Pursed-lip breathing

Get an education in better breathing.

SPIRIVA HandiHaler helps keep your airways open up to 24 hours. This helps improve your lung function, so you can breathe easier. In addition to taking SPIRIVA HandiHaler daily, a breathing technique and participation in a pulmonary rehabilitation program could help you breathe better. Talk to your doctor before you try any breathing exercise and ask if a pulmonary rehabilitation program is right for you.

Breathing exercise

Pursed-lip breathing is a simple, 4-step technique that can help you relieve shortness of breath.

Pulmonary rehabilitation

These programs offer exercise classes and teach you about COPD, and can help you be more active. Group classes are offered, so you get support from professionals and people just like you. Pulmonary rehab could help reduce symptoms and improve quality of life.

Remember—better breathing is possible.

SPIRIVA HandiHaler, when taken once a day, can help by opening airways and keeping them open to make breathing easier. Talk to your doctor today to see if SPIRIVA HandiHaler is right for you.

Ask your doctor about doing more to breathe better.


Do not use SPIRIVA HandiHaler if you are allergic to tiotropium, ipratropium, atropine or similar drugs, or any ingredient in this medicine.

SPIRIVA HandiHaler is not a rescue medicine and should not be used for treating sudden breathing problems. Your doctor may give you other medicine to use for sudden breathing problems.

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 get immediate medical help.

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

SPIRIVA HandiHaler can cause your breathing to suddenly get worse (bronchospasm). If this happens, stop taking your medicine, use your rescue inhaler and call your doctor right away or go to the nearest emergency room.

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 HandiHaler can increase side effects.

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.

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.

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

The most common side effects with SPIRIVA HandiHaler 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 use your HandiHaler device to take other medicines.


Spiriva® HandiHaler® (tiotropium bromide inhalation powder) is a prescription medicine used once daily (a maintenance medicine) to control symptoms of chronic obstructive pulmonary disease (COPD) by relaxing your airways and keeping them open. COPD includes chronic bronchitis and emphysema.

SPIRIVA HandiHaler also reduces the likelihood of flare‐ups and worsening of COPD symptoms (COPD exacerbations).

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 additional Important Safety Information on the previous page. Please see full Prescribing Information, including Patient Information and Instructions for Use.


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.