How to use SPIRIVA HandiHaler

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

Before you use SPIRIVA HandiHaler for the first time, and each time you refill your prescription, carefully read the Instructions for Use.


Detailed Instructions

Download Instructions for Use for SPIRIVA HandiHaler

Don’t have a PDF reader? Get Adobe® Reader® here.


Please see Important Safety Information below.

SPIRIVA HandiHaler has been helping patients manage COPD for more than 10 years. If you have more questions about how to use SPIRIVA HandiHaler, ask your doctor for further information.

Talk to your doctor about a powder-free treatment option that works in two ways at the same time to help you breathe even better.

Get the facts here

Tips for making SPIRIVA HandiHaler part of your daily routine:

  • Take SPIRIVA HandiHaler at the same time every day. It will be easier to remember. And since SPIRIVA HandiHaler lasts 24 hours, your airways will be open all day
  • Pair taking SPIRIVA HandiHaler 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

When and how to clean your HandiHaler Device

Clean your HandiHaler device as needed.

  • It takes 24 hours to air-dry your HandiHaler device after you clean it
  • Do not use cleaning agents or detergents
  • Do not place your HandiHaler device in the dishwasher for cleaning

Cleaning steps: 1 of 4

  • Open the dust cap and mouthpiece
  • Open the base by lifting the green piercing button

Cleaning steps: 2 of 4

  • Rinse your HandiHaler device with warm water, pressing the green piercing button a few times so that the center chamber and the piercing needle are under the running water
  • Check that any powder buildup or SPIRIVA capsule pieces are removed

Cleaning steps: 3 of 4

  • Dry your HandiHaler device well by tipping the excess water out on a paper towel
  • Air-dry afterwards, leaving the dust cap, mouthpiece, and base open by fully spreading it out so that it dries completely

Cleaning steps: 4 of 4

  • Do not use a hair dryer to dry your HandiHaler device
  • Do not use your HandiHaler device when it is wet. If needed, you may clean the outside of the mouthpiece with a clean damp cloth

How do I store SPIRIVA HandiHaler?

  • Do not store SPIRIVA capsules in the HandiHaler device
  • Store SPIRIVA capsules in the sealed blister package at room temperature between 68°-77°F (20°-25°C)
  • Keep SPIRIVA capsules away from heat and cold (do not freeze)
  • Store SPIRIVA capsules in a dry place. Throw away any unused SPIRIVA capsules that have been open to air

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

Keep SPIRIVA HandiHaler, SPIRIVA capsules, and all medicines out of the reach of children.

IMPORTANT SAFETY INFORMATION
for SPIRIVA RESPIMAT and SPIRIVA HANDIHALER

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.

More Important Safety Information
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

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 SPIRIVA RESPIMAT and SPIRIVA HANDIHALER

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.