Spiriva® Respimat Inhaler for COPD

Tiotropium inhalation spray is a maintenance bronchodilator for COPD and asthma. It helps reduce day-to-day symptoms and supports long-term control. Access options include US delivery from Canada, with clear steps for those paying without insurance.

What Spiriva Is and How It Works

Spiriva® Respimat inhaler is a long-acting muscarinic antagonist (LAMA). It relaxes airway smooth muscle by blocking M3 receptors in the lungs. This action decreases bronchoconstriction and helps keep airways open over 24 hours.

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The device produces a slow-moving mist, which can be easier to inhale compared with pressurized aerosols. It is a controller therapy, not a rescue option. Use a fast-acting bronchodilator for sudden symptoms if prescribed.

The Spiriva Respimat inhalation spray is approved for maintenance treatment of COPD, and as add-on maintenance therapy for asthma per approved labeling. It does not replace inhaled corticosteroids in asthma.

Who It’s For

This treatment is used for adults with chronic obstructive pulmonary disease, including chronic bronchitis and emphysema. It is also approved as add-on maintenance therapy for asthma in adults and in certain pediatric patients per label. Review condition details in our Chronic Obstructive Pulmonary Disease and Asthma pages.

Avoid use if you have known hypersensitivity to tiotropium, ipratropium, or atropine and related anticholinergics. Use caution if you have narrow-angle glaucoma, urinary retention, or prostate conditions.

Dosage and Usage

Use two inhalations once daily, at the same time each day. This controller therapy is taken every day, not as needed. For COPD, use the strength labeled for COPD. For asthma, use the strength labeled for asthma and continue inhaled corticosteroids as directed by your clinician.

Before first use, prepare the inhaler: insert the cartridge fully, then prime according to the leaflet until a visible mist appears. If not used for more than 21 days, re-prime following the label. If not used for more than 3 days, release one actuation before the next dose. Exhale away from the device, seal lips around the mouthpiece, inhale slowly and deeply while pressing the dose-release button, then hold your breath briefly. Repeat for the second inhalation.

Strengths and Forms

The solution for inhalation is supplied in the Respimat device with a cartridge. Common strengths include 1.25 mcg per actuation and 2.5 mcg per actuation. Each cartridge typically delivers 60 actuations, which equates to 30 daily doses.

Availability of specific packs can vary by pharmacy and region.

Missed Dose and Timing

If you miss a dose, take it as soon as you remember. If it is close to your next scheduled dose, skip the missed dose. Do not take more than one daily dose.

Storage and Travel Basics

Store the inhaler at room temperature and keep it dry with the cap closed. Protect from excessive heat and do not freeze. Keep out of reach of children. Once the cartridge is inserted, the device is intended for use over a set number of actuations; discard when the dose indicator shows zero or when the labeled in-use period has passed, whichever comes first.

When traveling, carry this inhaler in your hand luggage. Keep it in the original carton or a labeled pharmacy container. Bring a copy of your prescription, and consider a spare device if advised by your prescriber.

Benefits

This medicine provides round-the-clock bronchodilation, which can lessen breathlessness and improve exercise tolerance. In COPD, the class may reduce exacerbations when used consistently. In asthma, it can improve control when added to standard therapy. The Respimat device creates a slow-moving mist that may aid coordination for some users.

Side Effects and Safety

• Dry mouth
• Sore throat or hoarseness
• Cough or sinus discomfort
• Headache
• Dizziness
• Constipation

Serious or rare effects can include allergic reactions, paradoxical bronchospasm, eye pain or blurred vision suggestive of acute narrow-angle glaucoma, and difficulty urinating. Stop use and seek immediate care for sudden breathing worsening, swelling of the face or tongue, or vision changes. If you experience severe chest symptoms, learn more about related topics such as Respiratory Acidosis and follow urgent care guidance from your clinician.

Drug Interactions and Cautions

Avoid taking with other anticholinergic medicines unless directed, as additive effects may increase side effects. Use caution with drugs that can worsen urinary retention or increase intraocular pressure. Non-selective beta-blockers may reduce bronchodilator response. Always inform your healthcare professional about all inhalers and medicines you use.

For broader context on respiratory health and comorbid conditions, see How Metformin And Glp and A Breath Of Wellness.

What to Expect Over Time

With regular daily use, maintenance bronchodilation may support steadier breathing patterns and fewer symptom fluctuations. Some individuals notice easier activity pacing and improved morning or nighttime control. Continue controller therapy as prescribed even when feeling well, and keep a separate rescue inhaler available if one has been prescribed.

Compare With Alternatives

Other maintenance options include combination therapies and different long-acting bronchodilators. Triple therapy once daily, such as Trelegy® Ellipta, combines an inhaled corticosteroid with long-acting beta-agonist and LAMA. Dual therapy like Symbicort® pairs an inhaled corticosteroid with a long-acting beta-agonist. Your prescriber selects based on diagnosis, symptom profile, and prior response.

Pricing and Access

Canadian pricing may offer meaningful savings for many patients. This product ships efficiently and reliably. Our encrypted checkout supports secure payment and prescription fulfillment.

For questions about tiotropium Respimat cost, view current listings on this page. If you intend to order tiotropium inhaler online, submit a valid prescription during checkout. Ships from Canada to US with clear tracking.

Looking for seasonal deals or manufacturer support? See active offers on our Promotions page.

Availability and Substitutions

Supply can vary by strength and package. If this inhaler is unavailable, a prescriber may recommend a suitable alternative. Some regions offer a generic tiotropium inhaler; device and labeling details can differ, so substitutions require clinician approval.

Patient Suitability and Cost-Saving Tips

This treatment may suit adults with stable COPD or individuals with asthma who need an add-on controller. It is not a rescue inhaler. People with severe narrow-angle glaucoma or urinary retention should discuss risks carefully with a clinician.

• Multi-month fills: Request 60–90 days if your prescriber approves.
• Refill planning: Set reminders so doses are not missed.
• Device training: Ask for technique checks at each visit.
• Insurance mix: Compare local pharmacy benefits with Canadian pricing.
• Online refills: Use Spiriva Respimat refill online tools to streamline repeat orders.

Questions to Ask Your Clinician

• Is this LAMA appropriate for my COPD or asthma plan?
• Should I continue my inhaled steroid with this therapy?
• How do I confirm correct inhalation technique at home?
• What signs suggest I need a rescue inhaler adjustment?
• Which side effects require a call versus urgent care?
• Could other inhalers or pills duplicate anticholinergic effects?

Authoritative Sources

Manufacturer Product Site

FDA DailyMed

Health Canada Drug Product Database

Buy Spiriva Respimat Inhaler online with US shipping from Canada, plus prompt, express shipping and temperature-controlled handling when required. This page is informational and not a substitute for professional medical advice.