Spiriva (tiotropium): what it does and how to use it safely

Spiriva is a brand name for tiotropium, a long-acting inhaled medicine that helps open airways. People mainly use it for COPD and sometimes as an add-on for asthma. It won’t stop a sudden attack — it’s meant to reduce daily symptoms and flare-ups when taken regularly.

How Spiriva works and when to use it

Tiotropium is an anticholinergic bronchodilator. That means it relaxes the muscles around your airways so breathing gets easier over hours and days. Doctors usually prescribe it if you have persistent shortness of breath, chronic bronchitis, or emphysema that doesn’t respond well to short-acting inhalers alone. You need a prescription, and your provider will decide if Spiriva matches your condition and other meds.

Practical tips: HandiHaler vs Respimat and dosing

There are two common Spiriva forms. Which one do you have?

- HandiHaler: a dry-powder system. Each capsule is 18 mcg and you inhale the whole capsule once a day. Don’t swallow the capsule. Break it in the device, inhale fully, and discard the used capsule.

- Respimat: a soft-mist inhaler. The usual dose is two puffs once daily (each puff 2.5 mcg for a total of 5 mcg). Prime it before first use, and keep the cap clean. Breathe in slowly while pressing the release button.

Use your inhaler the same time each day. If you miss one dose, take it when you remember unless it’s almost time for the next dose—then skip the missed one. Never double up.

Side effects are usually mild but worth watching. The most common are dry mouth, cough, constipation, and headache. Less common but serious issues include urinary retention, blurred vision, and worsening narrow-angle glaucoma. If you notice sudden eye pain, severe trouble peeing, or a fast irregular heartbeat, contact your clinician right away.

Don’t use Spiriva for sudden wheezing or an asthma attack. Keep a rescue inhaler (like albuterol) handy for emergencies. Also tell your doctor if you take other anticholinergic drugs, because side effects can add up. Pregnant or breastfeeding? Talk to your provider — data are limited and choices depend on your health needs.

Storage and handling tips: keep HandiHaler capsules in their blister until use and avoid moisture. Store Respimat at room temperature away from direct heat. Dispose of empty devices as instructed. If you have trouble using your inhaler, ask your pharmacist for a demo — proper technique makes a big difference.

If breathing gets worse, your rescue inhaler stops working, or you develop signs of a serious reaction, seek care right away. For routine questions about dosing, side effects, or switching inhalers, your prescriber or pharmacist can help you make a safe plan.

Want more clear info about medications? CanadianPharmacyService.com has straightforward guides and tips to help you understand prescriptions like Spiriva.