We have been experiencing intermittent connection problems with our phone lines due to widespread increased demand on phone networks related to COVID-19.
You may still place orders on our website. We're sorry for any inconvenience.
Spiriva Respimat (Tiotropium Bromide Monohydrate)
Spiriva Respimat (℞)
2.5mcg Spray, Metered Dose
(℞) Prescription required. Product of Canada. Shipped from Canada.
To comply with Canadian International Pharmacy Association regulations you are permitted to order a 3-month supply or the closest package size available based on your personal prescription. read more
Tiotropium Bromide Monohydrate Information
(tee oh tro' pee um)
- Use the diagram in the patient information that came with your medication to help you learn the names of the parts of your inhaler. You should be able to find the dust cap, mouthpiece, base, piercing button, and center chamber.
- Pick up one blister card of tiotropium capsules and tear it along the perforation. You should now have two strips that each contain three capsules.
- Put away one of the strips for later. Use the tab to carefully peel back the foil on the other blister strip until the STOP line. This should fully uncover one capsule. The other two capsules on the strip should still be sealed in their packaging. Plan to use those capsules on the next 2 days.
- Pull upward on the dust cap of your inhaler to open it.
- Open the mouthpiece of the inhaler. Remove the tiotropium capsule from the package and place it in the center chamber of the inhaler.
- Close the mouthpiece firmly until it clicks, but do not close the dust cap.
- Hold the inhaler so that the mouthpiece is on top. Press the green piercing button once, then let it go.
- Breathe out completely without putting any part of the inhaler in or near your mouth.
- Bring the inhaler up to your mouth and close your lips tightly around the mouthpiece.
- Hold your head upright and breathe in slowly and deeply. You should breathe just fast enough to hear the capsule vibrate. Continue to breathe in until your lungs are full.
- Hold your breath for as long as you can comfortably do so. Take the inhaler out of your mouth while you are holding your breath.
- Breathe normally for a short time.
- Repeat steps 8-11 to inhale any medication that may be left in your inhaler.
- Open the mouthpiece and tilt the inhaler to spill out the used capsule. Discard the used capsule out of the reach of children and pets. You may see a small amount of powder remaining in the capsule. This is normal and does not mean that you did not get your full dose.
- Close the mouthpiece and dust cap and store the inhaler in a safe place.
Before using tiotropium,
- tell your doctor and pharmacist if you are allergic to tiotropium, atropine (Atropen, Sal-Tropine, Ocu-Tropine), ipratropium (Atrovent), or any other medications.
- tell your doctor and pharmacist what prescription and nonprescription medications, vitamins, nutritional supplements, and herbal products you are taking. Be sure to mention any of the following: amiodarone (Cordarone); antihistamines; atropine (Atropen, Sal-Tropine, Ocu-Tropine); cisapride (Propulsid); disopyramide (Norpace); dofetilide (Tikosyn); erythromycin (E.E.S, E-Mycin, Erythrocin); eye drops; ipratropium (Atrovent); medications for irritable bowel disease, motion sickness, Parkinson's disease, ulcers, or urinary problems; moxifloxacin (Avelox); pimozide (Orap); procainamide (Procanbid, Pronestyl); quinidine (Quinidex); sotalol (Betapace); sparfloxacin (Zagam); and thioridazine (Mellaril). Your doctor may need to change the doses of your medications or monitor you carefully for side effects.
- tell your doctor if you have or have ever had glaucoma (an eye disease that can cause vision loss), urinary problems, irregular heart beat, or prostate (a male reproductive organ) or kidney disease.
- tell your doctor if you are pregnant, plan to become pregnant, or are breast-feeding. If you become pregnant while taking tiotropium, call your doctor.
- if you are having surgery, including dental surgery, tell the doctor or dentist that you are taking tiotropium.
- dry mouth
- stomach pain
- muscle pain
- runny nose
- painful white patches in mouth
- skin rash
- difficulty breathing or swallowing
- swelling of the face, throat, tongue, lips, eyes, hands, feet, ankles, or lower legs
- 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