Spiriva (Tiotropium Bromide) Customer Reviews


Rx Prescription Required    RxFormulation : Capsule

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Generic alternative for Spiriva

Tiotropium Bromide

Rx Prescription Required    RxFormulation : Rotacap

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Tiotropium is employed for the management and prevention of symptoms associated with ongoing lung diseases, notably chronic obstructive pulmonary disease (COPD). Its mechanism of action involves the relaxation of the muscles surrounding the airways, facilitating their expansion and thereby promoting easier breathing. Tiotropium is categorized within the class of medications known as anticholinergics. The effective control of breathing-related symptoms can reduce disruptions in daily routines, including work or school attendance.

Uses and Dosage

Tiotropium is available in capsule form and is used in conjunction with a specialized inhaler. The inhaler is employed to inhale the dry powder contained within the capsules. Typically, tiotropium is administered via inhalation once daily, either in the morning or evening. To ensure consistent usage, inhale tiotropium at approximately the same time each day.

Use tiotropium precisely as directed, without inhaling more or less of it or increasing the frequency beyond your doctor’s prescription.

Do not ingest tiotropium capsules.

Tiotropium’s effectiveness is contingent upon the utilization of the inhaler specifically designed for it to inhale the powder enclosed within the capsules. Attempting to inhale the capsules with any other inhaler is not advisable.

Under no circumstances should tiotropium be employed to address sudden episodes of wheezing or acute shortness of breath. In such situations, your healthcare provider will likely prescribe a different medication to be used during episodes of severe breathing difficulty.

It is essential to recognize that while tiotropium manages COPD symptoms, it does not cure the condition. It may take a few weeks before you begin to experience the full benefits of tiotropium. Even if you perceive an improvement in your condition, continue using tiotropium as prescribed. Do not discontinue tiotropium without consulting your doctor.

Exercise caution to prevent tiotropium powder from coming into contact with your eyes. In the event that tiotropium powder does enter your eyes, it may lead to blurred vision and light sensitivity. In such cases, promptly contact your doctor for guidance.

Side Effects

Some side effects may occur that usually do not need medical attention:

  • dry mouth
  • constipation
  • stomach pain
  • vomiting
  • indigestion
  • muscle pain
  • nosebleed
  • runny nose
  • sneezing
  • painful white patches in mouth

Inform your healthcare provider immediately if you experience any serious side effects:

  • hives
  • skin rash
  • itching
  • difficulty breathing or swallowing
  • swelling of the face, throat, tongue, lips, eyes, hands, feet, ankles, or lower legs
  • hoarseness
  • chest pain
  • sore throat, fever, chills, and other signs of infection
  • headaches or other signs of a sinus infection
  • painful or difficult urination
  • fast heart beat
  • eye pain
  • blurred vision
  • seeing halos around lights or seeing colored images
  • red eyes


Prior to initiating tiotropium, communicate any known allergies to your healthcare provider or pharmacist. This includes allergies to tiotropium itself, ipratropium, atropine, other medications belonging to the belladonna-type drug class, or any other allergens. This product may contain inactive ingredients, such as milk proteins, which have the potential to trigger allergic reactions or other complications.

Before commencing this medication, disclose your medical history to your doctor or pharmacist, with particular attention to conditions like kidney disease and personal or familial history of angle-closure glaucoma, as well as difficulties with urination, which can be associated with conditions like an enlarged prostate.

This medication has the potential to induce dizziness or blurred vision. The consumption of alcohol or marijuana can intensify these effects. Refrain from operating machinery, driving, or engaging in activities requiring alertness or clear vision until you can do so safely.

In the case of older adults, they may be more susceptible to certain side effects of this medication, particularly dry mouth and constipation. Older men may also face an elevated risk of experiencing difficulties with urination while using this drug.

During pregnancy, the use of this medication should only be considered when it is unequivocally necessary. Engage in a comprehensive discussion with your healthcare provider to assess the associated risks and benefits.

The transfer of this medication into breast milk remains uncertain. Consult your doctor before considering breastfeeding while using this medication.

Form and Strength

Spiriva is available in the following forms and strengths:

  • Spiriva capsule:

    • 18mcg
  • tiotropium rotocap:

    • 18mcg


Is it better to take Spiriva in the morning or night?

You can use Spiriva any time of day, so choose a time that is most convenient for you. The most important thing to remember is to take your dose around the same time every day.

Is Spiriva a steroid?

Spiriva is an anticholinergic, so it relaxes your airway muscles when they are tight. It works differently from steroids, which help to reduce inflammation.


  1. https://www.goodrx.com/spiriva-handihaler/what-is#faqs
  2. https://www.mayoclinic.org/drugs-supplements/tiotropium-inhalation-route/description/drg-20066394
  3. https://www.webmd.com/drugs/2/drug-89062/spiriva-with-handihaler-inhalation/details
  4. https://medlineplus.gov/druginfo/meds/a604018.html
  5. https://www.drugs.com/spiriva.html

Additional information

Generic name:

Tiotropium Bromide, Tiotropium bromide


Capsule, Rotacap



Quantities Available:

60, 90

Can Drug Store has provided information from third parties intended to increase awareness and does not contain all the information about Spiriva (Tiotropium Bromide). Talk to your doctor or a qualified medical practitioner for medical attention, advice, or if you have any concerns about Spiriva (Tiotropium Bromide).