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Spiriva® Respimat is a maintenance inhaler used to help manage COPD and asthma. This page explains how it works, who it suits, and practical use. You can access Canadian pricing with US delivery from Canada, which may help control out-of-pocket costs without insurance.
What Spiriva Is and How It Works
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The active ingredient is tiotropium bromide, a long-acting muscarinic antagonist (LAMA). It blocks muscarinic M3 receptors in airway smooth muscle, which can reduce bronchoconstriction and help keep airways open. The Respimat device releases a slow, soft mist that you inhale, helping medicine reach the lungs. This treatment is for regular maintenance, not for sudden breathing symptoms or rescue use.
It may reduce COPD exacerbations and support better day-to-day symptom control when used consistently. In asthma, it is typically used as an add-on controller alongside inhaled corticosteroids, when extra bronchodilation is needed. Always follow your clinician’s directions and the official product label.
Who It’s For
This medicine is indicated for maintenance treatment of chronic obstructive pulmonary disease. It is also approved as a maintenance option in asthma for appropriate patients. If you have Enfermedad pulmonar obstructiva crónica o Asma, your prescriber may consider this LAMA as part of your long-term plan.
Do not use it to relieve acute symptoms. For sudden tightness or wheezing, use your quick-relief bronchodilator instead. People with a history of hypersensitivity to tiotropium, ipratropium, or other atropine derivatives should avoid this therapy. Use caution if you have narrow-angle glaucoma, urinary retention, or prostate enlargement. Those with kidney impairment should discuss the risks and benefits with a clinician.
Because it is not a reliever, it should not be used for acute Broncoespasmo. If your symptoms worsen or you need your rescue inhaler more frequently, contact your healthcare professional.
Posología y utilización
Use this medicine exactly as prescribed. The usual schedule is two inhalations from the device once daily, at the same time each day. For COPD, clinicians typically choose the higher labeled strength; for asthma, the lower labeled strength is used in many patients. Follow the label and your prescriber’s guidance.
Before first use, insert the cartridge into the device as directed in the product instructions. Prime the inhaler according to the label until a visible mist appears, then finish the priming steps. If not used for several days, the label describes simple re-priming steps before the next dose. Do not spray into the eyes.
Consejos generales de administración:
- Exhale fully away from the device before dosing
- Seal lips around the mouthpiece without covering the air vents
- Start a slow, deep inhale and press the dose button
- Continue a steady breath to draw the soft mist into the lungs
- Hold your breath briefly, then exhale normally
This controller therapy should be used regularly, not as needed. Do not take extra puffs beyond the daily schedule unless your clinician advises otherwise.
Fortalezas y formas
The Respimat inhaler is supplied with a cartridge for oral inhalation. Commonly available per-actuation strengths include 1.25 mcg and 2.5 mcg, with the device delivering a labeled number of actuations when used as directed. Packaging and availability may vary by market and by lot. Your prescription will specify the appropriate presentation.
Dosis omitida y momento oportuno
If you miss a daily dose, take it when you remember on the same day. If it is nearly time for the next scheduled dose, skip the missed one and resume your usual routine. Do not take two doses on the same day. Try to take it at the same time daily to build a routine and maintain consistent lung coverage.
Almacenamiento y viaje
Store at room temperature away from excess heat, direct sunlight, and moisture. Keep the cap closed when not in use. After inserting the cartridge, the device has a labeled in-use period; discard it when the dose indicator shows it is empty or the in-use period ends, whichever comes first. Do not freeze or expose to high temperatures.
When traveling, keep the inhaler in your carry-on bag. Bring a copy of your prescription and a medication list. Avoid leaving the device in a car or checked luggage where temperatures may fluctuate. Keep out of reach of children and pets. If you use a spacer with other inhalers, note that this device is not designed for a spacer.
Beneficios
As a once-daily LAMA, this therapy can help improve airflow and reduce day-to-day breathlessness in COPD. It may reduce the risk of exacerbations when used consistently. In asthma, adding a LAMA to an inhaled steroid regimen can provide additional bronchodilation for some patients who remain symptomatic. The soft-mist inhaler is compact, does not require a forceful inhalation, and includes a dose indicator to track remaining puffs.
Efectos secundarios y seguridad
Los efectos comunes pueden incluir:
- Dry mouth or throat
- Cough or hoarseness
- Dolor de cabeza
- Sinus discomfort
- Estreñimiento
- Síntomas de las vías respiratorias altas
Serious reactions are uncommon but can occur. These may include immediate hypersensitivity reactions, paradoxical bronchospasm, worsening narrow-angle glaucoma symptoms if the mist contacts the eyes, or urinary retention in susceptible individuals. Seek urgent care for signs of severe allergic reaction, sudden vision changes, painful or difficult urination, or rapidly worsening breathing.
Interacciones medicamentosas y precauciones
Using other anticholinergic medicines at the same time can increase anticholinergic side effects such as dry mouth, blurred vision, or urinary retention. Examples include ipratropium and certain bladder or motion-sickness agents. Because systemic exposure is low, clinically significant interactions are uncommon, but you should still provide a complete medication list to your clinician.
Use caution if you have kidney impairment, narrow-angle glaucoma, or prostate enlargement. Avoid spraying the mist into your eyes. Do not use this therapy as a rescue medication; keep your short-acting bronchodilator available for sudden symptoms.
Qué esperar con el tiempo
With regular daily use, many patients notice easier breathing and fewer day-to-day symptoms. Benefits tend to build with adherence to the schedule. This medicine will not relieve sudden tightness; continue to use your reliever inhaler for acute episodes and seek care if episodes become more frequent. For asthma management topics, you may find context in Ataques de asma, then discuss any questions with your clinician.
Comparar con alternativas
Several maintenance options are available. Combination therapies that include an inhaled corticosteroid and a long-acting bronchodilator may be considered when symptoms persist despite a single controller. Examples we carry include Trelegy Ellipta y Symbicort. Your prescriber can help determine whether a LAMA alone or a combination regimen is the best fit for your condition and symptom pattern.
Precios y acceso
See current Spiriva Respimat cost, compare Canadian pricing, and review available supply options before you order. We coordinate fulfillment that Ships from Canada to US with careful packaging. Checkout is encrypted to protect your information. If you are looking for seasonal offers, visit our Promociones page for current details.
Questions about coverage or reimbursement should be directed to your insurer or clinic. If you pay cash, ask your prescriber about multi-month quantities, which may reduce per-inhaler costs over time. We cannot guarantee insurer coverage, but you can review pricing and place an order once your prescription is confirmed.
Disponibilidad y sustituciones
Availability can vary. If the requested presentation is temporarily unavailable, your prescriber may recommend a comparable alternative that fits your treatment plan. Do not change your regimen without medical guidance. If a substitution is suggested, the pharmacy will dispense only after the clinic confirms the change.
Adecuación al paciente y consejos para ahorrar costes
This therapy may suit adults with COPD who need daily maintenance bronchodilation, and patients with asthma who need an add-on controller. It is not appropriate for people who have had an allergic reaction to any component, or for emergency symptom relief. Those with glaucoma, urinary retention, or significant kidney impairment should review risks and monitoring with a clinician.
To save over time:
- Ask about 60- or 90-day quantities when appropriate
- Set calendar reminders for refills before you run out
- Use one pharmacy channel to keep records consistent
- Review your inhaler technique at clinic visits
- Store correctly to avoid wastage
Preguntas para su médico
- Is a LAMA appropriate for my COPD or asthma profile?
- Should I continue my inhaled steroid or other controller?
- What signs suggest I need a combination inhaler instead?
- How should I prime and re-prime the device correctly?
- What should I do if my rescue inhaler use increases?
- Do my other medicines raise anticholinergic side effect risks?
- How often should we review my inhaler technique and plan?
Fuentes autorizadas
Ministerio de Sanidad de Canadá DPD
Ready to proceed? Place your order with prompt, express, cold-chain shipping and US shipping from Canada after your prescription is verified. This content is informational and does not replace professional medical advice.
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Envío estándar - $15.00
El envío con este método tarda entre 5 y 10 días
Los precios:
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Is this a rescue inhaler?
No. Tiotropium is a controller medicine for maintenance therapy. It should not be used to treat sudden bronchospasm, chest tightness, or wheezing. Keep a short-acting reliever, such as albuterol, available for acute symptoms as directed by your clinician. If your rescue inhaler use increases or symptoms worsen, seek medical advice promptly, and call emergency services for severe breathing distress or bluish lips or fingertips.
How long does the Respimat device last?
Each unit contains a labeled number of actuations. With two puffs taken once daily, most patients find the device lasts about one month. The dose indicator shows remaining actuations; discard the device when the indicator reaches zero or the in-use period ends, whichever happens first. Follow the label for priming steps after inserting the cartridge and for any re-priming needed after several days without use.
Can children use this treatment?
For asthma, tiotropium Respimat is approved in certain pediatric age groups as a maintenance controller. Your pediatric clinician can determine suitability based on age, symptom pattern, and current controllers such as inhaled steroids. It is not a rescue medicine. Ensure proper inhalation technique and adult supervision. For COPD, use in children is not applicable.
What is the difference between Respimat and HandiHaler?
Respimat delivers a soft mist from a cartridge, while HandiHaler is a dry powder capsule device. The dosing and labeled strengths differ by platform and indication. Some patients prefer the soft mist because it does not require a forceful inhalation. Your clinician can advise which device aligns with your diagnosis, technique, and overall regimen. Do not switch devices without medical guidance.
Do I need to rinse my mouth after dosing?
Rinsing is not required with a LAMA the way it often is with inhaled corticosteroids. Some patients choose to rinse to reduce dry mouth or taste after inhalation. Either way, avoid getting the mist in your eyes, and report bothersome side effects to your clinician. If you use an inhaled steroid as well, continue any mouth-rinsing instructions provided for that medicine.
Why should I avoid getting the mist in my eyes?
Anticholinergic medicines can trigger or worsen narrow-angle glaucoma symptoms if they contact the eyes. Exposure can lead to blurred vision, eye pain, or seeing halos. Aim the mouthpiece away from your eyes and keep your eyes closed during actuation if needed. If eye symptoms occur after use, seek medical care. Those with a history of glaucoma should discuss extra precautions with their prescriber.
¿Qué debo hacer si me salto una dosis?
Take the missed dose as soon as you remember on the same day. If it is nearly time for your next dose, skip the missed one and resume your regular schedule. Do not take two doses on the same day. To help prevent missed doses, take it at the same time daily and set reminders on your phone or calendar. Contact your clinician if you routinely forget doses or symptoms increase.
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