Search by name:
Generic Spiriva (Tiotropium Bromide)
Spiriva is an anticholinergic agent, it widens breathing passages and is used treat breathing difficulties caused by chronic obstructive pulmonary disease.
Per Inhalers
9 mcg x 1 inhaler
9 mcg x 3 inhalers
9 mcg x 6 inhalers

Product Description

Outcome Measures. The most common adverse reaction in the trials was dry mouth. This article has been superseded. Moreover, the results presented the standard error of the mean, which can artificially improve the results of a study. Do not swallow the medication directly. Glaucoma Bladder problems or trouble passing urine Kidney disease Prostate problems. Note: Some of the drugs listed below are used off-label to treat these specific conditions. Spiriva HandiHaler. With further increases in morbidity and mortality predicted, the worldwide burden of this disease is expected to rank fifth in It is estimated that about million people worldwide are living with COPD and it is the third leading cause of death. Spiriva and birth control. You have chosen to visit a webpage that contains information about a prescription treatment option for COPD. Therapeutic area: Respiratory disease and allergy. Spiriva belongs to a class of drugs called anticholinergic agents. Current Indication Chronic obstructive pulmonary disease. It can also make your mouth feel sore. Spiriva and Incruse Ellipta are both brand-name drugs. Warning You have reached the maximum number of saved studies Advertise with us. Abstract Tiotropium represents a new generation of inhaled therapy. Food and Drug Administration FDA requested further trials; these are now complete, and adequately resolve the previous safety concerns. Data on file. It works by Spiriva M3 receptors known to Spiiva bronchitis. Spiriva side effects in more detail. Urinary retention was limited to elderly men with predisposing factors such as prostatic hyperplasia 5. Epinephrine Hexoprenaline Isoprenaline isoproterenol Orciprenaline metaproterenol. Be sure to clean your device according to the instructions. Each Spiriva capsule contains 18 mcg dry powder formulation of tiotropium, and the dose requires two sprays to deliver one capsule worth of medication. Your email address Please enter your email address in the format of name domain. Close window. Hidden categories: Use dmy dates from December Template:drugs. Uncontrolled asthma can impair lung function, increase risk of exacerbations, reduce quality of Spirivq, and is associated with higher health care resource utilization HCRU and costs. Your doctor may give you other medicine to use for sudden breathing problems. Each of these Spiriva formulations is prepared a little bit differently. A medication timer may be useful, too. S;iriva you properly place your medication into your device, place the inhaler to your mouth and tightly seal your lips around the mouthpiece. Casaburi et al 8. The Spiriva Respimat inhaler will lock and cannot be turned after 30 doses or 60 puffs have been used. Asthma attack. Br J Clin Pharmacol. Your doctor may prescribe a fast-acting inhalation medicine to treat a bronchospasm attack. Patients who are assessed to benefit from the intake of long-acting anticholinergics as a monotherapy or as add-on medication. The cost you find on GoodRx. When you get Spiriva from the pharmacy, the pharmacist will add an expiration date to the label on the bottle. Special populations No dosage adjustment is necessary for geriatric patients or hepatically impaired patients. This helps air to flow through them more easily as you breathe. The instructions that you receive with your Spiriva Respimat inhaler show you how to prepare the inhaler for use. Both conditions cause your airways to become swollen and narrowed, making it hard for you to breathe. The study did not specify ethnicity. The typical dosage of Spiriva Respimat for asthma is two inhalations puffs taken once each day. Before using this medicine, tell your doctor if you have narrow-angle glaucoma, or an enlarged prostate or bladder obstruction. Therapeutic area: Respiratory disease and allergy. Email address. Published 12 February Last updated 11 December — see all updates. Advair Diskus contains two active drugs: fluticasone propionate and salmeterol. However, this article should not be used as a substitute for the knowledge and expertise of a licensed healthcare professional. A 6-month, placebo-controlled study comparing lung function and health status changes in COPD patients treated with tiotropium or salmeterol. You have chosen to visit a webpage that contains information about a prescription treatment option for COPD. The overall safety profiles for the 4 tiotropium doses were similar to that of placebo. Montelukast Pranlukast Zafirlukast. The pharmacological properties of tiotropium. Exposure to irritants, such as pollution, chemical fumes or dust can also lead to COPD. According to estimates on GoodRx. Clinical results also showed fewer deaths Soiriva people who took Advair Diskus compared Spiriva people who took Spiriva. General chest soreness can sometimes happen just from inhaling the drug into your lungs. Appropriate measurements of health outcomes in patients with COPD were measured, including numbers of exacerbations and hospital admissions. It's also approved for the long-term once-daily maintenance treatment of asthma in patients 12 years of age and older. What were you doing? But for sudden breathing problems, you should use a rescue inhaler. Spiriva is used to prevent bronchospasm attacks. There were differences between the Respimat and HandiHaler study populations at Spiriva, including smoking status, gender, and disease severity, and the causes of death varied across studies. Other drugs may interact with tiotropium, including prescription and over-the-counter medicines, vitaminsand herbal products. Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use Spiriva only for the indication prescribed. Difference in study designs, patient populations, outcomes definitions, and methods of collecting data make it difficult to make comparisons with clinical trials or with each other. Each study considered various secondary endpoints according to the study design. Tiotropium mist inhaler Respimat has been found to be associated with an increase of all cause mortality in people with COPD. In vitro studies in liver microsomes found the metabolism of tiotropium was inhibited when used with the cytochrome 2D6 and 3A4 inhibitors quinidine and ketoconazole 5. Alternatives to Spiriva. Difference Spiriva statistically significant. Spiriva is meant to Spriiva used consistently as a maintenance long-term treatment for asthma and chronic obstructive pulmonary disease COPD. Please visit www. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. Spiriva may interact with other anticholinergic drugs, causing additive side effects. Spiriva is approved to treat chronic obstructive pulmonary disease COPD and asthma. Subscribe to Drugs. As with most drugs, some people can have an allergic reaction after taking Spiriva.

Common use

Spiriva is a specific antagonist of muscarinic receptors with longterm action. It reversibly blocks receptors of M3 type in respiratory track which results in relaxation of smooth muscles of the bronchial tree. High affinity of the receptors and slow release of the inhibitor from the complex with M3 receptor stipulates prolonged local action of Tiovais. Bronholitic effect of the drug results of local action, dose and persisted for at least 24 hours. Effects of Spiriva depend on the dose and continues for 24 hours. The medication is used to treat bronchial spasms (wheezing) caused by chronic obstructive pulmonary disease, chronic bronchitis and emphysema.

Dosage and direction

Spiriva comes as capsules with powder for inhalations with the HandiHaler inhalation device. Use the medication about the same time each day.


Cautiousness is needed in treatment of patients with narrow-angle glaucoma, urination disorders caused by prostatic hypertrophy or obstruction of the bladder neck. Tiovais cannto be used for urgent blockage of a bronchial spasm. Avoid getting of the medication in eyes. Monitoring on a regular basis is needed in the patients with moderate and severe renal failure treated by Tiovais and medications which excreted by the kidneys. Inhaled medications may cause paradoxical bronchospasm and other reactions of such kind. Avoid administration of the medication if you are pregnant or breastfeeding.


Spiriva cannot be administered to the patients with hypersensitivity to the medication, atropine and its derivates (ipratropium and oxytropine). Use in adolescents under 18 years of age is not researched.

Possible side effects

Most common side effects include local reactions such as dry mouth, throat pain, coughing, paradoxical bronchospasm. Changes in accommodation if the medication got into the eyes. Allergic reactions (rash, swelling) are possible. In rare were observed cases short heart beat, acute glaucoma, difficulty urination in men with prostatic hypertrophy, constipation.

Drug interactions

Concomitant use of Spiriva with other anticholinergetic medications is not recommended.

Missed dose

If you forgot to take your dose in time, please do it as soon as you remember. But do not take if it is too late or almost time for your next dose. Do not increase your recommended dose. Take your doses at about the same time each day to avoid missing a dose.


It was not reported about overdose if Spiriva was used in therapeutic doses. In case of considerable exceeding of the recommended dose symptoms associated with anticholinergetic properties of the medication are observed: reversible changes in accommodation, dry mouth. Acute poisoning is not likely due to low biological availability of the medication used as inhalations.


Store at room temperature away from moisture, sunlight, kids and pets in a tight container.


We provide only general information about medications which does not cover all directions, possible drug integrations, or precautions. Information at the site cannot be used for self-treatment and self-diagnosis. Any specific instructions for a particular patient should be agreed with your health care adviser or doctor in charge of the case. We disclaim reliability of this information and mistakes it could contain. We are not responsible for any direct, indirect, special or other indirect damage as a result of any use of the information on this site and also for consequences of self-treatment.

The BBC has seen minutes of a meeting of scientific advisers which warn of NHS pressure from Omicron.
The company says a third dose of its vaccine could improve protection against the new variant.
The deputy first minister says lockdown measures could be reinstated if Omicron spreads.
Another seven million people will be able to book their top up jab, including those in at-risk groups.

Generic Priligy

Active Ingredients:

  • Dapoxetine 60mg

How does Priligy work and what pharmaceutical group does it belong to?

Generic Priligy contains the active ingredient Dapoxetine the first medication approved in premature ejaculation treatment. By its chemical structure and effects Dapoxetine belongs to a group of medicines called serotonin reuptake inhibitors. Dapoxetine works by increasing the amount of serotonin in the synaptic gap and improving neuronal transmission and possessing inhibitory effects of libido and ejaculation. Dapoxetine helps prevent premature ejaculation and prolong sexual intercourse.

Which conditions are treated with Priligy?

Priligy is indicated to prevent premature ejaculation in men over 18 years of age

What should a patient know before using Priligy?

The Priligy should not be used in cases of:

  • Reactions of hypersensitivity or allergy to dapoxetine or other components of the medication
  • Epilepsy
  • Suicidal thoughts or attempts
  • Cardiovascular diseases ((history of heart attacks and strokes for the past 6 months, high blood pressure, coronary heart diseases, heart failure)
  • History of serotonin syndrome associated with SSRI's use
  • Liver failure
  • Renal failure
  • Women and men under 18 years of age

Which adverse effects may manifest when using the medication?

The side effects of Priligy include:

  • Nausea
  • Diarrhea
  • Insomnia
  • Tiredness
  • Convulsions
  • Headache
  • Drowsiness
  • Dizziness

Other common Priligy side effects include:

  • Anxiety
  • Numbness
  • Problem with achieving erection
  • Hot flashings
  • Sweating
  • Heartburn
  • Nasal congestion
  • Fatigue
  • Nasal congestion
  • High blood pressure
  • Difficulty concentrating
  • Decreased libido
  • Shaking or trembling
  • Indigestion
  • Dry mouth
  • Blurred vision

It is not necessary that the side effects will manifest in an individual but the possibility still exist. For more information please consult your health care provider.

Which groups of drugs or specific preparations may interact with Priligy?

The drug is affected by the following:

  • Blood thinners (warfarin)
  • Tryptophan
  • Tricyclic antidepressants
  • Other SSRI or SNRI medications
  • Nonsteroidal anti-inflammatory drugs (NSAIDs)
  • Monoamine oxidase inhibitors (MAOIs)
  • Lithium preparations
  • Seizures medications
  • Cardiac glycosides (digoxin)
  • Certain antipsychotic medications
  • Tranquilizers
  • Certain antibiotics (Linezolid)
  • St. John's wort

Tell your doctor about all the herbal preparations as well as prescription drugs that you are currently taking even if they are not on the list.

Important information for the patient: Priligy is supplied for individual use. Do not use it to treat other conditions not listed in the leaflet. Keep the product out of children reach. Do not reuse any disposable materials if supplied with the preparation.