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.
Know more: Onglyza Uses

Spiriva Composition

  • 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.
Read more: Latuda Dosage

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
  • Palpitations
  • 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.

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