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COPD Information

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Stages of COPD

Chronic obstructive pulmonary disease (COPD) gets worse slowly over time, especially if you continue to be exposed to cigarette smoke or other hazards.

The sooner you know you have COPD and start managing it, the sooner you may start breathing better.

Mild, moderate, or severe to very severe

If you have mild COPD, you may:

  • Cough a lot, sometimes coughing up mucus
  • Feel short of breath after you work hard or do high-energy activities like biking or climbing stairs

If you have moderate COPD, you may:

  • Cough a lot, sometimes coughing up mucus
  • Need a few weeks to get better from a cold or other lung infection
  • Feel short of breath when you walk uphill
  • Have trouble doing chores like taking out the garbage
  • Cut back on activities you enjoy

If you have severe to very severe COPD, you may:

  • Cough a lot, sometimes coughing up mucus
  • Need a few weeks to get better from a cold or other lung infection
  • Get short of breath during low-energy activities like showering or getting dressed
  • Not be able to work or take part in simple activities you enjoy
  • Have trouble breathing day and night

Stages of COPD are determined by the level of airflow measured by spirometry testing.
Nothing can reverse COPD. Over time, COPD gets worse.

Manageable at any stage

Even though COPD can't be cured, it can be managed at any stage. So no matter what stage of COPD you´re in, talk to your doctor about ways to manage your COPD so you can breathe better.

COPD makes you susceptible to infections, which can also damage your lungs and airways. These infections may cause flare-ups, also known as exacerbations — serious complications that can lead to hospital stays. In the next section, you can learn more about how to recognize and reduce the likelihood of COPD flare-ups.

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COPD on the job

If your COPD symptoms are interfering with work, consider asking your employer about simple changes that can save your energy, such as a wheeled cart for moving files.

Oxygen to go

Supplemental oxygen can mean the difference between sitting at home and participating more in life. If your COPD is severe, your doctor may prescribe it. Learn more >

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.

  • SAR00869

  • SV182800CONS

This information is for U.S. residents only. Products discussed herein may have different labeling in different countries.
Copyright © 2012, Boehringer Ingelheim Pharmaceuticals, Inc. All rights reserved. Use of this site is subject to the Internet Site Legal Notices and Disclaimers and Privacy Policy. Date 01/12

*According to IMS NPA Market Dynamics, May 2011.
PI Information PI Information PI Information PI Information PI Information PI Information PI Information PI Information PI Information PI Information PI Information PI Information PI Information PI Information PI Information PI Information PI Information PI Information PI Information PI Information

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.