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Medications and Drugs

Brand Names: Spiriva

Generic Name: tiotropium inhalation (Pronunciation: tye oh TROE pee um)

What is tiotropium inhalation (Spiriva)?

Tiotropium inhalation is used to prevent bronchospasm (narrowing of the airways in the lungs) in people with bronchitis, emphysema, or COPD (chronic obstructive pulmonary disease).

Tiotropium inhalation may also be used for purposes not listed in this medication guide.

What are the possible side effects of tiotropium inhalation (Spiriva)?

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat.

Call your doctor at once if you have a serious side effect such as:

  • wheezing, chest pain or tightness, trouble breathing;
  • pain or burning when you urinate;
  • blurred vision, eye pain or redness, seeing halos around lights;
  • rapid heart rate;
  • sores or white patches of your mouth, lips, or tongue; or
  • urinating less than usual or not at all.

Less serious side effects may include:

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

What is the most important information I should know about tiotropium inhalation (Spiriva)?

A tiotropium capsule is for use only in the HandiHaler device. Do not take the capsule by mouth. Use only one capsule at a time.

Before using this medication, tell your doctor if you have narrow-angle glaucoma, or an enlarged prostate or bladder obstruction.

Tiotropium inhalation is used to prevent bronchospasm attacks. Do not use this medication to treat a bronchospasm attack that has already begun. It will not work fast enough to reverse your symptoms. Use only a fast-acting inhalation medication to treat an attack.

Use this medication exactly as it was prescribed for you. Do not use it in larger doses or for longer than recommended by your doctor.

Talk with your doctor if any of your medications do not seem to work as well in treating or preventing bronchospasm attacks.



Report Problems to the Food and Drug Administration

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit the FDA MedWatch website or call 1-800-FDA-1088.

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