Spiriva Respimat

(Tiotropium Bromide)

Spiriva Respimat (tiotropium bromide) is a bronchodilator that works to relax the muscles in your airways, keep them open, and increase airflow to the lungs for adults with chronic obstructive pulmonary disease (COPD), including emphysema and bronchitis. It also reduces the exacerbations of COPD, prevents specific bronchospasms, and is used in the maintenance treatment of asthma in adults and children who are at least six years of age.

Spiriva Respimat is a maintenance treatment; it is not a medication for immediate COPD symptoms, such as sudden breathing problems. You should use a short-acting beta 2 -agonist (bronchodilator) such as albuterol for these symptoms. If you have severe asthma, it should be used in addition to an inhaled corticosteroid (not for pediatric patients).

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Brand Versions

Spiriva Respimat Prescription Required

Strength
2.5mcg/Inh
Country
New Zealand
Select Quantity
Each dose of Spiriva Respimat consists of 2 inhalations once daily. Each unit contains 60 inhalations equal to 30 doses (30 days) of medication. This product includes a dose counter.
Also available from Canada
Strength
2.5mcg/Inh
Country
Canada
Select Quantity
Each dose of Spiriva Respimat consists of 2 inhalations once daily. Each unit contains 60 inhalations equal to 30 doses (30 days) of medication. This product includes a dose counter.

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Important information about Spiriva Respimat

How does Spiriva Respimat work?

Spiriva (tiotropium) is an anticholinergic medication and 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 and make it easier for you to breathe.

How do you use Spiriva Respimat?

Follow all directions and drug information given by your doctor and read the Full Prescribing Information and FDA-approved product labeling, patient information, instructions for use, and Medication Guide before starting Spiriva Respimat.

Spiriva Respimat is taken as two inhalations daily. Your dose will depend on what condition you are treating and your response.

The Spiriva Respimat inhaler is administered as an inhalation spray to increase lung function. Each time you use the medicine, you will need to first remove the clear base at the bottom. Then, load the Spiriva Respimat cartridge into the Spiriva Respimat device and click the mouthpiece closed. Push the dose-release button on the side of the device to break the capsule and release the medicine into the inhalation chamber as you take a long, deep breath in. Make sure that your lips are closed tightly around the mouthpiece without covering the air vents.

The dose indicator on the side will show you how many puffs are left in the inhaler. When it enters the red area of the scale, there are approximately 7 days (14 puffs) of medication left and you will need to get a new prescription from your healthcare provider.

What are the side effects of Spiriva Respimat?

The most common side effects of Spiriva Respimat in clinical trials compared to placebo include:

  • Sore throat
  • Constipation
  • Cough
  • Urinary tract infection
  • Dry mouth
  • Dry skin
  • Sinus infection

Rarely, Spiriva Respimat may cause some serious side effects, including:

  • Allergic reaction to any ingredient within Spiriva Respimat
  • Worsening breathing problems
  • This could include sudden airway tightening, known as paradoxical bronchospasm.
  • Get medical help immediately if you experience any asthma symptoms, such as shortness of breath, wheezing, coughing, or chest pain.
  • Worsening glaucoma
  • Sudden airway tightening (paradoxical bronchospasm)
  • Symptoms of blockage in your bladder or enlarged prostate
  • This may include painful urination or urinary retention (difficulty passing urine).

These are not all of the possible side effects of Spiriva Respimat. 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 Respimat?

Before starting Spiriva Respimat, 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:

  • Narrow-angle glaucoma
  • Spiriva Respimat 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 Respimat.
  • An allergy or have had an allergic reaction to any ingredient in Spiriva Respimat, including tiotropium, atropine, and ipratropium.
  • A pregnancy, plan to become pregnant or are breastfeeding.
  • Spiriva Respimat is not normally recommended for pregnant women.
  • Urinary problems

Are there any contraindications with Spiriva Respimat?

YYou should not use Spiriva Respimat if you have a known hypersensitivity to tiotropium, ipratropium, or any component of this product.

How long does it take Spiriva Respimat to work?

Spiriva Respimat is not a rescue inhaler and should not be used for immediate relief of acute breathing problems. It is designed for long-term, daily maintenance therapy to manage chronic symptoms.

What interacts with Spiriva Respimat?

When Spiriva Respimat 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 Respimat are available?

Spiriva Respimat 1.25 mcg

Spiriva Respimat 2.5 mcg

Mcg signifies the amount of tiotropium per actuation (puff) within the inhaler device. Two actuations equals one dose.

How do I store Spiriva Respimat?

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.

Which pharmaceutical company manufactures Spiriva Respimat?

Spiriva Respimat is manufactured by Boehringer Ingelheim, a global pharmaceutical company headquartered in Ingelheim, Germany.

Is there a generic version of Spiriva Respimat?

Spiriva Respimat does not have a generic available in the United States. Spiriva HandiHaler is the only one that is available as a generic version.

How do I stop taking Spiriva Respimat?

To stop using Spiriva Respimat, it's important to consult with your healthcare provider for a safe discontinuation plan. Stopping abruptly may cause withdrawal symptoms or a return of your symptoms. Your doctor will likely recommend gradually tapering your dose to reduce these risks and monitor your progress during the process.

Can Spiriva Respimat 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.

Can Spiriva Respimat 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.

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Important information about buying Spiriva Respimat from UniversalDrugstore™

What happens after I place my order for Spiriva-respimat 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-respimat?

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-respimat?

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-respimat?

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?

We use advanced SSL encryption and secure payment processing to ensure that all transactions are 100% protected against fraud and unauthorized access.

Can I order a generic alternative to Spiriva-respimat?

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-respimat?

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.

Important

The information, including but not limited to, text, graphics, images and other material contained on this website are for informational purposes to increase health awareness only. No material on this site is intended to be a substitute for professional medical advice, diagnosis or treatment. 



Always seek the advice of your physician or other qualified health care provider with any questions you may have regarding a medical condition or treatment and before undertaking a new health care regimen, and never disregard professional medical advice or delay in seeking it because of something you have read on this website.