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Spiriva Handihaler

Generic: Tiotropium Bromide

Rx only
Anticholinergic✓ FDA-verified
View full FDA label ↗
Spiriva Handihaler is a medication used for the long-term treatment of breathing problems caused by chronic obstructive pulmonary disease (COPD), which includes conditions like chronic bronchitis and emphysema. It works by relaxing the muscles in the airways, making it easier to breathe. You take it by inhaling the powder from a capsule using the Handihaler device, with a starting dose of two inhalations from one capsule once a day, and you should not exceed this dose in 24 hours. It's important to know that if you are allergic to tiotropium or similar medications, you should not use this drug. Additionally, if you take cimetidine, a medication for stomach issues, it can affect how Spiriva works in your body.
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Uses

  • Bronchospasm associated with COPD.
  • Chronic bronchitis.
  • Emphysema.
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Dosage

Two inhalations of one SPIRIVA capsule once daily.
Use only with the HANDIHALER device.
Do not swallow SPIRIVA capsules.
No dosage adjustment needed for elderly or those with liver issues.
Monitor closely if you have moderate to severe kidney problems.
Always follow your doctor's specific instructions for your dose.
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Side effects

Common

dry mouthupper respiratory tract infectionsinusitispharyngitischest painworsening of glaucoma

Serious

urinary retentionparadoxical bronchospasmhypersensitivity reactions
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Warnings

⚠ Important warnings

  • Do not use with other anticholinergic medications.
  • Monitor for worsening narrow-angle glaucoma.
  • Watch for urinary retention if you have prostate issues.
  • Not recommended for patients with narrow-angle glaucoma.
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Drug interactions

  • Anticholinergicsmay increase side effectsCaution
  • Cimetidinemay increase tiotropium levelsCaution
  • Ranitidineno significant effect on tiotropium.Caution

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Medical Disclaimer: This content is provided for informational and educational purposes only and is not intended as medical advice. Always consult a qualified healthcare provider before taking any medication.
Data Source: Publicly available drug labeling information from the U.S. Food and Drug Administration (FDA).