Spiriva (tiotropium) (tiotropium) — Uses, Dosage, Side Effects & Safety

Drug class: Long-acting anticholinergic bronchodilator (LAMA)

Overview

Spiriva (tiotropium) is a prescription inhaled medication used to help control symptoms of chronic obstructive pulmonary disease (COPD), including chronic bronchitis and emphysema, as well as asthma in certain adults and children. It works by relaxing the muscles around the airways, making it easier to breathe and helping to prevent wheezing, shortness of breath, and flare-ups. Tiotropium is a long-acting bronchodilator that blocks the action of acetylcholine on airway smooth muscle, leading to sustained airway relaxation. It is not a rescue inhaler and should not be used for sudden breathing problems. Key points: Use Spiriva daily as prescribed, even if you feel well. It is important to follow the inhaler instructions carefully for best results. Do not use more than the recommended dose, and always keep your rescue inhaler available for sudden symptoms.

Therapeutic uses

• Maintenance treatment of bronchospasm associated with chronic obstructive pulmonary disease (COPD), including chronic bronchitis and emphysema
• Reduction of COPD exacerbations
• Maintenance treatment of asthma in patients aged 6 years and older

Common side effects

• Dry mouth
• Sore throat
• Upper respiratory tract infection
• Constipation
• Urinary retention
• Blurred vision
• Paradoxical bronchospasm

Frequently Asked Questions about Spiriva (tiotropium)

How long does it take for Spiriva to start working?

Spiriva begins to work within 30 minutes, but maximum benefit may take several days to weeks of regular use. It is not intended for immediate relief of symptoms.

Can Spiriva be used for asthma?

Yes, Spiriva Respimat is approved for maintenance treatment of asthma in adults and children 6 years and older who require additional control. It should be used alongside other asthma medications.

Is Spiriva a steroid?

No, Spiriva is not a steroid. It is a long-acting anticholinergic bronchodilator that works differently from inhaled corticosteroids.

Can I use Spiriva with other inhalers?

Spiriva can be used with other inhalers, such as inhaled corticosteroids or short-acting beta-agonists, but avoid using it with other anticholinergic inhalers unless directed by your doctor.

What should I do if I accidentally swallow a Spiriva capsule?

Spiriva capsules are not intended for oral use. If swallowed, contact your healthcare provider for advice. The medication will not be effective if not inhaled.

Can Spiriva cause dry mouth?

Yes, dry mouth is one of the most common side effects of Spiriva. Drinking water or chewing sugar-free gum may help relieve this symptom.

Is Spiriva safe during pregnancy or breastfeeding?

There is limited data on Spiriva use in pregnancy and breastfeeding. Discuss with your doctor if you are pregnant, planning to become pregnant, or breastfeeding.

Educational information only. Always consult a qualified healthcare professional before starting, stopping, or changing any medication.