevent bronchospasm attacks but will not take effect quickly enough to treat an attack that has already begun. Use rescue medicine to treat attacks.
  • Spiriva Handihaler capsules are designed to be used with the Handihaler device. Do not take this medication with any other inhalation device.
  • Tell your healthcare provider if you take any anticholinergic medications, such as ipratropium or oxybutynin, before using Spiriva Handihaler.
  • Tell anyone who treats you that you take Spiriva Handihaler, especially if you are undergoing surgery because it can affect certain medications.
  • Contact your healthcare provider if you notice that your breathing worsens or becomes more difficult after using your Spiriva Handihaler.
  • To ensure your safety when using Spiriva Handihaler, tell your healthcare provider if you have ever had any of the following:
    • Glaucoma
    • Kidney or liver problems
    • Problems with your prostate
    • Difficulties urinating
  • Avoid driving or performing hazardous activities until you know how Spiriva Handihaler will affect you. The medication can cause you to become dizzy or drowsy which can impair your thinking and reactions.
  • Avoid getting the Spiriva Handihaler in your eyes; if contact occurs, rinse thoroughly with water. Your pupils may become enlarged, and your vision may blur.
  • Ensure that you do not take more inhalations more often or for longer than prescribed by your healthcare provider.
  • Spiriva Handihaler users who are over the age of 65 may be more likely to develop side effects.
  • Tell your healthcare provider if you are pregnant or breastfeeding before using Spiriva Handihaler to discuss the risks and benefits of treatment.
  • Some drugs can interact with Spiriva Handihaler and cause adverse reactions. Tell your healthcare provider about all the medications that you take, including over the counter medicines, but especially any of the following:
    • Any other medications containing tiotropium bromide
    • Medicines containing atropine
    • Other anticholinergic medicines (ipratropium, oxybutynin)
  • Spiriva Handihaler is not an approved therapy for anyone under the age of 18.

Form and Strength

This COPD medication is available in the form of capsules for Handihaler devices.

  • Spiriva Handihaler capsule strength:
    • 18 mcg

The 18mcg strength Spiriva capsules are available in quantities of 30 and 90.


When is the best time of day to take Spiriva Handihaler?

You can take your dose of Spiriva Handihaler at any time of day without decreasing the medication’s effectiveness. This allows you to find a time of day that is most convenient for you. Make sure that you take your dose at the same time each day for the best results. Follow all directions offered by your healthcare provider.

How long do you hold your breath when taking Spiriva Handihaler?

It is recommended that you hold your breath for as long as is comfortable after inhaling medicine from your Spiriva Handihaler. Breathe normally after removing the inhaler device from your mouth and then inhale once more to empty the capsule. Breathing deep and holding your breath helps ensure that the medication is absorbed into your respiratory system.



Additional information

Brand Name:


Scientific Name:

Tiotropium Bromide, Tiotropium bromide

Other Names:

Spiriva, Tiova Rotacap



Quantities Available:

60, 90


Capsule, Rotacap