Generic Name: tiotropium (TYE-oh-TROE-pee-um)
Brand Name: Spiriva Respimat
Tiotropium spray is used for:
Treating symptoms of chronic obstructive pulmonary disease (COPD), including bronchitis and emphysema. It may also be used for other conditions as determined by your doctor.
Tiotropium spray is an anticholinergic agent. It works by enlarging the airways to allow easier breathing.
Do NOT use tiotropium spray if:
- you are allergic to any ingredient in tiotropium spray or to a related medicine (eg, ipratropium)
- you are taking another anticholinergic (eg, ipratropium)
Contact your doctor or health care provider right away if any of these apply to you.
Before using tiotropium spray:
Some medical conditions may interact with tiotropium spray. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:
- if you are pregnant, planning to become pregnant, or are breast-feeding
- if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
- if you have allergies to medicines, foods, or other substances
- if you have had a severe allergic reaction (eg, severe rash, hives, difficulty breathing, dizziness) to atropine
- if you have trouble urinating, an enlarged prostate, bladder blockage, glaucoma, or kidney problems
- if you are having sudden breathing problems or increased difficulty breathing
Some MEDICINES MAY INTERACT with tiotropium spray. Tell your health care provider if you are taking any other medicines, especially any of the following:
- Anticholinergics (eg, ipratropium) because they may increase the risk of tiotropium spray's side effects. Ask your doctor if you are unsure if any of your medicines are anticholinergics
This may not be a complete list of all interactions that may occur. Ask your health care provider if tiotropium spray may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.
How to use tiotropium spray:
Use tiotropium spray as directed by your doctor. Check the label on the medicine for exact dosing instructions.
- An extra patient leaflet is available with tiotropium spray. Talk to your pharmacist if you have questions about this information.
- A health care provider will teach you how to use tiotropium spray at home. Be sure you understand how to use tiotropium spray. Follow the procedures you are taught when you use a dose. Contact your health care provider if you have any questions.
- Prepare the inhaler as directed by the patient leaflet or your health care provider. Contact your doctor or pharmacist if you are unsure how to prepare the inhaler for use. The cartridge is only to be used with the inhaler provided. Do not use the inhaler with other medicines.
- Do NOT spray tiotropium spray in the eyes.
- You will need to prime tiotropium spray before the first use of a new cartridge. Point the inhaler toward the ground (away from your face) and test spray as directed until the spray is visible. After the spray is visible, repeat with 3 more test sprays before you use the inhaler for the first time.
- If you do not use the inhaler for more than 3 days, test spray 1 time before using. If you do not use it for more than 21 days, test spray until the spray is visible and repeat with 3 more test sprays.
- Be sure you know how to use the inhaler. If you are not sure how to use the inhaler, talk with your doctor or pharmacist.
- Keep the mouthpiece clean. Clean with only a damp cloth or tissue at least 1 time a week.
- After all the sprays have been used, the inhaler will lock.
- Always use the new inhaler device provided with your medicine. Clean the device as needed according to the instructions in the patient leaflet.
- Using tiotropium spray at the same time each day will help you remember to use it.
- Use tiotropium spray on a regular schedule to get the most benefit from it.
- If you miss a dose of tiotropium spray, use it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not use 2 doses at once. Do not use more than 1 dose every 24 hours.
Ask your health care provider any questions you may have about how to use tiotropium spray.
Important safety information:
- Tiotropium spray may cause dizziness or blurred vision. These effects may be worse if you take it with alcohol or certain medicines. Use tiotropium spray with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.
- Tiotropium spray will not stop sudden breathing problems once they have already started. Be sure to carry a rescue inhaler (eg, albuterol) with you in case of sudden breathing problems. If you have any questions about which medicines stop sudden breathing problems, check with your doctor or pharmacist.
- Avoid getting tiotropium spray in your eyes. If you get tiotropium spray in your eyes and eye pain, blurred vision, or other vision changes occur, contact your doctor immediately.
- Tiotropium spray may sometimes cause severe breathing problems right after you use a dose. If this happens, use your rescue inhaler. Contact your doctor or seek other medical care at once.
- Use tiotropium spray with caution in the ELDERLY; they may be more sensitive to its effects.
- PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using tiotropium spray while you are pregnant. It is not known if this medicine is found in breast milk. If you are or will be breast-feeding while you use tiotropium spray, check with your doctor. Discuss any possible risks to your baby.
Possible side effects of tiotropium spray:
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:
Seek medical attention right away if any of these SEVERE side effects occur:
Constipation; dry mouth; indigestion; nose or throat irritation; runny nose.
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); chest pain; difficult or painful urination; eye pain or discomfort; fast or irregular heartbeat; irritation, pain, or white patches in the mouth or on the tongue; new or worsened breathing problems (eg, cough); red eyes; severe or persistent nose or throat irritation; vision changes (eg, blurred vision, 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.
If OVERDOSE is suspected:
Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center, or emergency room immediately.Proper storage of tiotropium spray:
Store tiotropium spray at room temperature, between 59 and 86 degrees F (15 and 30 degrees C). Store away from heat, moisture, and light. Do not freeze. After putting together, throw away the inhaler 3 months after first use or when the inhaler locks. Do not store in the bathroom. Keep tiotropium spray out of the reach of children and away from pets.
- If you have any questions about tiotropium spray, please talk with your doctor, pharmacist, or other health care provider.
- Tiotropium spray is to be used only by the patient for whom it is prescribed. Do not share it with other people.
- If your symptoms do not improve or if they become worse, check with your doctor.
- Check with your pharmacist about how to dispose of unused medicine.
This information should not be used to decide whether or not to take tiotropium spray or any other medicine. Only your health care provider has the knowledge and training to decide which medicines are right for you. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about tiotropium spray. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to tiotropium spray. This information is not specific medical advice and does not replace information you receive from your health care provider. You must talk with your health care provider for complete information about the risks and benefits of using tiotropium spray.
Disclaimer: This information should not be used to decide whether or not to take this medicine or any other medicine. Only your health care provider has the knowledge and training to decide which medicines are right for you. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about this medicine. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to this medicine. This information is not specific medical advice and does not replace information you receive from your health care provider. You must talk with your healthcare provider for complete information about the risks and benefits of using this medicine.