How to use SPIRIVA

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

When used as directed, one daily dose of SPIRIVA can help keep your airways open for a full 24 hours to improve lung function as well as reduce the likelihood of COPD flare-ups (also called exacerbations). Before you use SPIRIVA HandiHaler for the first time and each time you refill your prescription, carefully read the Instructions for Use.

Using your HandiHaler

Two ways to learn: watch the how-to video or download the full Instructions for Use—including a helpful one-page overview.

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Please see Important Safety Information below.

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

Tips for making SPIRIVA part of your daily routine:

When and how to clean your HandiHaler device

How do I store SPIRIVA HandiHaler?

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.

Learn additional tips for managing your COPD.

Learn additional tips for managing your COPD.

Get quick answers about SPIRIVA.

IMPORTANT SAFETY INFORMATION

Do not use Spiriva® HandiHaler® (tiotropium bromide inhalation powder) if you are allergic to tiotropium or ipratropium (e.g., Atrovent®) or any of the ingredients in SPIRIVA. If your breathing suddenly worsens, your face, throat, lips, or tongue swells, you get hives, itching or rash, stop taking SPIRIVA and seek immediate medical help.

SPIRIVA HandiHaler is not a rescue medicine and should not be used for treating sudden breathing problems.

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

If you have vision changes or eye pain or if you have difficulty passing urine or painful urination, stop taking SPIRIVA and call your doctor right away.

Tell your doctor if you have glaucoma, problems passing urine or an enlarged prostate, as these may worsen with SPIRIVA. Tell your doctor if you have kidney problems or are allergic to milk proteins. Ask your doctor if you are not sure. Also discuss with your doctor all the medicines you take, including eye drops.

The most common side effect with SPIRIVA is dry mouth. Others include constipation and trouble passing urine. For a complete list of reported side effects, ask your doctor or pharmacist.

Do not let the powder from the SPIRIVA capsule get into your eyes.

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

Read the Patient Information and the step-by-step Instructions for Use for SPIRIVA before you use your inhaler.

INDICATION

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

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 full Prescribing Information, including Patient Information and Instructions for Use.

DISCLAIMER

The tips contained on this site convey general information and are not intended to be, nor should they be used as, a replacement for the advice of a licensed physician. Your doctor knows your specific condition. As with all things medical, you should talk to your doctor before you start any treatment, exercise, diet, or other lifestyle change.