Generic Name: Tiotropium Inhalation Spray (ty oh TRO pee um)
Brand Name: Spiriva Respimat
Medically reviewed on July 4, 2018
Uses of Tiotropium Inhalation Spray:
- It is used to treat COPD (chronic obstructive pulmonary disease).
- It is used to treat asthma.
- This medicine is not to be used to treat intense flare-ups of shortness of breath. Use a rescue inhaler. Talk with the doctor.
What do I need to tell my doctor BEFORE I take Tiotropium Inhalation Spray?
- If you have an allergy to tiotropium inhalation spray or any part of tiotropium inhalation spray.
- If you are allergic to any drugs like this one, any other drugs, foods, or other substances. Tell your doctor about the allergy and what signs you had, like rash; hives; itching; shortness of breath; wheezing; cough; swelling of face, lips, tongue, or throat; or any other signs.
- If you take other drugs called anticholinergics, like ipratropium or oxybutynin. Ask your doctor if you are not sure if any of your drugs are anticholinergic.
This is not a list of all drugs or health problems that interact with tiotropium inhalation spray.
Tell your doctor and pharmacist about all of your drugs (prescription or OTC, natural products, vitamins) and health problems. You must check to make sure that it is safe for you to take tiotropium inhalation spray with all of your drugs and health problems. Do not start, stop, or change the dose of any drug without checking with your doctor.
What are some things I need to know or do while I take Tiotropium Inhalation Spray?
For all uses of tiotropium inhalation spray:
- Tell all of your health care providers that you take tiotropium inhalation spray. This includes your doctors, nurses, pharmacists, and dentists.
- Avoid driving and doing other tasks or actions that call for you to be alert or have clear eyesight until you see how tiotropium inhalation spray affects you.
- Unsafe allergic effects may rarely happen.
- Call your doctor right away if your breathing problems get worse, if your rescue inhaler does not work as well, or if you need to use your rescue inhaler more often.
- Do not get tiotropium inhalation spray in your eyes. If you get it in your eyes, it may cause large pupils and blurred eyesight.
- Do not use more than what your doctor told you to use. Do not use more often or longer than what you were told. Doing any of these things may raise the chance of very bad side effects.
- If you are 65 or older, use tiotropium inhalation spray with care. You could have more side effects.
- Tell your doctor if you are pregnant or plan on getting pregnant. You will need to talk about the benefits and risks of using tiotropium inhalation spray while you are pregnant.
- Tell your doctor if you are breast-feeding. You will need to talk about any risks to your baby.
- It may take several weeks to see the full effects.
How is this medicine (Tiotropium Inhalation Spray) best taken?
Use tiotropium inhalation spray as ordered by your doctor. Read all information given to you. Follow all instructions closely.
- Follow how to use as you have been told by the doctor or read the package insert.
- To gain the most benefit, do not miss doses.
- Keep using tiotropium inhalation spray as you have been told by your doctor or other health care provider, even if you feel well.
- Keep out of your eyes.
- Have your puffer (inhaler) use checked with your doctor at each visit. Read and follow facts on how to use the puffer. Make sure you use the puffer the right way.
- If using more than 1 type of puffer (inhaler), ask the doctor which puffer to use first.
- Do not use a spacer with the puffer (inhaler).
- Use new puffer (inhaler) with each refill.
- Put the cap back on after you are done using your dose.
- Prepare the inhaler before first use. Spray towards the ground until mist is seen. Once the mist is seen, spray 3 more times. If it has been more than 3 days since it has been used, spray once at the ground. If not used in more than 21 days, you will need to prepare the inhaler again. Spray until mist is seen then spray 3 more times.
- Follow how to clean carefully.
- After all sprays have been used, the puffer (inhaler) will lock.
What do I do if I miss a dose?
- Take a missed dose as soon as you think about it.
- If you do not think about the missed dose until the next day, skip the missed dose and go back to your normal time.
- Do not take more than 1 dose of tiotropium inhalation spray in the same day.
See also: Dosage Information (in more detail)
What are some side effects that I need to call my doctor about right away?
WARNING/CAUTION: Even though it may be rare, some people may have very bad and sometimes deadly side effects when taking a drug. Tell your doctor or get medical help right away if you have any of the following signs or symptoms that may be related to a very bad side effect:
- Signs of an allergic reaction, like rash; hives; itching; red, swollen, blistered, or peeling skin with or without fever; wheezing; tightness in the chest or throat; trouble breathing, swallowing, or talking; unusual hoarseness; or swelling of the mouth, face, lips, tongue, or throat.
- Change in eyesight, eye pain, or very bad eye irritation.
- Eye redness.
- Seeing halos or bright colors around lights.
- Trouble passing urine.
- Pain when passing urine.
- Passing urine more often.
- Passing urine in a weak stream or drips.
- Chest pain or pressure.
- This medicine can cause very bad breathing problems right after you take a dose. Sometimes, this may be life-threatening. If you have trouble breathing, breathing that is worse, wheezing, or coughing after using tiotropium inhalation spray, use a rescue inhaler and get medical help right away.
What are some other side effects of Tiotropium Inhalation Spray?
All drugs may cause side effects. However, many people have no side effects or only have minor side effects. Call your doctor or get medical help if any of these side effects or any other side effects bother you or do not go away:
- Dry mouth.
- Upset stomach.
- Nose and throat irritation.
- Runny nose.
- Stuffy nose.
- Belly pain.
These are not all of the side effects that may occur. If you have questions about side effects, call your doctor. Call your doctor for medical advice about side effects.
You may report side effects to the FDA at 1-800-FDA-1088. You may also report side effects at http://www.fda.gov/medwatch.
See also: Side effects (in more detail)
If OVERDOSE is suspected:
If you think there has been an overdose, call your poison control center or get medical care right away. Be ready to tell or show what was taken, how much, and when it happened.
How do I store and/or throw out Tiotropium Inhalation Spray?
- Store at room temperature.
- Store in a dry place. Do not store in a bathroom.
- Do not freeze.
- After putting together, throw away the puffer (inhaler) 3 months after first use or when the puffer (inhaler) locks.
- Keep all drugs in a safe place. Keep all drugs out of the reach of children and pets.
- Throw away unused or expired drugs. Do not flush down a toilet or pour down a drain unless you are told to do so. Check with your pharmacist if you have questions about the best way to throw out drugs. There may be drug take-back programs in your area.
Consumer information use
- If your symptoms or health problems do not get better or if they become worse, call your doctor.
- Do not share your drugs with others and do not take anyone else's drugs.
- Keep a list of all your drugs (prescription, natural products, vitamins, OTC) with you. Give this list to your doctor.
- Talk with the doctor before starting any new drug, including prescription or OTC, natural products, or vitamins.
- Some drugs may have another patient information leaflet. Check with your pharmacist. If you have any questions about tiotropium inhalation spray, please talk with your doctor, nurse, pharmacist, or other health care provider.
- If you think there has been an overdose, call your poison control center or get medical care right away. Be ready to tell or show what was taken, how much, and when it happened.
Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.
More about tiotropium
- Tiotropium Side Effects
- During Pregnancy or Breastfeeding
- Dosage Information
- Drug Interactions
- Support Group
- En Español
- 87 Reviews
- Drug class: anticholinergic bronchodilators
- Tiotropium inhalation
- Tiotropium Capsules for Inhalation
- Tiotropium Inhalation, oral/nebulization (Advanced Reading)