How to use SPIRIVA RESPIMAT

Use SPIRIVA RESPIMAT once a day, every day, to help you breathe better.

Before you use SPIRIVA RESPIMAT for the first time, and each time you refill your prescription, carefully read the Instructions for Use. And if you need assistance preparing your inhaler, your pharmacist can help you set it up when you pick up your prescription. Watch the video below for an overview of how to use the RESPIMAT inhaler.

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Detailed Instructions

Download Instructions for Use for SPIRIVA RESPIMAT

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Please see Important Safety Information below.

Three steps for daily use

After preparing the inhaler, there are 3 simple steps to using SPIRIVA RESPIMAT every day.

T

TURN

the clear base

O

OPEN

the cap and close your lips around the mouthpiece

P

PRESS

the dose-release button and inhale the mist

Repeat these steps 2 times, once a day to get the proper dose of SPIRIVA RESPIMAT.

SPIRIVA RESPIMAT does not treat sudden breathing problems and cannot be used in place of a rescue inhaler. For full instructions on using your inhaler, please see the complete Instructions for Use.

If you have more questions about how to use SPIRIVA RESPIMAT, ask your doctor for further information.

Tips for making SPIRIVA RESPIMAT part of your daily routine:

  • Take SPIRIVA RESPIMAT at the same time every day. It will be easier to remember. And since SPIRIVA RESPIMAT lasts 24 hours, your airways will be open all day
  • Pair taking SPIRIVA RESPIMAT with another activity you do every day, like watching the news
  • Set a daily reminder alarm on your computer, mobile phone, or watch
  • Ask a reliable friend to email or text you a daily reminder

How do I store SPIRIVA RESPIMAT?

  • Store SPIRIVA RESPIMAT at room temperature 68°F to 77°F (20°C to 25°C)

Ask your doctor or pharmacist if you have any questions about storing your SPIRIVA RESPIMAT.

Keep SPIRIVA RESPIMAT and all medicines out of the reach of children.

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 machinery.

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 with SPIRIVA RESPIMAT in adult patients with asthma were sore throat, headache, bronchitis, and sinus infection. The side effect profile for adolescent and pediatric patients was comparable to that observed in adult patients with asthma.

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 RESPIMAT, 1.25 mcg, is a long-term, once-daily, prescription maintenance treatment of asthma for people 6 years and older.

SPIRIVA is not a treatment for sudden symptoms of asthma or 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.

IMPORTANT SAFETY INFORMATION for STIOLTO RESPIMAT (continued)
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.