The below information on Spiriva has been taken from official FDA sources, but we cannot guarantee it's accuracy. Please use this site for educational purposes only. This site does not replace a proper discussion with your doctor.

    Brand Name:Spiriva
    Generic:Tiotropium Bromide
This drug was approved by the FDA in one form or another on:
2004-01-30 ,
This drug is made in one form or another by the following companies:
Boehringer Ingelheim Pharmaceuticals
This drug is available in the following forms:
View the actual FDA approved label for this drug at the following links:

About Spiriva

Spiriva HandiHaler is used for the treatment of breathing problems in patients with chronic obstructive pulmonary disease (COPD), including chronic bronchitis and emphysema. Spiriva is a maintenance bronchodilator. It helps to keep narrowed airways open. Spiriva does not treat sudden episodes of breathing problems (bronchospasm).

Precautions for Spiriva

  • Spiriva capsules are used only with the HandiHaler device. Do not use the Handihaler device to take other medicines.
  • Do not swallow Spiriva capsules. The powder in the capsules is inhaled using the Handihaler device.
  • Store Spiriva capsules in the sealed blister strip until ready to use. Only open the blister strip enough to remove one Spiriva capsule. Spiriva capsules must be used right away when removed from the blister strip or they may not work as well. Throw away Spiriva capsules that are exposed to air and not used right away.
  • Do not get Spiriva powder in your eyes. It can affect your vision for awhile.

Side Effects of Spiriva

Serious side effects include (see General Precautions with Spiriva):

  • serious allergic reactions
  • breathing problems (paradoxical bronchospasm)
  • worsening of symptoms in people with narrow-angle glaucoma, enlarged prostates, and bladder blockages

Some common side effects with Spiriva include:

  • dry mouth
  • constipation
  • increased heart rate
  • blurred vision
  • glaucoma
  • problems with urination

Who Should Not Take Spiriva

Do not use Spiriva if you:

  • are allergic to atropine or any medicine that contains atropine.
  • are allergic to any of the ingredients in Spiriva.
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Recent Forum Posts on Spiriva

bad taste

This drug really leaves a very dry mouth, and a very nasty taste so bad that I have a hard time tasting food. When I try to stop taking it, I get bad pains in my chest. Called the company and told them about the awful taste, and they were trying to tell me it is a medical problem. Bologna! Hope to find something else that will work for me.


My Dr. put me on Spiriva and after the first time that I used it (in the Dr. office) my lips felt like I had botox injections then I used it the next day and my mouth was very dry and my tongue was sore. I gave it a third try and I haven't been right since. (this was Jan. 08) I quit taking it after three days and I didn't seem right for a week, so called and she put me on predisone (week) and still didn't feel good. I am getting sick of all these new medicines. My blood test read a little low on oxygen and that is why she prescribed Spiriva. I had the same blood test two months before at my oncologist and it was 14.5 - no problem. I read this can range because of dehydration not COPD. Give me a clue

No Subject

I have not been diagnosed with glaucoma but I find I have a sensitivity to natural light. Light flickers since I started taking Spiriva.

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