Spiriva Respimat® Inhaler for COPD and Asthma

This prescription soft mist inhaler helps manage COPD and asthma symptoms. You can compare options, learn safe use, and see how to order without insurance. Ships from Canada to US.

What Spiriva Respimat Is and How It Works

Spiriva Respimat® contains tiotropium, a long-acting muscarinic antagonist (LAMA). It relaxes airway smooth muscle by blocking M3 receptors, which can reduce bronchoconstriction. The effect supports maintenance breathing control when used every day as directed. It is not a rescue inhaler for sudden breathing problems.

CanadianInsulin.com is a prescription referral platform. We verify prescriptions with your prescriber when required, and licensed Canadian pharmacies dispense your order. As a tiotropium bromide Respimat inhaler, this medicine delivers a slow-moving mist without a propellant. The soft mist can help more medicine reach your lungs with steady, deep breaths.

Who It’s For

This treatment is indicated for the long-term maintenance of airflow obstruction in adults with COPD, including chronic bronchitis and emphysema. It is also approved to help control asthma symptoms as maintenance therapy in patients who meet age criteria on the official label. Do not use it to treat acute bronchospasm or sudden wheezing.

People with a history of hypersensitivity to tiotropium, ipratropium, or other atropine-like anticholinergics should avoid use. Caution is advised if you have narrow-angle glaucoma, urinary retention, or prostate enlargement. A tiotropium Respimat inhaler may still be considered, but your clinician will evaluate risks and benefits.

Dosage and Usage

The usual regimen is two inhalations once daily, taken at the same time each day. Prime the device before first use and if not used for several days, following the manufacturer’s steps. Breathe out fully before each inhalation, then seal lips around the mouthpiece and inhale slowly and deeply as you press the dose-release button. Hold your breath briefly before exhaling.

Do not spray into eyes. Clean the mouthpiece weekly with a damp cloth and keep the cap closed when not in use. A tiotropium bromide Respimat inhaler should be used as maintenance therapy only, alongside your written action plan. Always carry a quick-relief inhaler for sudden symptoms if prescribed.

Strengths and Forms

The device is supplied as a cartridge and reusable inhaler that creates a soft mist. The commonly available strengths include 1.25 mcg per actuation and 2.5 mcg per actuation. Each cartridge is labeled for a set number of actuations; Spiriva Respimat inhaler 60 inhalations is a typical presentation. Availability can vary by pharmacy and region.

Missed Dose and Timing

If you miss a dose, take it as soon as you remember the same day. If it is almost time for the next dose, skip the missed dose and resume your regular schedule. Do not take extra inhalations to make up for a missed dose. Try to use the inhaler at the same time daily to build a routine.

Storage and Travel Basics

Store the inhaler and cartridge at room temperature and away from excessive heat, direct sunlight, and moisture. Do not freeze the device. Keep the cap closed, and avoid getting water inside the mouthpiece. Keep out of reach of children and pets.

When traveling, carry the inhaler and prescription label in your hand luggage. Bring enough supplies and a copy of your prescription. Keep the device in its protective cap and avoid leaving it in a hot or cold car. If airport screening staff need to inspect it, request a hand inspection to prevent device damage.

Benefits

This medicine provides once-daily maintenance bronchodilation that may support steadier breathing over time. The soft mist delivery can help with slow, deep inhalation. A consistent daily schedule can simplify long-term treatment plans. It can be used alongside inhaled corticosteroids or combination therapies when directed by your clinician.

Side Effects and Safety

• Dry mouth
• Sore throat or hoarseness
• Cough or throat irritation
• Sinusitis or runny nose
• Dizziness or headache
• Constipation

Serious or rare risks can include paradoxical bronchospasm, severe hypersensitivity reactions, worsening narrow-angle glaucoma, and urinary retention. Seek urgent care for sudden breathing difficulty, facial or throat swelling, or eye pain with blurred vision. Report persistent urinary problems or severe constipation to your prescriber.

Drug Interactions and Cautions

Avoid using this treatment with other anticholinergic medicines, which can increase side effects such as dry mouth and urinary retention. Use caution if you have glaucoma, bladder outlet obstruction, or significant prostate symptoms. Do not spray near your eyes. If you are pregnant, planning pregnancy, or breastfeeding, discuss risks and benefits with your clinician.

Tell your healthcare provider and pharmacist about all prescription and over-the-counter medicines, herbal supplements, and devices you use. Proper inhaler technique matters; consider a technique check at each visit. Educational reading on advanced breathing issues such as Respiratory Acidosis may help you better understand respiratory status changes.

What to Expect Over Time

With daily use, maintenance bronchodilation may help reduce day-to-day airflow limitation. Some people notice easier breathing during routine activities after consistent use. Keep using the treatment every day as prescribed, even when you feel well. Carry a rescue inhaler for sudden symptoms if one is prescribed.

Regular follow-up allows inhaler technique checks and assessment of symptom control. Your care team may adjust your broader regimen based on control, exacerbations, and device preferences. For asthma-related education, see our article on Asthma Attacks for background insights.

Compare With Alternatives

Some patients need combination maintenance therapy. For triple therapy in a single device, your prescriber may consider Trelegy® Ellipta, which combines a LAMA, LABA, and ICS. For an ICS/LABA option, Symbicort® may be used as part of an asthma or COPD plan when appropriate.

Pricing and Access

See the Spiriva Respimat Inhaler price and compare options for your prescription. Many customers look for a cash-pay pathway when insurance coverage is limited. We offer Canadian pricing with US shipping from Canada. To check current availability, see product pages before you place an order.

If you seek a coupon, discount, or a savings card, note that manufacturer programs may not apply to international dispensing. We provide a secure checkout and clear itemization. For occasional deals, visit our Promotions page. For disease-specific browsing, explore our Respiratory section.

Availability and Substitutions

Stock can vary by strength or device bundle. If an item is unavailable, your prescriber may recommend a suitable alternative. Depending on your diagnosis and treatment plan, that could include other maintenance inhalers or another tiotropium device when appropriate. Review COPD topics in our COPD Guide to understand general management goals.

Patient Suitability and Cost-Saving Tips

This maintenance treatment suits many adults with COPD and eligible patients with asthma who need long-acting bronchodilation. It may not be appropriate if you have a history of severe anticholinergic reactions. Your clinician will consider comorbidities, inhaler coordination, and overall regimen complexity.

To manage costs, ask about multi-month fills and synchronize refills for fewer shipments. Set reminders for daily use and for ordering refills a bit before you run out. If you change devices, request inhaler technique coaching. Keep your written action plan updated and review it at regular visits.

Questions to Ask Your Clinician

• Is this the right maintenance inhaler for my COPD or asthma?
• How should I prime and clean the device correctly?
• What rescue inhaler should I carry for sudden symptoms?
• Could anticholinergic effects worsen my glaucoma or urinary symptoms?
• Should I add an inhaled steroid or combination therapy?
• How will we monitor control and adjust my plan over time?

Authoritative Sources

• See the US prescribing information on DailyMed for full labeling details, including indications, dosing, and safety: FDA DailyMed Official Site.
• Review the manufacturer’s product page for device setup, priming steps, and cleaning guidance: Boehringer Ingelheim Official.
• Consult Health Canada’s Drug Product Database for Canadian authorization status: Health Canada DPD.

Ready to order? For convenience, buy Spiriva Respimat Inhaler online with prompt, express shipping with temperature-controlled handling when required.

Medical disclaimer: This content is for informational purposes only and is not a substitute for professional medical advice.