Spiriva (Tiotropium)

SPIRIVA is indicated for long term, once a day maintenance treatment for bronchospasm (wheezing or difficulty in breathing) that is associated with Chronic Obstructive Pulmonary Disease (COPD), including chronic bronchitis and emphysema. SPIRIVA works by relaxing the muscles in your airways and enlarging the airways. This way more air can move in/out of your lungs, in turn helping you breathe better. This medication comes with a handheld inhalation device because the capsule contains dry powder that is inhaled through the mouth. SPIRIVA is only used to prevent bronchospasm attacks. Do not use it during an attack because it will not work quickly enough -- use a fast-acting inhaler instead.

Available with prescription only.

• allergies to any medications
• kidney problems
• have glaucoma
• an enlarged prostate
• problems passing urine
• pregnancy or plan to become pregnant
• breast-feeding or plan to breast-feed
• severe allergy to milk proteins
• any medications you may be taking including prescription, non-prescription, eye drops, vitamins, and herbal supplements

Additional side effects of SPIRIVA include:

• upper respiratory tract infection
• dry mouth
• sinus infection
• sore throat
• non-specific chest pain
• urinary tract infection (UTI)
• indigestion
• runny nose
• constipation
• increased heart rate
• blurred vision