Spiriva Respimat

Spiriva Respimat is a common treatment prescribed for the treatment of chronic obstructive pulmonary disease. Delivered in the form of an inhaler, the medication contains the active substance tiotropium. More information

A doctor will review your order and write you a prescription, if appropriate. This prescription is then forwarded to a pharmacy. The pharmacy will have your medicine delivered to you within one to three working days. Read more about this process here.

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Spiriva Respimat is an inhaler based medication for the treatment of COPD, or chronic obstructive pulmonary disease. This condition affects the way the lungs perform, and may also include chronic bronchitis, which causes swelling in the tubes that lead to the lungs.  

What is Spiriva Respimat? 

Spiriva Respimat is a common treatment prescribed for the treatment of chronic obstructive pulmonary disease. Delivered in the form of an inhaler, the medication contains the active substance tiotropium. When tiotropium is inhaled, it helps to relax the muscles in your airways, helping you to breath easily, particularly when your airways are inflamed or narrowed. This drug is prescription only and comes in either a prescription inhaler powder or spray. This substance is not available as a generic drug. In some cases, your doctor may give you Spiriva Respimat as part of a combination therapy intended to reduce your disease flare ups with COPD. Spiriva Respimat is not intended as an immediate treatment for shortness of breath.  

When is Spiriva Respimat used? 

Spiriva Respimat is a bronchodilator that belongs to a group of drugs known as anticholinergic medications. These substances often work to relax the muscles of your lungs, decreasing and preventing the shortness of breath associated with bronchitis, COPD, and emphysema. Spiriva Respimat is a maintenance medication, which means that you will need to use it every day to reduce your risk of attacks, rather than using this medication to respond to the symptoms of an attack. In some cases, Spiriva Respimat may be used to treat asthma in children over the age of 6 and adults, although in this case it is often prescribed with other treatments.

How do you use Spiriva Respimat? 

Spiriva Respimat must be taken according to your doctor's instructions. Do not use more of this substance than your doctor recommends, and do not use it for a longer period of time than your doctor tells you to. It is important to continue taking this substance every day for as long as your doctor advises, even if you feel as though your condition is improving. Spiriva Respimat often comes with instructions printed on a label inside of the packaging, read through these instructions carefully and ask your doctor or pharmacist any questions that you may have. Remember that this substance should only be used with an inhaler device. Capsules included to release powders and spray should not be swallowed for any reason. Do not allow the spray or powder from the inhaler to get into your eyes. Wash your eyes very thoroughly and call your doctor if this happens accidentally.  

Do not use the inhaler with any other medicine, and make sure that the Respimat inhaler is clean before you use it. Do not turn the clear base on the inhaler before you fill the cartridge in. Put your cartridge into the inhaler, leaving a small portion of the cartridge visible. Flip the cap upwards until it snaps open fully, then turn the base in the direction of the arrows until the system clicks.  

When you use this machine for the first time, you will not always be able to deliver the correct dosage of medication with the first puff. With that in mind, prime it by spraying your medication into the air away from your face. To inhale the medication, exhale fully, then place the mouthpiece between your lips. Make sure your tongue and teeth are out of the way. Press down firmly on the release button within the inhaler and breathe naturally through your mouth as deeply as you can. Repeat these steps for the number of puffs your doctor prescribes, then close the cap to keep the device hygienic. The inhaler will be able to show you how many doses you have left. The counter turns red when you are running out of medicine, which should remind you that you need a repeat prescription. Keep the inhaler mouthpiece clean.   

What dosages are available? 

The dose available for this medication will be different for different patients. Make sure that you follow your doctor's instructions carefully or pay attention to the directions on the bale. If your dose is different to the one suggested by the instructions for Spiriva Respimat, don't change it unless your doctor tells you to.  

The amount of medicine you need to use will depend on the strength of the medicine that your doctor prescribes and the number of doses you will take each day. For asthma, the most common dose is once a day, containing 2.5 mcg of medication per puff. If you are taking Spiriva Respimat for COPD, the usual dose is once a day, which will contain 2.5 mcg per puff from the Respimat device. Your doctor may adjust your dosage over time according to your response to treatment. If you forget to take a dose of this medicine, take it as soon as possible. If it is almost time for your next dose, skipped the missed dose and carry on as normal.  

What are the side effects of Spiriva Respimat? 

Spiriva Respimat can sometimes cause side effects like any other form of medication. The most common side effects will go away on their own after your body gets used to the medication. These symptoms can include coughs, sore throat, dry mouth, sinus problems, constipation, and a quicker than usual heart rate. Some patients also experience vision changes and pain when urinating.  

If these side effects persist or worsen, or you notice any other side effects that worry you, contact your doctor or a pharmacist as quickly as possible. Call your doctor or an emergency medical professional immediately if you experience more serious side effects, such as a shortness of breath. Serious side effects can also cause damage to the eye, which presents with symptoms like blurred vision, eye pain, halos around your vision, red eyes, and problems with seeing colors. You may also struggle with urination, feeling pain when urinating and trouble urinating 

There is a slight risk that Spiriva Respimat could include an allergic reaction, which could cause trouble breathing and swelling in the mouth tongue or throat. There's also a risk that you could suffer from a spasm in your lungs, which means that your wheezing or inability to breathe could get worse. It's important to seek emergency attention if you have any trouble with breathing, as these symptoms can be potentially life threatening.  

When shouldn't you use Spiriva Respimat? 

Spiriva Respimat is a suitable treatment for COPD for many people with lung conditions. However, it may not be the right treatment option for everyone. Your doctor will consider your medical history and conditions carefully when deciding whether this is the right treatment for you. Tell your doctor before taking Spiriva Respimat if you have any previous experiences with allergies or allergic reactions to this kind of medication. It's important to note that Spiriva Respimat is not suitable for the treatment of children under the age of 6. Additionally, there are no adequate studies currently stating that infants will be at risk when a mother uses this medication when breast-feeding. However, you may want to discuss your options with your doctor before using the drug just in case.  

If you have narrow-angle glaucoma, then your risk of side effects associated with vision loss and other eye problems may be greater when taking Spiriva Respimat. Your doctor will assess whether this substance could worsen your existing eye conditions. If you have kidney disease, there's a risk that your body will not be able to clear this substance from your system very well. When the kidneys cannot remove the active medication from your blood, you might end up having an increased risk of side effects. Tell your doctor if you have bladder obstructions or an enlarged prostate that may increase your chance of urinary retention and other side effects. Make sure that you tell your doctor if you experience problems with urinating when you're using this drug.  

Does Spiriva Respimat interact with any other medications? 

Many medications, including Spiriva Respimat can interact with other medications. That's why it is so important to make sure that your doctor knows all of the drugs that you're taking before you begin using Spiriva Respimat. Ensure that you make your doctor aware of any recreational drugs you are taking, over the counter medications, and supplements or herbal remedies. Remember that an interaction could happen with new drugs that you are taking too. Do not begin taking any new medications when using Spiriva Respimat without your doctor's approval.  

The most common drugs that Spiriva Respimat reacts negatively with includes other drugs with have the same impact on the body. If you are using other inhalers or anticholinergic drugs, then tell your doctor immediately. Medical professionals will usually avoid prescribing Spiriva Respimat with other drugs like clomipramine, benztropine or olanzapine.  

Where can you buy Spiriva Respimat? 

Spiriva Respimat is available from most pharmacies, both online and offline. We can arrange to have this medication sent to a registered EU pharmacy for you, or you can arrange a consultation with one of our regulated doctors online.  

Can you get Spiriva Respimat without a prescription?  

Spiriva Respimat is not available without a prescription as your doctor will need to make sure that this treatment is suitable for you and your condition. Your doctor may also want to monitor you closely when you are taking Spiriva Respimat. If you are not suitable to take Spiriva Respimat then a medical professional may be able to recommend a safe alternative for you.  




Emedicine health, 2019, online, Drug tiotropium inhalation, [Accessed on the 10th of August 2019], Available on: https://www.emedicinehealth.com/drug-tiotropium_inhalation/article_em.htm  

Drugs.com, 2019, online, PDF, Spiriva Respimat, [Accessed on the 10th of August 2019], Available on: https://www.drugs.com/sfx/spiriva-respimat-side-effects.html 

John P. Cunha, DO, FACOEP, online, Spiriva Respimat, [Accessed on 10th of August 2019], Available on: https://www.rxlist.com/spiriva-respimat-side-effects-drug-center.htm 

Assessed by:

Dr Imran Malik, General practitioner
Registration number: GMC: 4741365

Dr Imran Malik studied undergraduate medicine at King's College University in Central London and clinical studies at the prestigious King's College Hospital. He graduated with a MBBS degree in 2000 and went on to gain postgraduate memberships with the Royal Society of Medicine and also General Practice in 2006.