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. Watch the video below for an overview of how to use the RESPIMAT inhaler.

  • 1 Getting Started with Your Inhaler
  • 2 Preparing Your Inhaler for First-Time Use
  • 3 Priming for First-Time Use
  • 4 Daily Use
  • 5 Cleaning and Parts
Close

FAQ

Q1.

What if I can't turn the base easily?

A.

The RESPIMAT inhaler may already be prepared and in use – the inhaler is ready to be used as it is. The RESPIMAT inhaler locks automatically once the dose indicator has reached the end of the scale. Please refer to your Prescribing Information for the number of doses. If your inhaler locks, prepare and use a new RESPIMAT inhaler.

Q2.

How does the dose indicator work?

A.

The dose indicator shows approximately how many puffs of medicine are left. When the pointer enters the red area of the scale, this is when you will need to refill your prescription, or ask your doctor if you need another prescription for RESPIMAT Inhalation Spray. Once the dose indicator has reached the end of the scale, all puffs have been used and the RESPIMAT inhaler locks automatically. At this point, the base cannot be turned any further.

Q3.

What if I can't press the dose-release button?

A.

The clear base has not been turned. Turn the clear base until it clicks (half a turn). If that doesn't work, check to see if the dose indicator is at 0.

Q4.

What if the clear base springs back after I have turned it?

A.

The clear base was not turned far enough. Turn the clear base until it clicks (half a turn), so the RESPIMAT inhaler is ready to use.

Q5.

What if I can turn the clear base past the point where it clicks?

A.

Either the dose-release button has been pressed, or the clear base has been turned too far. With the cap closed, try again - turn the base until it clicks (half a turn).

Q6.

Why do I have to prime my inhaler prior to first use?

A.

Your RESPIMAT inhaler works mechanically, using a capillary. This draws up the solution with medication prior to releasing the spray of air. In order to get the air out of the capillary tube, you need to prime your inhaler. This will ensure you get the full daily dose when using your inhaler. Priming does not affect the number of doses available in your inhaler.

Close

Further Information

Use caution and do not spray in your eyes.

The RESPIMAT inhaler must not be disassembled after inserting the cartridge and replacing the clear base.

Protect the RESPIMAT inhaler from freezing.

Do not touch the piercing element inside the base.

Store the RESPIMAT inhaler out of the reach of children.

If your RESPIMAT inhaler has not been used:

  • For more than 3 days, spray 1 puff toward the ground to prepare the inhaler for use.
  • For more than 21 days, repeat the steps from section 2 ("Preparing Your Inhaler for First-Time Use") until a spray is visible. Then, repeat those steps three more times to prepare the inhaler for use.
  • Keep your RESPIMAT cartridge and inhaler out of the reach of children.
Boehringer Ingelheim

Copyright © 2014, Boehringer Ingelheim Pharmaceuticals, Inc.

All rights reserved. (10/14) RESP620302CONS

  • 1
    Getting Started with Your Inhaler
  • 2
    Preparing Your Inhaler for First‑Time Use
  • 3
    Priming for First‑Time Use
  • 4
    Daily Use
  • 5
    Cleaning and Parts
Close

FAQ

Q1.

What if I can't turn the base easily?

A.

The RESPIMAT inhaler may already be prepared and in use – the inhaler is ready to be used as it is. The RESPIMAT inhaler locks automatically once the dose indicator has reached the end of the scale. Please refer to your Prescribing Information for the number of doses. If your inhaler locks, prepare and use a new RESPIMAT inhaler.

Q2.

How does the dose indicator work?

A.

The dose indicator shows approximately how many puffs of medicine are left. When the pointer enters the red area of the scale, this is when you will need to refill your prescription, or ask your doctor if you need another prescription for RESPIMAT Inhalation Spray. Once the dose indicator has reached the end of the scale, all puffs have been used and the RESPIMAT inhaler locks automatically. At this point, the base cannot be turned any further.

Q3.

What if I can't press the dose-release button?

A.

The clear base has not been turned. Turn the clear base until it clicks (half a turn). If that doesn't work, check to see if the dose indicator is at 0.

Q4.

What if the clear base springs back after I have turned it?

A.

The clear base was not turned far enough. Turn the clear base until it clicks (half a turn), so the RESPIMAT inhaler is ready to use.

Q5.

What if I can turn the clear base past the point where it clicks?

A.

Either the dose-release button has been pressed, or the clear base has been turned too far. With the cap closed, try again - turn the base until it clicks (half a turn).

Q6.

Why do I have to prime my inhaler prior to first use?

A.

Your RESPIMAT inhaler works mechanically, using a capillary. This draws up the solution with medication prior to releasing the spray of air. In order to get the air out of the capillary tube, you need to prime your inhaler. This will ensure you get the full daily dose when using your inhaler. Priming does not affect the number of doses available in your inhaler.

Close

Further Information

Use caution and do not spray in your eyes.

The RESPIMAT inhaler must not be disassembled after inserting the cartridge and replacing the clear base.

Protect the RESPIMAT inhaler from freezing.

Do not touch the piercing element inside the base.

Store the RESPIMAT inhaler out of the reach of children.

If your RESPIMAT inhaler has not been used:

  • For more than 3 days, spray 1 puff toward the ground to prepare the inhaler for use.
  • For more than 21 days, repeat the steps from section 2 ("Preparing Your Inhaler for First-Time Use") until a spray is visible. Then, repeat those steps three more times to prepare the inhaler for use.
  • Keep your RESPIMAT cartridge and inhaler out of the reach of children.
Boehringer Ingelheim

Copyright © 2014, Boehringer Ingelheim Pharmaceuticals, Inc.

All rights reserved. (10/14) RESP620302CONS


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 priming the inhaler, there are three simple steps to using SPIRIVA RESPIMAT every day. A helpful way to remember the steps for daily use is to think TOP:

T

TURN

the clear base

O

OPEN

the cap and close your lips around the mouthpiece

P

PRESS

the dose-release button and inhale

Once a day, repeat these steps twice to get your proper dose of SPIRIVA RESPIMAT.

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 between 59°F and 86°F (15°C to 30°C); ideal storage temperature is 77°F (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 HandiHaler and SPIRIVA RESPIMAT

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

SPIRIVA HandiHaler or SPIRIVA RESPIMAT 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 HandiHaler or SPIRIVA RESPIMAT 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 or SPIRIVA RESPIMAT 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 or SPIRIVA RESPIMAT can increase side effects.

Do not take SPIRIVA HandiHaler and SPIRIVA RESPIMAT together.

SPIRIVA HandiHaler or SPIRIVA RESPIMAT 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 or SPIRIVA RESPIMAT 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 or SPIRIVA RESPIMAT. 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.

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

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 medications.

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

INDICATIONS

Spiriva® HandiHaler® (tiotropium bromide inhalation powder) and SPIRIVA® RESPIMAT® (tiotropium bromide) Inhalation Spray are prescription medicines used once daily (maintenance medicines) 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 and SPIRIVA RESPIMAT also reduce the likelihood of flare-ups (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 full Prescribing Information for SPIRIVA RESPIMAT, including Instructions for Use, and full Prescribing Information for SPIRIVA HandiHaler, 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.

IMPORTANT SAFETY INFORMATION for SPIRIVA HandiHaler and SPIRIVA RESPIMAT

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

SPIRIVA HandiHaler or SPIRIVA RESPIMAT 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 HandiHaler or SPIRIVA RESPIMAT 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 or SPIRIVA RESPIMAT 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 or SPIRIVA RESPIMAT can increase side effects.

Do not take SPIRIVA HandiHaler and SPIRIVA RESPIMAT together.

SPIRIVA HandiHaler or SPIRIVA RESPIMAT 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 or SPIRIVA RESPIMAT 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 or SPIRIVA RESPIMAT. 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.

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

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 medications.

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

INDICATIONS

Spiriva® HandiHaler® (tiotropium bromide inhalation powder) and SPIRIVA® RESPIMAT® (tiotropium bromide) Inhalation Spray are prescription medicines used once daily (maintenance medicines) 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 and SPIRIVA RESPIMAT also reduce the likelihood of flare-ups (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 full Prescribing Information for SPIRIVA RESPIMAT, including Instructions for Use, and full Prescribing Information for SPIRIVA HandiHaler, 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.