Frequently Asked Questions

  • What is SPIRIVA RESPIMAT?

    SPIRIVA RESPIMAT is a 2 puffs, 1 time daily, inhaled prescription maintenance medication that has been clinically proven to significantly improve lung function by opening airways and to help people with COPD (Chronic Obstructive Pulmonary Disease) breathe better—for a full 24 hours.

    SPIRIVA is not for sudden COPD symptoms. Always carry a rescue inhaler.

    Learn about SPIRIVA

  • How can SPIRIVA RESPIMAT help?

    • Delivers a slow-moving mist to help you inhale the medicine
    • Is steroid free
    • Helps keep airways open for a full 24 hours

    SPIRIVA is not for sudden COPD symptoms. Always carry a rescue inhaler.

    Learn about what to expect from SPIRIVA

  • What is the difference between rescue and maintenance treatment?

    While rescue inhalers treat sudden symptoms, maintenance treatments, like SPIRIVA RESPIMAT, are medicines you take daily to manage your COPD symptoms.

    Learn about rescue and maintenance treatments

  • Is there a guide to help me prepare and use SPIRIVA RESPIMAT?

    Yes! The Quick Start Guide will teach you step-by-step how to assemble and prepare your inhaler for daily use.

    Download the Quick Start Guide

    Also, you can watch a video on how to use it

    See full Instructions for Use for complete details.

  • I use oxygen. Will I still need to use it with SPIRIVA RESPIMAT?

    If your doctor has prescribed oxygen for your COPD, you should still take it as prescribed after starting SPIRIVA unless your doctor tells you otherwise.

  • What is chronic obstructive pulmonary disease (COPD)?

    COPD is a common, preventable, and treatable disease that is characterized by persistent respiratory symptoms and airflow limitation. It can make it difficult to get air out of your lungs and new air back in. While there is no cure for COPD, with lifestyle changes and medication, you may be able to breathe better and manage your symptoms.

    Learn more about COPD

  • What are the symptoms of COPD?

    Some symptoms of COPD include:

    • Shortness of breath
    • Coughing
    • Chest tightness
    • Wheezing

    Learn more about treating COPD

  • Can I prevent my COPD from getting worse?

    Quitting smoking is one of the most important things you can do to slow the progression of COPD. SPIRIVA RESPIMAT can help you breathe easier, even if you have smoked. One time daily SPIRIVA RESPIMAT is proven to help people who smoked a pack a day for 10 years breathe better.

    Ask your doctor if SPIRIVA is right for you

  • What can trigger my COPD symptoms?

    Many things can cause COPD symptoms to suddenly worsen. Triggers include:

    • Cigarette smoke and smoking
    • Extreme hot or cold weather
    • Air pollution

    Sign up for FREE tips and tools to help you manage your COPD

  • What is a flare-up?

    COPD is a disease that can get worse over time, which means that symptoms can turn into something called a flare-up or exacerbation. It’s important to know what can cause a flare-up and what you can do to guard against them. SPIRIVA RESPIMAT has been shown to help significantly reduce the risk of flare-ups.

    What can cause a flare-up?

    Most flare-ups are caused by a lung infection like the common cold, so germs are a threat. Other causes, called triggers, can irritate your lungs and cause flare-ups. Here are some of the most common triggers that should be avoided:

    • Weather that is very hot, very cold, or very humid
    • Pollution outside from smog and ozone, or inside from tobacco smoke and wood-burning fires
    • Household cleaning products with bleach or ammonia
    • Allergies to dust, animals, or pets
  • Can breathing exercises help my COPD?

    Yes! Ask your doctor about ways to help you breathe more efficiently during the day. He or she can also recommend relaxation techniques to use when you’re short of breath.

    Learn More

  • Can I still exercise with COPD?

    In many cases, yes. In fact, exercise can have many benefits for a COPD sufferer. Some low-impact exercise, such as walking, stretching, and gentle strengthening exercises can help decrease shortness of breath and improve your overall level of energy. Talk to your doctor before starting any new activities. Even with COPD, it may be possible and helpful to find an exercise program that works for you.

  • What else can I do to better manage my COPD?

    There’s a lot you can do to keep COPD under control. For instance:

    • Avoid triggers, such as dust or smoke, that can irritate your lungs
    • Get vaccinated against the flu and pneumonia
    • Avoid germs during cold and flu season
    • Get your family on board with encouragement and support
    • Take all medicines as recommended by your doctor

    Sign up for FREE tips and tools to help you manage your COPD

  • What financial assistance is available for me?

    You may be eligible to pay as little as $0* co-pay through the SPIRIVA RESPIMAT Savings Card program. In addition, the BI Cares Foundation may be able to help those who are covered by federal or state prescription programs or who have no prescription coverage and need financial assistance.

    See if you’re eligible for a Savings Card

    *See Terms & Conditions

IMPORTANT SAFETY INFORMATION for SPIRIVA RESPIMAT (tiotropium bromide) Inhalation Spray and SPIRIVA HANDIHALER (tiotropium bromide inhalation powder)

IMPORTANT SAFETY INFORMATION for SPIRIVA RESPIMAT and SPIRIVA HANDIHALER (continued)

Do not use SPIRIVA RESPIMAT or SPIRIVA HANDIHALER if you are allergic to tiotropium, ipratropium, atropine or similar drugs, or any ingredient in these medicines.

SPIRIVA RESPIMAT or SPIRIVA HANDIHALER are not rescue medicines and should not be used for treating sudden breathing problems. Your doctor may give you other medicine to use for sudden breathing problems.

SPIRIVA RESPIMAT or SPIRIVA HANDIHALER can cause allergic reactions. Symptoms can include raised red patches on your skin (hives), itching, rash and/or swelling of the lips, tongue, or throat that may cause difficulty in breathing or swallowing. If you have any of these symptoms, stop taking the medicine and seek emergency medical care.

Before using SPIRIVA HANDIHALER, tell your doctor if you have a severe allergy to milk proteins.

SPIRIVA RESPIMAT or SPIRIVA HANDIHALER can cause your breathing to suddenly get worse (bronchospasm). If this happens, use your rescue inhaler, stop taking SPIRIVA, and call your doctor right away or seek emergency medical care.

SPIRIVA RESPIMAT or SPIRIVA HANDIHALER can increase the pressure in your eyes (acute narrow-angle glaucoma) which can cause the following symptoms: eye pain, blurred vision, seeing halos or colored images along with red eyes. If you have any of these symptoms, stop taking your medicine and call your doctor right away.

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

SPIRIVA RESPIMAT or SPIRIVA HANDIHALER can cause new or worsened urinary retention. Symptoms of blockage in your bladder and/or enlarged prostate may include difficulty passing urine and/or painful urination. If you have any of these symptoms, stop taking your medicine and call your doctor right away.

The most common side effects reported with SPIRIVA RESPIMAT in patients with COPD include sore throat, cough, dry mouth, and sinus infection.

The most common side effects reported with SPIRIVA HANDIHALER in patients with COPD include upper respiratory tract infection, dry mouth, sinus infection, sore throat, non-specific chest pain, urinary tract infection, indigestion, runny nose, constipation, increased heart rate, and blurred vision.

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

Do not spray SPIRIVA RESPIMAT into your eyes, as this may cause blurring of vision and pupil dilation.

Tell your doctor about all your medical conditions including kidney problems, glaucoma, enlarged prostate, problems passing urine, or blockage in your bladder.

Tell your doctor all the medicines you take, including eye drops. Ask your doctor if you are taking any anticholinergic medicines because taking them together with SPIRIVA can increase side effects. Do not use SPIRIVA RESPIMAT and SPIRIVA HANDIHALER together.

INDICATIONS for SPIRIVA RESPIMAT (tiotropium bromide) and SPIRIVA HANDIHALER (tiotropium bromide inhalation powder)

SPIRIVA RESPIMAT, 2.5 mcg, and SPIRIVA HANDIHALER are long-term, once-daily, prescription maintenance medicines used to control symptoms of chronic obstructive pulmonary disease (COPD) by relaxing your airways and keeping them open. COPD includes chronic bronchitis and emphysema. SPIRIVA RESPIMAT and SPIRIVA HANDIHALER also reduce the likelihood of flare-ups (COPD exacerbations).

SPIRIVA is not a treatment for sudden symptoms of COPD.

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.

Please see full Prescribing Information for SPIRIVA RESPIMAT, including Instructions for Use, and full Prescribing Information for SPIRIVA HANDIHALER, including Patient Information and Instructions for Use.

CL-SVR-0040 2.8.2016

IMPORTANT SAFETY INFORMATION for SPIRIVA RESPIMAT (tiotropium bromide) and SPIRIVA HANDIHALER (tiotropium bromide inhalation powder)

Do not use SPIRIVA RESPIMAT or SPIRIVA HANDIHALER if you are allergic to tiotropium, ipratropium, atropine or similar drugs, or any ingredient in these medicines.

SPIRIVA RESPIMAT or SPIRIVA HANDIHALER are not rescue medicines and should not be used for treating sudden breathing problems. Your doctor may give you other medicine to use for sudden breathing problems.

SPIRIVA RESPIMAT or SPIRIVA HANDIHALER can cause allergic reactions. Symptoms can include raised red patches on your skin (hives), itching, rash and/or swelling of the lips, tongue, or throat that may cause difficulty in breathing or swallowing. If you have any of these symptoms, stop taking the medicine and seek emergency medical care.