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COPD Information

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COPD Flare-ups

Breathing with chronic obstructive pulmonary disease (COPD) is no small thing. But if your COPD symptoms suddenly get worse, that can be an even bigger thing: you may be having what's called a "flare-up" or an exacerbation.

A flare-up is a worsening of COPD symptoms. It's important to recognize the signs of a flare-up so you can get appropriate treatment quickly. Why? Because flare-ups may cause damage to your lungs or airways. Even after you've recovered and started feeling like yourself again, your lungs may be worse off than they were before.

Signs of a COPD flare-up

Signs of a mild flare-up may include:

  • Increased shortness of breath
  • Increased coughing
  • Wheezing
  • Coughing up more mucus than usual

If you think you may be experiencing a mild flare-up, it's time to call your doctor. You may need an antibiotic or another medication.

When flare-ups are severe, you may experience the following symptoms that require immediate medical attention, and you should call 911:

  • Chest pain
  • Blue lips or fingers
  • Confusion
  • Drowsiness
  • Extreme shortness of breath
  • Chronic coughing

What causes COPD flare-ups?

Flare-ups are frequently triggered by upper respiratory infections, including flu and pneumonia. Flare-ups may also be triggered by environmental pollution.

One of your treatment goals should be to try to reduce the likelihood of flare-ups. The next section can help you learn about this and other COPD treatment goals.

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IMPORTANT SAFETY INFORMATION (please scroll)

Do not use Spiriva® HandiHaler® (tiotropium bromide inhalation powder) if you are allergic to tiotropium or ipratropium (e.g., Atrovent®) or any of the ingredients in SPIRIVA. If your breathing suddenly worsens, your face, throat, lips, or tongue swells, you get hives, itching or rash, stop taking SPIRIVA and seek immediate medical help.

SPIRIVA HandiHaler is not a rescue medicine and should not be used for treating sudden breathing problems.

Do not swallow SPIRIVA capsules. The contents of the capsule should only be inhaled through your mouth using the HandiHaler device.

If you have vision changes or eye pain or if you have difficulty passing urine or painful urination, stop taking SPIRIVA and call your doctor right away.

Tell your doctor if you have glaucoma, problems passing urine or an enlarged prostate, as these may worsen with SPIRIVA. Tell your doctor if you have kidney problems or are allergic to milk proteins. Ask your doctor if you are not sure. Also discuss with your doctor all the medicines you take, including eye drops.

The most common side effect with SPIRIVA is dry mouth. Others include constipation and trouble passing urine. For a complete list of reported side effects, ask your doctor or pharmacist.

Do not let the powder from the SPIRIVA capsule get into your eyes.

Dizziness and blurred vision may occur with SPIRIVA. Should you experience these symptoms, you should use caution when engaging in activities such as driving a car or operating appliances or other machines.

Read the Patient Information and the step-by-step Instructions for Use for SPIRIVA before you use your inhaler.

INDICATION

SPIRIVA® HandiHaler® (tiotropium bromide inhalation powder) is a prescription medicine used once each day (a maintenance medicine) to control symptoms of chronic obstructive pulmonary disease (COPD) by relaxing your airways and keeping them open. COPD includes chronic bronchitis, emphysema, or both.

SPIRIVA HandiHaler also reduces the likelihood of flare-ups and worsening of COPD symptoms (COPD exacerbations).

The information provided on this site is for general information and educational purposes only. You should always consult a doctor for diagnosing and treating a health or fitness problem, and before using any drug product discussed on this site.

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088.

Click here for full Prescribing Information and Instructions for Use.

DISCLAIMER

The tips contained on this site convey general information and are not intended to be, nor should they be used as, a replacement for the advice of a licensed physician. Your doctor knows your specific condition. As with all things medical, you should talk to your doctor before you start any treatment, exercise, diet, or other lifestyle change.

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This information is for U.S. residents only. Products discussed herein may have different labeling in different countries.
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IMPORTANT SAFETY INFORMATION (please scroll)

Do not use Spiriva® HandiHaler® (tiotropium bromide inhalation powder) if you are allergic to tiotropium or ipratropium (e.g., Atrovent®) or any of the ingredients in SPIRIVA. If your breathing suddenly worsens, your face, throat, lips, or tongue swells, you get hives, itching or rash, stop taking SPIRIVA and seek immediate medical help.

SPIRIVA HandiHaler is not a rescue medicine and should not be used for treating sudden breathing problems.

Do not swallow SPIRIVA capsules. The contents of the capsule should only be inhaled through your mouth using the HandiHaler device.

If you have vision changes or eye pain or if you have difficulty passing urine or painful urination, stop taking SPIRIVA and call your doctor right away.

Tell your doctor if you have glaucoma, problems passing urine or an enlarged prostate, as these may worsen with SPIRIVA. Tell your doctor if you have kidney problems or are allergic to milk proteins. Ask your doctor if you are not sure. Also discuss with your doctor all the medicines you take, including eye drops.

The most common side effect with SPIRIVA is dry mouth. Others include constipation and trouble passing urine. For a complete list of reported side effects, ask your doctor or pharmacist.

Do not let the powder from the SPIRIVA capsule get into your eyes.

Dizziness and blurred vision may occur with SPIRIVA. Should you experience these symptoms, you should use caution when engaging in activities such as driving a car or operating appliances or other machines.

Read the Patient Information and the step-by-step Instructions for Use for SPIRIVA before you use your inhaler.

INDICATION

SPIRIVA® HandiHaler® (tiotropium bromide inhalation powder) is a prescription medicine used once each day (a maintenance medicine) to control symptoms of chronic obstructive pulmonary disease (COPD) by relaxing your airways and keeping them open. COPD includes chronic bronchitis, emphysema, or both.

SPIRIVA HandiHaler also reduces the likelihood of flare-ups and worsening of COPD symptoms (COPD exacerbations).

The information provided on this site is for general information and educational purposes only. You should always consult a doctor for diagnosing and treating a health or fitness problem, and before using any drug product discussed on this site.

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088.

Click here for full Prescribing Information and Instructions for Use.

DISCLAIMER

The tips contained on this site convey general information and are not intended to be, nor should they be used as, a replacement for the advice of a licensed physician. Your doctor knows your specific condition. As with all things medical, you should talk to your doctor before you start any treatment, exercise, diet, or other lifestyle change.