Spiriva®

What is Spiriva?

Spiriva is a treatment that’s used to prevent symptoms of chronic obstructive pulmonary disorder (COPD). COPD is a condition where airflow in your lungs is restricted, making it difficult to breathe.

How does Spiriva work?

Tiotropium, the active ingredient in Spiriva, works by binding to the acetylcholine receptors in the smooth muscle of your airways. This blocks acetylcholine from binding, causing the airways to relax and widen, which helps improve airflow. It also decreases mucus secretion, which prevents mucus buildup, making it easier to breathe.^[1]

Is there a generic version of Spiriva?

Yes, there are generic versions of Spiriva available. Some generic versions are sold under a brand name, like Tiova, while others simply go by the active ingredient it contains, Tiotropium. Generic drugs largely have the same effectiveness as branded versions, but are usually cheaper.

Will I get side effects using Spiriva?

You might experience side effects when taking Spiriva. The most common side effect is dry mouth. Other side effects may include:

• Hoarseness
• Cough
• Headache
• Throat inflammation
• Pain when urinating
• Mouth infections
• Constipation

Is Spriva a steroid?

No, Spiriva isn’t a steroid; it’s a bronchodilator in the class of drugs called long-acting muscarinic antagonist (LAMA). These drugs relax and widen your airways, making it easier to breathe.

What doses of Spiriva are there?

There are two versions of Spiriva, each containing a different dose.

Spiriva Respimat, which is an inhaler, contains 2.5mcg of tiotropium bromide per actuation.

Spiriva Handihaler, which comes as a capsule that’s inhaled, contains 18mcg of tiotropium bromide.

How to take Spiriva

The instructions vary depending on which Spiriva medicine you’re using.

To use Spiriva Respimat:

1. Turn the base until you hear it click.
2. Open the cap.
3. Breathe out slowly and fully.
4. Close your lips around the mouthpiece.
5. While taking in a deep breath, press the dose button to release the medicine.
6. Hold your breath for 10 seconds.
7. Repeat the steps one more time.

You should take two puffs each time you use Spiriva Respimat.

To use Spiriva Handihaler:

1. Open the Handihaler.
2. Place a capsule in the capsule chamber and close it.
3. Press the button on the side to pierce the capsule.
4. Breathe out slowly and fully.
5. Close your lips around the mouthpiece.
6. Take in a deep breath – you should hear the capsule rattling.
7. Hold your breath for 10 seconds.
8. Repeat steps 4-7 one more time.
9. Open the cap and remove the capsule.

For detailed instructions with pictures, refer to the package leaflet that comes with your medication.