Spiriva Caps and Device (Tiotropium)

Name: Spiriva Caps and Device
Brand: Boehringer Ingelheim
SKU: 2425
Availability: InStock

Type

Product

Manufacturer

Country

Dosage

Qty-Price (USD)

Type:

Product: Spiriva Caps and Device

Manufacturer: Boehringer Ingelheim

Country: Canada

Dosage: 18 mcg/30 blisters

Qty-Price (USD):

Type:

Product: Spiriva Caps and Device

Manufacturer: Boehringer Ingelheim

Country: Turkey

Dosage: 18 mcg/30 blisters

Qty-Price (USD):

Type:

Product: Spiriva Caps and Device with Device

Manufacturer: Boehringer Ingelheim

Country: United Kingdom

Dosage: 18 mcg/30 capsules

Qty-Price (USD):

Generic Equivalent of Spiriva Caps and Device

Type

Product

Manufacturer

Country

Dosage

Qty-Price (USD)

Type:

Product: Tiotropium Rotahaler Device

Manufacturer: Generic

Country: India

Dosage: 1 unit

Qty-Price (USD):

Type:

Product: Tiotropium with Device

Manufacturer: Generic

Country: Canada

Dosage: 18 mcg/30 capsules

Qty-Price (USD):

Type:

Product: Tiotropium with Device

Manufacturer: Generic

Country: India

Dosage: 18 mcg/30 capsules

Qty-Price (USD):

Spiriva Caps and Device online Canadian Pharmacy

Spiriva Caps and Device Information

medically reviewed by Carol Hou (BSc. Pharm) on June 13, 2025.

A licensed pharmacist (Licensed Community Pharmacies Directory | College of Pharmacists of British Columbia) with over 20 years of experience in medication management, specifically medication safety, she has reviewed the information for accuracy and completeness.

Spiriva and Tiotropium at CanadaPharmacyOnline.com

Brand Spiriva, manufactured by Boehringer Ingelheim, is available in Canada, Turkey, and the United Kingdom.

Generic Tiotropium is sourced from manufacturers that meet applicable regulatory standards. The specific manufacturer of your dispensed medication may vary.

Important information about Generic Tiotropium:

Generic tiotropium contains the same active ingredient as the brand-name Spiriva, and meets the same effectiveness, safety, and quality standards. This means it is designed to work in the same way as Spiriva. While specific bioequivalence studies are conducted to ensure generic medications have comparable absorption rates and overall effects, individual responses to any medication can vary. Talk to your doctor or pharmacist if you have any questions about using generic tiotropium.

For information about generic drug approval and bioequivalence, please visit the FDA website: https://www.fda.gov/drugs/buying-using-medicine-safely/generic-drugs

Dosage:

Spiriva (tiotropium) comes with a HandiHaler inhalation device, and is commonly available in 18 mcg strength. It is typically packaged in 30 capsules or blisters.

Your doctor will determine the appropriate dose based on your needs and medical condition.

Usage:

Spiriva handihaler (tiotropium inhalation powder) is a prescription drug that is used once daily for the long-term relief of symptoms such as shortness of breath and wheezing associated with the lung disease known as chronic obstructive pulmonary disease (COPD), which includes chronic bronchitis and emphysema.

For more information, refer to the product labeling information: https://www.accessdata.fda.gov/drugsatfda_docs/label/2009/021395s029lbl.pdf.

Mechanism of Action:
Spiriva (tiotropium) belongs to a class of drugs known as anticholinergics, and it works by opening the airways for a full 24 hours to make breathing easier. This medication contains the active ingredient tiotropium, designed to help adults with chronic obstructive pulmonary disease (COPD) and sometimes asthma breathe easier. It comes as a capsule containing dry powder, which is inhaled through the mouth using the Handihaler device. Tiotropium should not be used as a rescue medication to relieve sudden attacks of COPD symptoms such as wheezing or shortness of breath.

Use Spiriva exactly as your doctor prescribes. Do not change your dosage or stop using the medication without consulting your doctor. Follow the instructions in the product monograph in Canada: https://pdf.hres.ca/dpd_pm/00042330.PDF.

The information below summarizes some, but not all, potential side effects, risks, and interactions. Before taking Spiriva, it is essential to discuss all possible aspects with your doctor or pharmacist.

Side Effects:

The information below is a partial list of side effects; individual reactions can vary. Before starting Spiriva, it is crucial to discuss potential side effects and risks with your doctor or pharmacist.

Common side effects: These are examples of some common side effects of Spiriva, but others are possible. Contact your doctor promptly if any side effects are persistent, worsening, or concerning, or if you experience any other concerning symptoms.
• Dry mouth (this is often the most frequently reported side effect)
• Blurred vision (especially if the powder gets into the eyes)
• Constipation
• Cough
• Dizziness
• Headache
• Hoarseness or voice changes
• Indigestion (dyspepsia)
• Nosebleed
• Oral thrush (a yeast infection in the mouth)
• Sinus infection (sinusitis)
• Sore throat (pharyngitis)
• Upper respiratory tract infection (e.g., common cold symptoms, runny nose)
• Urinary tract infection (UTI)

Serious or rare side effects: Stop taking Spiriva and seek immediate medical attention if you experience any of the following:
• Heart problems: While a faster heartbeat can be common, any new or worsening irregular heartbeat (especially atrial fibrillation), chest pain, or significant changes in heart rate should be reported to your doctor.
• New or Worsening Eye Problems (Acute Narrow-Angle Glaucoma): Symptoms can include eye pain or discomfort, blurred vision, seeing halos or bright colors around lights, and red eyes.
• Serious Allergic Reactions (Anaphylaxis/Angioedema): Symptoms may include hives, rash, severe itching, swelling of your face, lips, tongue, or throat, and difficulty breathing.
• Sudden breathing problems or worsening of wheezing immediately after inhaling Spiriva (paradoxical bronchospasm). This is rare but can be life-threatening. Stop using the inhaler and seek emergency medical help.
• Urinary Retention: Symptoms may include difficulty urinating, painful urination, frequent urination, or urinating in a weak stream or drips. This is especially important for people with an enlarged prostate or other bladder issues.

Contraindications:

This is not an exhaustive list of contraindications. It is crucial to discuss all your medical conditions, past and present, and all medications you are taking with your doctor or pharmacist.

Spiriva should not be used if:
• Hypersensitivity/Allergy to Tiotropium, Ipratropium, or Atropine: If you have a known allergy to tiotropium (the active ingredient in Spiriva) or to ipratropium (another anticholinergic found in medications like Atrovent or Combivent) or to atropine or its derivatives, you should not use Spiriva. Allergic reactions can be serious and life-threatening (e.g., anaphylaxis, angioedema).
• Severe Hypersensitivity to Milk Proteins: For the Spiriva HandiHaler formulation (which uses capsules containing a powder for inhalation), the powder contains lactose, which is derived from milk proteins. Therefore, if you have a severe allergy to milk proteins, this formulation is contraindicated due to the risk of a severe allergic reaction. The Spiriva Respimat (mist inhaler) does not contain lactose from milk proteins, so this specific contraindication typically applies only to the HandiHaler.

Tell your doctor about all your medical conditions, past and present, before starting Spiriva. This is crucial because certain conditions can affect whether Spiriva is right for you. These conditions may include, but are not limited to:
• Kidney Impairment: For patients with moderate to severe kidney impairment, Spiriva should be used with caution and under close monitoring, as the drug is primarily cleared by the kidneys, and higher levels in the body could increase anticholinergic side effects.
• Narrow-Angle Glaucoma: Spiriva can worsen narrow-angle glaucoma. If you have this condition or develop symptoms like eye pain, blurred vision, or seeing halos around lights, seek medical attention.
• Not for Acute Symptoms: Spiriva is a maintenance medication for long-term symptom control and should NOT be used as a rescue inhaler for sudden breathing problems or acute exacerbations of COPD or asthma. A rapid-acting bronchodilator is needed for those situations.
• Other Anticholinergic Medications: Concomitant use with other anticholinergic drugs is generally not recommended due to the increased risk of anticholinergic side effects.
• Paradoxical Bronchospasm: In rare cases, inhaling any bronchodilator, including Spiriva, can cause the airways to suddenly tighten instead of relax. If this happens, stop using Spiriva immediately and seek emergency medical attention.
• Pregnancy and Breastfeeding: As discussed previously, there's limited human data, and use should be carefully considered with your doctor.
• Urinary Retention: Spiriva can worsen urinary retention, especially in individuals with an enlarged prostate or bladder-neck obstruction. Be aware of symptoms like difficulty urinating or a weak urine stream.

Drug Interactions:

Before taking Spiriva, it is essential to discuss all potential risks and interactions with your doctor or pharmacist. For complete and up-to-date information, refer to the official product monograph | Boehringer Ingelheim: https://www.boehringer-ingelheim.com/ca/pdf/spiriva-respimat-product-monograph
• Examples: This includes other COPD medications like ipratropium (Atrovent), aclidinium (Tudorza), and umeclidinium (Incruse Ellipta). It also includes some antihistamines (like diphenhydramine), certain antidepressants (tricyclic antidepressants), medications for overactive bladder (like oxybutynin), and some medications for Parkinson's disease.
• Other Anticholinergic Medications
• Reason for Interaction: Spiriva is an anticholinergic. Taking it with other medications that have similar effects can increase the risk of side effects like dry mouth, constipation, difficulty urinating, and blurred vision.
• There are also some potential interactions with other medications, but they are less common or less severe. These include some medications for heart conditions and some psychiatric medications.

Pregnancy and Breastfeeding:

While animal studies with Spiriva (Tiotropium) suggest no direct harm, there's limited human data on using Spiriva (tiotropium) during pregnancy, meaning it's typically only considered if your doctor determines the benefits for your breathing condition clearly outweigh any potential, though unconfirmed, risks to the baby. Similarly, it's not definitively known if tiotropium passes into breast milk, but the amount is likely very small; therefore, your doctor will help you weigh the importance of continuing your treatment against the benefits of breastfeeding to decide the best course of action.

Use in Children:

Spiriva's use in children depends on the specific inhaler type and the condition being treated. While Spiriva HandiHaler is generally only for adults with COPD and is not recommended for children, Spiriva Respimat (the mist inhaler) is approved as an add-on maintenance treatment for children aged 6 years and older who have asthma. It's important to remember that Spiriva is a long-term daily medication to help keep airways open and prevent symptoms, and it should never be used as a quick-relief or "rescue" inhaler for sudden breathing problems. Always consult your child's doctor for the most appropriate and safest treatment.

Frequently Asked Questions about Spiriva at CanadaPharmacyOnline.com:

Why is Spiriva more affordable in Canada than in the United States?

Prescription drug prices, including Spiriva, are generally lower in Canada than in the US due to a combination of factors, primarily government price regulations, differing market dynamics, and other economic considerations. In Canada, provincial and federal governments negotiate drug prices with pharmaceutical companies, which often results in lower costs compared to the US, where market forces play a more significant role. For more information, see the FAQs on Prescription Drug Importation from the Kaiser Family Foundation (KFF): https://www.kff.org/health-costs/issue-brief/faqs-on-prescription-drug-importation/

How do I order from your pharmacy?

Ordering from us is very simple. You can purchase online or call Customer Service at 1866.920.3784; for more information or to learn about the ordering process, visit our How to Order page.

Can I buy Spiriva over the counter from you?

No, Spiriva requires a prescription from your doctor. We are unable to sell this product without a valid prescription from your doctor.

Do you ship to the United States?

Yes, we do. It usually takes between 7 and 18 business days to receive your order from our pharmacy.

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The information on this page is sourced from independent third parties contracted by CanadaPharmacyOnline. While we cannot guarantee its medical accuracy, we strongly recommend consulting a healthcare professional for personalized advice regarding medications or medical conditions.

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