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 Tiotropium bromide Spiriva is not for initial use in sudden attacks of wheezing when fast action is needed—that is, Spiriva is not for rescue therapy.

Tiotropium bromide 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.

Dosage:
AdultsThe recommended dose is the inhalation of the contents of one capsule, taken once a day, with the HandiHaler device.
Spiriva has not been studied in children.

Overdosage
Any medication taken in excess can have serious consequences. If you suspect an overdose, seek medical treatment immediately.

Symptoms of overdose may include:

• Abdominal pain,
• blurred vision,
• confusion or memory problems,
• dry mouth,
• glaucoma,
• inability to concentrate,
• increased heart rate,
• severe constipation,
• urinary difficulty,
• urinary retention,
• trembling

Side Effects: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

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