Brand name
: SPIRIVA ( Tiotropium )
Pronounced: speer-REE-vah
Generic name: Tiotropium bromide
Why is SPIRIVA ( Tiotropium ) prescribed?
Spiriva is used for the long-term, once-a-day treatment of bronchial
spasms (wheezing) associated with chronic obstructive pulmonary disease,
including chronic bronchitis and emphysema. It comes as a capsule containing
dry powder, which is inhaled through the mouth using the HandiHaler
device. When inhaled, Spiriva opens up narrow air passages, allowing
more oxygen to reach the lungs.
Most important fact about SPIRIVA ( Tiotropium )
Spiriva is not for initial use in sudden attacks of wheezing when
fast action is needed--that is, Spiriva is not for "rescue therapy."
How should you take SPIRIVA ( Tiotropium )- FDA approved
meds without a prescriptions?
Spiriva capsules are designed to be used only with the HandiHaler
inhalation device. The capsules should not be swallowed. You should
try to use the inhaler about the same time every day.
Spiriva capsules are packaged as a blister card containing two strips.
Each strip has three capsules. When removing a capsule from the blister
card, peel back only the foil that is covering the capsule you are
about to use. The capsule's effectiveness may be reduced if it is not
used immediately after the foil is opened. If you accidentally remove
the foil covering any of the other capsules, you must throw them away.
When you're ready to take SPIRIVA ( Tiotropium ), use the HandiHaler device
as follows:
1. Open the dust cap, and then open the mouthpiece.
2. Place the capsule in the center chamber. Close the mouthpiece until
you hear a click. Leave the dust cap open.
3. Hold the HandiHaler device with the mouthpiece upward and press
the piercing button that will make holes in the capsule to allow the
powder to come out.
4. Before inhaling the powder, breathe out completely, but not into
the mouthpiece.
5. Place the inhaler's mouthpiece in your mouth, make a seal with your
lips, keep your head upright, and breathe in slowly and deeply with
your mouth. Breathe in quickly enough that you hear the capsule vibrate.
6. Hold your breath for as long as is comfortable; at the same time,
remove the HandiHaler from your mouth.
7. When you're done, breathe out completely, seal your lips around
the mouthpiece again, and inhale a second time as before.
8. Remove the capsule from the inhaler and discard. You may notice
a tiny amount of powder is still left in the capsule; this is normal.
Avoid getting the Spiriva powder into your eyes. It can cause blurred
vision.
If you miss a dose SPIRIVA ( Tiotropium )
Take it as soon as you remember. If it is almost time for your next
dose, skip the one you missed and go back to your regular schedule.
Do not take two doses at once.
--Storage instructions...
Store at room temperature. Do not store capsules in the Handihaler.
Keep capsules away from moisture and extreme temperatures, such as
in the refrigerator or in direct sunlight.
SPIRIVA ( Tiotropium ) side effects
Side effects cannot be anticipated. If any develop or change in intensity,
tell your doctor as soon as possible. Only your doctor can determine
if it is safe to continue using Spiriva.
* Side effects may include:
Abdominal pain, constipation, dry mouth, chest pain, common cold, indigestion,
infection, muscle pain, nose bleeds, rash, runny nose or nasal inflammation,
sinus infection, sore throat, urinary tract infection, vomiting, yeast infection
Why should SPIRIVA ( Tiotropium ) not be prescribed?
You should not take Spiriva if you have an allergic reaction to it,
or if you are allergic to atropine or any of its derivatives, including
ipratropium (Atrovent).
Special warnings about SPIRIVA ( Tiotropium )
An immediate allergic reaction (hives, swelling, or rash) is possible
when you first use SPIRIVA ( Tiotropium ). Inhaled medications such as
Spiriva can also cause wheezing in some people. If you have an allergic
reaction or you start wheezing, stop using Spiriva and contact your
doctor.
Spiriva could worsen certain medical conditions. Use SPIRIVA ( Tiotropium )
cautiously if you have narrow-angle glaucoma (high pressure inside
the eye), an enlarged prostate, or obstruction in the neck of the bladder.
Also tell your doctor if you have kidney problems.
Possible food and drug interactions when taking SPIRIVA ( Tiotropium )
The use of Spiriva together with other anticholinergic drugs, such
as Atrovent, has not been studied and is not recommended.
Always tell your doctor about any medication you're taking, including
over-the-counter products and dietary supplements.
Special information if you are pregnant or breastfeeding
Spiriva has not been studied in pregnant women. This drug should be
used during pregnancy only if the benefits outweigh the potential risks.
Notify your doctor immediately if you are pregnant or plan to become
pregnant.
It is not known whether Spiriva appears in breast milk. If using Spiriva
is essential to your health, you doctor may recommend that you discontinue
breastfeeding while using SPIRIVA ( Tiotropium ).
Recommended dosage for SPIRIVA ( Tiotropium )
ADULTS
Overdosage
Any medication taken in excess can have serious consequences. If you
suspect an overdose, seek medical treatment immediately.
