What is Spiriva?
- Spiriva contains “Tiotropium bromide” as its active ingredient which is available in capsule form for oral inhalation purposes only with an inhalation device.
- Spiriva is indicated for treatment of bronchospasm (contraction of bronchial muscles) in patients with chronic obstructive pulmonary disease (COPD) including chronic bronchitis and emphsema.
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Uses of Spiriva
- Long term, once daily, maintenance treatment of airflow obstruction in patients with COPD including chronic bronchitis and emphsema.
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- The drug substance, tiotropium bromide monohydrate, is an anticholinergic with specificity for muscarinic receptors.
How does Spiriva work?
- Tiotropium bromide is an anti-cholinergic drug which leads to smooth muscle relaxation thereby aiding in broncho-dilation (relaxation of airway muscles) which makes breathing easier and prevents symptoms like shortness of breath.
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How to Take Spiriva?
- Spiriva is available in capsule form. Do not swallow these capsules by mouth. The powder in the capsules is inhaled with the help of an inhaler.
- Inhale this medicine by mouth. To prevent throat irritation and dryness, rinse your mouth after using the inhaler.
- Avoid getting this medicine in your eyes as it may cause irritation, blurred vision etc.
- Spiriva should be used regularly to be effective and at a fixed time every day.
Common Dosage for Spiriva?
- Recommended dose for Spiriva is inhalation of one contents of capsule once a day with inhalation device.
- Spiriva should only be used for maintenance therapy of COPD patients. It should not be used as rescue medicine for acute conditions.
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When to Avoid Spiriva?
- Spiriva should be avoided or used with caution in:
- Patients with allergy to any of its components
- Acute bronchospasm episodes
- Patients with glaucoma
- Patients with urinary retention (prostatic hyperplasia)
Side-effects of Spiriva?
- In addition to its intended uses, it may cause few undesirable side effects as well. List of the most commonly observed side effects include:
- Throat irritation
- Dry mouth
- Oral candidiasis
- Paradoxical bronchospasm (worsening of breathing problems right after its use)
- Upper respiratory tract infections
- Worsening of glaucoma
- Worsening of urinary retention
- In addition it may cause some other allergic or unwanted effects. In such cases, seek medical attention immediately.
Effect on organs?
- Patients with prostatic hyperplasia and urinary bladder obstruction should use Spiriva with caution as it may worsen symptoms of urinary retention.
Reported Allergic Reactions?
- Report to your doctor if you are allergic to any of its ingredients.
- Signs of allergic reaction include:
- Rashes/itching of skin
- Shortness of breath
- Swelling of face, lips, tongue, or throat
- Loss of consciousness
Drug Interactions to Be Careful About
- Spiriva can interact with other drugs, vitamin supplements and herbal products. It is always advised that you must inform the physician about all the drugs/over the counter products used before using Spiriva.
- Spiriva should not be used along with other anti-cholinergic medications as it may lead to adverse anti-cholinergic effects.
Shows Effects / Results In:
- Spiriva starts showing its effects almost immediately following its administration.
Storage of Spiriva:
- Store at cool and dry place away from direct heat and moisture.
- Do not freeze the medicine.
- Keep medicines away from children and pets.
Pro Tips When Taking Spiriva:
- Do not use Spiriva in acute cases of bronchospasm or asthma as an emergency medicine.
Frequently Asked Questions
Is Spiriva addictive?
- Spiriva is not addictive.
Can I have Spiriva with alcohol?
- Consumption of alcohol should be limited with Spiriva therapy as it may increase the risk of adverse effects.
Any particular food item to be avoided?
- No interaction with food products observed.
Can I have Spiriva when pregnant?
- Spiriva should only be taken in pregnancy if the benefits outweigh the potential risks as there are no evident and well controlled studies in pregnant females.
Can I have Spiriva when feeding a baby?
- Spiriva should be used with caution and only when clearly needed in breastfeeding women as the drug may pass into breast milk and lead to adverse effects in foetus.
Can I drive after taking Spiriva?
- Spiriva doesn’t usually affect your ability to drive.
What happens if I overdose on Spiriva?
- Over dosage has not been reported.
What happens if I take expired Spiriva?
- A single dose of expired Spiriva may not cause any major adverse effect. However, the potency of the medicine may well have decreased overtime.
What happens if I miss a dose of Spiriva?
- Spiriva is administered only once in 24 hours.
- Always consume the missed dose as soon as you remember. But, if it is already time for the next dose – do not double the dose.