Spiriva Handihaler
Spiriva HandiHaler and Spiriva Respimat are maintenance treatments for chronic obstructive pulmonary disease (COPD), including chronic bronchitis and emphysema, and help reduce the risk of COPD exacerbations. The HandiHaler uses capsules for oral inhalation, while the Respimat is a metered-dose inhaler. Neither is intended for immediate symptom relief; a short-acting bronchodilator may be needed for sudden breathing problems.
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Spiriva Prescription Required
Marketed as Spiriva with Handihaler in Canada
Tiotropium Bromide with Rotahaler Prescription Required
Marketed as Tiova with Rotahaler in India
Marketed as Tiogiva Combo in United Kingdom
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Important information about Spiriva Handihaler
How does Spiriva Handihaler work?
The active ingredient in Spiriva HandiHaler is tiotropium bromide inhalation powder. Tiotropium bromide is an anticholinergic medication that is also known as a long-acting muscarinic antagonist (LAMA). It, therefore, attaches to specific proteins and blocks the muscles in your airways from tightening. Your muscles will then relax in your airways, make it easier for you to breathe, and increase lung function. Spiriva HandiHaler is part of the drug class known as anticholinergic drugs.
How do you use Spiriva Handihaler?
Follow all directions given to you by your doctor and read all documents provided, including the full Prescribing Information, FDA-Approved Product Labeling, Instructions for Use, and Medication Guide before using Spiriva HandiHaler. However, the following is a synopsis of the general guidelines for the use of Spiriva HandiHaler:
Spiriva HandiHaler comes in a powder-filled capsule. It will often be recommended to take two inhalations of the capsule once daily using the HandiHaler device. Do not take more than one dose in 24 hours.
Place the Spiriva capsule in the center chamber of the device. Press the piercing button on the side of the device, which will then open the dust cap and pierce the Spiriva capsule. You will then inhale through the mouthpiece as the tiotropium is dispersed into your airways to receive the full dose.
If you happen to miss a dose, take the missed dose immediately. Do this unless it is closer to the time of your next dose, in which case, skip this dose and take your next dose at the normal time.
What are the side effects of Spiriva Handihaler?
The most common side effects of Spiriva HandiHaler seen in clinical trials as compared to placebo include:
- Upper respiratory tract infection
- Sinus infection
- Dry mouth
- Chest pain
- Sore throat
- Increased heart rate
- Constipation
- Indigestion
- Urinary tract infection
Some individuals may experience serious side effects while using Spiriva HandiHaler. These adverse reactions may require immediate medical attention or hospitalization. If you experience any of the following, contact your healthcare provider or seek emergency medical help:
- Paradoxical bronchospasm, with symptoms such as:
- Wheezing
- Chest tightness
- Shortness of breath
- Difficulty breathing
- Worsening of urinary retention
- Symptoms may include painful urination
- This could be due to an enlarged prostate
- Worsening of narrow-angle glaucoma
- Immediate allergic reaction
These are not all of the possible side effects of Spiriva HandiHaler. You should always seek medical advice from your healthcare provider for any questions or concerns about your medical condition or treatment. Read all patient information, medication guides, or drug information sheets that come with this medication. You can also report adverse effects to the Food and Drug Administration at www.fda.gov/medwatch or 1-800-FDA-1088.
What are the warnings or precautions for Spiriva Handihaler?
Before starting Spiriva HandiHaler, it is crucial to discuss any existing health conditions with your healthcare provider. You should be sure that your healthcare provider is aware of all your medical conditions, including if you have:
- An allergy or have had an allergic reaction to milk proteins
- Contact your healthcare provider immediately if you experience any symptoms of an allergic reaction, including hives or a rash.
- Narrow-angle glaucoma
- Spiriva HandiHaler could make symptoms worse, including blurred vision, eye pain, and seeing halos.
- Speak to your doctor immediately if you experience any of these worsening signs of Spiriva HandiHaler.
- An allergy or have had an allergic reaction to any ingredient in Spiriva HandiHaler, including tiotropium, atropine, and ipratropium.
- Spiriva HandiHaler is contraindicated if you are allergic to the above ingredients along with any other ingredients within it.
- A pregnancy, plan to become pregnant or are breastfeeding.
- Spiriva HandiHaler is not normally recommended for pregnant women.
- Urinary problems
Are there any contraindications with Spiriva Handihaler?
You should not take this medication if you have a hypersensitivity to ipratropium, tiotropium, or any ingredients in Spiriva.
How long does it take Spiriva Handihaler to work?
Spiriva HandiHaler starts to work within 30 minutes of inhalation, with significant improvement in lung function typically noticeable after a few days of consistent use. As a maintenance treatment of bronchospasm, it works gradually to help control symptoms and prevent exacerbations over time. Full benefits may take several weeks, so it’s important to use it regularly as prescribed, even if you feel better.
What interacts with Spiriva Handihaler?
When Spiriva HandiHaler is taken with other prescription drugs, over-the-counter medications, vitamins, and supplements, it may change how they work or increase the frequency or severity of side effects. Make sure that you tell your healthcare professional about anything that you are taking to avoid any negative drug interactions, including:
- Other anticholinergic medications
What doses of Spiriva Handihaler are available?
Spiriva HandiHaler comes with capsules that contain 18 mcg of tiotropium powder for use with the device.
How do I store Spiriva Handihaler?
Store the capsules at room temperature between 68°F to 77°F (20°C to 25°C), away from light and moisture. You can also store it between 59°F to 86°F (15°C to 30°C) for short periods if needed. Use the medication as soon as you open the blister pack. Do not store capsules in the inhaler device.
Which pharmaceutical company manufactures Spiriva Handihaler?
It is manufactured by Boehringer Ingelheim Pharmaceuticals, Inc.
Is there a generic version of Spiriva Handihaler?
Currently, there is a generic available for Spiriva HandiHaler in the United States.
How do I stop taking Spiriva Handihaler?
To stop taking Spiriva HandiHaler, consult your healthcare provider first, as they can assess your condition and determine whether discontinuation is appropriate. Stopping the medication abruptly may worsen COPD symptoms or increase the risk of exacerbations. Your doctor can provide alternative treatment options or a plan to safely transition off the medication if necessary.
Can Spiriva Handihaler be used if I am pregnant?
Talk to your doctor if you are already pregnant or if you have any plans to become pregnant. They will know or recommend what is best for you. Spiriva HandiHaler should only be used during pregnancy if clearly needed.
Can Spiriva Handihaler be used if I am breast feeding?
Talk to your doctor if you are already breastfeeding or if you have any plans to breastfeed. They will know or recommend what is best for you. Spiriva HandiHaler can be used while breastfeeding only if clearly necessary, as its effects on breastfed infants are not well studied.
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What happens after I place my order for Spiriva-handihaler with Universal Drugstore?
Once you complete your order, we process, verify, and dispatch your medication. You’ll receive email updates at each stage, including tracking details once your order ships. If any additional documentation is needed (such as a valid prescription), we’ll contact you promptly. Once approved, your order is charged and delivered directly to your doorstep.
How long does it take to process and deliver my order for Spiriva-handihaler?
Orders are typically processed within 1–3 business days once all required documents are received and approved. Standard delivery times range from 10–18 business days, depending on your location.
Can I track my order of Spiriva-handihaler?
Yes! Once your medication ships, you will receive an email with tracking information so you can monitor your shipment every step of the way.
What should I do if there is an issue with my order for Spiriva-handihaler?
Our Customer Care team is available 24/7 to assist with any order-related concerns or questions. If you experience delays, missing items, or need support, contact us using the details provided in your confirmation email.
How is my medication packaged to ensure privacy and safety?
All orders are shipped in discreet, plain packaging to protect your privacy. Medications are securely packaged to prevent damage and ensure they arrive in top condition.
Does Universal Drugstore ship medications that require refrigeration or special handling?
Yes. We use cold-chain shipping methods to safely transport temperature-sensitive medications, ensuring they maintain proper storage conditions throughout delivery.
What are the shipping costs, and does Universal Drugstore offer free delivery?
Shipping costs vary depending on your location and shipping method. Free shipping promotions may be available—check the checkout page for the latest offers. Orders above $100 going to a US destination will receive free shipping.
Does Universal Drugstore accept Medicare or Medicaid for prescriptions?
Currently, we do not bill Medicare or Medicaid directly. However, we provide detailed receipts and documentation that you can submit to your insurance provider for potential reimbursement.
Can I use private health insurance to cover my prescription from Universal Drugstore?
Universal Drugstore does not bill private health insurance directly, but we provide a detailed invoice that you can submit to your insurer for possible reimbursement. Many insurers will accept Unievrsal Drugstore’s documents, but if you have any questions, check with your insurance company prior to purchasing.
How secure is my payment information when ordering from Universal Drugstore?
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Can I order a generic alternative to Spiriva-handihaler?
Universal Drugstore offers many generic alternatives that provide the same active ingredients at a lower cost. Search for your medication and compare pricing for generic vs. brand-name options. Generic availability depends on the medication.
Do I need a prescription to order Spiriva-handihaler?
If your medication requires a prescription, you must upload it online, via email, or fax. Over-the-counter (OTC) medications do not require a prescription. All prescription medication purchases require a valid and approved prescription.
Can I order multiple medications at once?
Yes! You can add multiple medications to your cart, including prescription, OTC, and pet medications, and complete your purchase in a single checkout process.
Can I refill my prescription through Universal Drugstore?
Yes! If your prescription includes refills, you can reorder quickly by logging into your account and selecting your medication for a hassle-free refill process. Always refill your medication proactively and ontime, to ensure you do not run out of important medication.
Does Universal Drugstore offer discounts or price matching?
Yes! We offer:
- Up to 80% savings on medications
- Price match guarantee – we’ll match competitor pricing on qualifying medications
- 10% off your first order for new customers
How can I contact Universal Drugstore for additional support?
We offer 24/7 customer support via phone, email, and chat. Visit our Contact Us page for assistance with ordering, shipping, or medication questions.
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