Spiriva Side Effects

Generic Name: tiotropium

Please note - some side effects for Spiriva may not be reported. Always consult your doctor or healthcare specialist for medical advice. You may also report side effects to the FDA.

Side Effects of Spiriva - for the Consumer

Spiriva HandiHaler

All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome when using Spiriva HandiHaler:

Blurred vision; constipation; dry mouth; indigestion; mild nosebleed; runny nose; sinus inflammation or infection; sore throat; stomach pain; vomiting.

Severe allergic reactions (rash; hives; itching; difficulty breathing or swallowing; tightness in the chest; swelling of the mouth, face, lips, throat, or tongue; unusual hoarseness); burning, numbness, or tingling; chest pain; depression; difficult or painful urination; eye pain or discomfort; fast or irregular heartbeat; irritation, pain, or white patches in the mouth or on the tongue; mouth sores; new or worsened breathing problems; severe or persistent constipation; severe or persistent nosebleed; vision changes (eg, halos, colored images); wheezing.

This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. To report side effects to the appropriate agency, please read the Guide to Reporting Problems to FDA.

Side Effects by Body System - for Healthcare Professionals

Cardiovascular

Cardiovascular side effects have included edema, angina pectoris, atrial fibrillation, supraventricular tachycardia, and nonspecific chest pain. Tachycardia and palpitations have been reported in postmarketing experience.

Dermatologic

Dermatologic side effects have included rash, urticaria and pruritus.

Metabolic

Metabolic side effects have included hypercholesterolemia and hyperglycemia.

Gastrointestinal

Gastrointestinal side effects have included abdominal pain, constipation, dry mouth, dyspepsia, vomiting, gastroesophageal reflux and stomatitis. Dysphagia and intestinal obstruction including paralytic ileus have been reported in postmarketing experience.

Genitourinary

Genitourinary side effects have included urinary retention, urinary difficulty and urinary tract infection.

Musculoskeletal

Musculoskeletal side effects have included skeletal pain, myalgia and leg pain.

Nervous system

Nervous system side effects have included dysphonia and paresthesia. Dizziness has been reported in postmarketing experience.

Ocular

Ocular side effects have included cataracts, narrow angle glaucoma (new onset or worsening) and blurred vision. Increased intraocular pressure has been reported in postmarketing experience.

Psychiatric

Psychiatric side effects have included depression.

Respiratory

Respiratory side effects have included epistaxis, pharyngitis, rhinitis, sinusitis, laryngitis, coughing and upper respiratory tract infections.

Other

Other side effects have included dry mouth, moniliasis and herpes zoster. Hoarseness, oral candidiasis, and throat irritation have been reported in postmarketing experience.

Hypersensitivity

Hypersensitivity side effects have included angioedema and allergic reactions.

Other

Other side effects identified during worldwide post approval use have included application site irritation (glossitis, mouth ulceration, and pharyngolaryngeal pain).

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