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Spiriva
Tiotropium
$342.00
18mcg · 3 × 30 inhaler · 3 months supply
BrandBranded medicine· By Boehringer
$114.00 per month
Strength
How long a supply?
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Annual cost
$1368a year at this pack size
Prescription required
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2.5mcg
18mcg
About Spiriva
Overview
Spiriva Respimat is an inhaler containing tiotropium, a long-acting anticholinergic medicine. It is used for long-term maintenance treatment of chronic obstructive pulmonary disease (COPD), to reduce COPD flare-ups, and for maintenance treatment of asthma in people aged 6 years and older. It works by blocking signals that tighten the muscles around the airways, helping them stay open. It is not for relieving sudden breathing symptoms.
What it treats
- Long-term maintenance treatment of bronchospasm associated with chronic obstructive pulmonary disease (COPD), and reduction of COPD exacerbations (flare-ups). - Long-term maintenance treatment of asthma in patients aged 6 years and older. Not for relief of sudden bronchospasm.
Safety information
Side effects
Common side effects reported in people with COPD include sore throat, cough, dry mouth and sinus inflammation. In adults with asthma, common side effects include sore throat, headache, bronchitis and sinus inflammation. Serious side effects include immediate allergic reactions, sudden worsening of breathing after inhalation, worsening narrow-angle glaucoma and worsening difficulty passing urine. Allergic reactions may include swelling, hives, rash, narrowing of the airways or anaphylaxis. Stop using Spiriva Respimat and seek immediate medical help if an immediate allergic reaction or sudden worsening of breathing occurs. Contact a doctor immediately if narrow-angle glaucoma or difficulty passing urine worsens.
When to call your doctor
If symptoms are severe or getting worse quickly, seek emergency care rather than waiting.
Before taking this medicine
Do not use Spiriva Respimat if you are allergic to tiotropium, ipratropium or any ingredient in the product. It is not a rescue medicine for sudden breathing problems. Use with caution if you have narrow-angle glaucoma or difficulty emptying your bladder, especially with an enlarged prostate or bladder-neck obstruction. Seek medical advice immediately if these conditions worsen. People with moderate to severe kidney impairment need close monitoring for anticholinergic side effects. Stop using it and seek immediate medical help if you develop an allergic reaction, such as swelling of the lips, tongue or throat, itching, hives, rash or breathing difficulty. Stop using it and contact a doctor if breathing suddenly worsens after inhalation.
Interactions
Avoid using Spiriva Respimat with other medicines that contain anticholinergic drugs, as their effects may add together. Ask your doctor whether any of your other medicines contain an anticholinergic.
Using Spiriva
Dosing
Dosing is set by your prescriber. Each health care professional may prescribe medication differently according to a patient's medical history and condition, so follow the directions on your prescription label and speak to your doctor or pharmacist before changing anything.
Storage
Store below 25°C away from direct heat and sunlight. Do not pierce or burn the device, even when it is empty. Keep all medicines out of the sight and reach of children.
Clinical information on this page is summarised from the US FDA label SPIRIVA RESPIMAT (TIOTROPIUM BROMIDE INHALATION SPRAY) SPRAY, METERED [BOEHRINGER INGELHEIM PHARMACEUTICALS, INC.] (DailyMed, retrieved 19 September 2026).
Patient information and references
Official and supporting information to read alongside advice from your prescriber or pharmacist.
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