With chronic obstructive pulmonary disease (COPD), including chronic bronchitis and emphysema, your airways become narrowed. They become tight and filled with mucus. This blocks the flow of air in and out of your lungs.

SPIRIVA is a once-daily inhaled maintenance prescription treatment for COPD. SPIRIVA treats both chronic bronchitis and emphysema by opening narrowed airways.

SPIRIVA relaxes the muscles in your airways so more air can move in and out of your lungs. This helps you breathe better.

SPIRIVA is the only once-daily inhaled maintenance prescription treatment for COPD. It helps keep airways open a full 24 hours with just 1 inhaled dose.

It's important to keep taking SPIRIVA every day as directed by your doctor. Even on days when you're breathing better, so you can keep breathing better. Missing a dose may cause your breathing to worsen.

IMPORTANT PRODUCT INFORMATION

Talk to your doctor to see if Spiriva® HandiHaler® (tiotropium bromide inhalation powder) is right for you.

SPIRIVA HandiHaler is a once-daily inhaled maintenance prescription treatment for breathing problems (airway narrowing) associated with chronic obstructive pulmonary disease (COPD). COPD includes both chronic bronchitis and emphysema.

SPIRIVA does not replace fast-acting inhalers for sudden symptoms.

Do not swallow the SPIRIVA capsule. Only use the HandiHaler device to take the SPIRIVA capsule. Do not use the HandiHaler to take any other medications.

Do not get SPIRIVA powder in your eyes.

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

Tell your doctor about your medicines, including eye drops, and illnesses like glaucoma and urinary or prostate problems. These may worsen with SPIRIVA.

If you have vision changes, eye pain, your breathing suddenly worsens, you get hives, or your throat or tongue swells, stop taking SPIRIVA and contact your doctor.

Do not use SPIRIVA if you are allergic to atropine, ipratropium, tiotropium bromide, or lactose. A lactose allergy is not the same as lactose intolerance.

Read the step-by-step Patient's Instructions for Use for SPIRIVA before you take your medicine.

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.

Click here for Full Prescribing Information and Patient's Instructions for Use.

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This information is for U.S. residents only. Products discussed herein may have different labeling in different countries.