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Spiriva medicine 18mcg Tiotropium treats chronic obstructive pulmonary disease
- Brand name: Spiriva 18mcg
- Active ingredient: Tiotropium
- Manufacturer: Boehringer Ingelheim
- Content: 18 mcg
- Form: Air tablets
- Package: Box of 30 air compressors air capsules
- Spiriva Drug Price : COMMENT below for pricing OR Click on the link: https://thuoclp.com/chatFB type “Spiriva”

What is spiriva? What is tiotropium ?
Spiriva (tiotropium) is a bronchodilator that relaxes muscles in the airways and increases air flow to the lungs.
Spiriva is used to prevent bronchospasm (narrowing of the airways in the lungs) in adults with COPD (chronic obstructive pulmonary disease), including bronchitis and emphysema.
Spiriva is also used to prevent asthma attacks in adults and children who are at least 6 years old.
Indications for use Spiriva
- Spiriva is indicated for maintenance therapy for patients with Chronic Obstructive Pulmonary Disease (COPD) (including chronic bronchitis and emphysema), maintenance treatment of relevant shortness of breath, and prevention of attacks. grant.
- Spiriva respimat is indicated as an additional maintenance bronchodilator in patients 6 years of age and older with severe asthma who have experienced one or more severe episodes of asthma.
Dosage of Spiriva medicine 18mcg
Usual Adult Dose for Chronic Obstructive Pulmonary Disease – Maintenance:
- Tiotropium inhalation powder, hard capsule:
18 mcg (2 inhalations) once a day using the HandiHaler device - tiotropium, solution for inhalation:
5 mcg (2 inhalations) once a day
Uses: long-term maintenance treatment of bronchospasm associated with chronic obstructive pulmonary disease (COPD), including chronic bronchitis and emphysema; to reduce exacerbations in COPD patients
Using
- The dose of Spiriva administered by inhalation (aerosol), via the inhaler (aerosol) HandiHaler, is recommended to be 1 capsule / 1 time / 1 day and administered at the same time of day.
- Do not take Spiriva capsules.
- However, as with all drugs that are largely excreted by the kidneys, close monitoring is required when Spiriva is administered to patients with moderate to severe renal impairment.
- There is no experience using Spiriva in infants and children, so it is not recommended for this age group.
Contraindications to spiriva
- Inhaled powder (aerosol) – Spiriva contraindicated in patients with a history of hypersensitivity to atropine or its derivatives, such as ipratropium, oxitropium or to any component of the drug.

Important information about the drug Spiriva
One Spiriva capsule is for use only in the HandiHaler device. Do not take capsules by mouth (oral) . Use only one capsule at a time.
Before using tiotropium, tell your doctor if you have a narrow angle glaucoma, or an enlarged prostate or bladder.
Spiriva is used to prevent bronchospasm attacks. Do not use this medication to treat an already started bronchospasm. It will not work fast enough to reverse your symptoms. Use only a fast acting inhalation drug to treat an attack.
Before taking spiriva tablets
You should not take Spiriva if you are allergic to tiotropium or ipratropium (Atrovent, Combivent, DuoNeb).
To make sure this medicine is safe for you, tell your doctor if you have:
- narrow-angle glaucoma;
- kidney disease;
- prostate or difficulty urinating enlargement;
- if you are allergic to milk; or
- if you also take medicine to treat Parkinson’s disease, overactive bladder, irritable bowel syndrome, depression, high blood pressure, or muscle spasms.
It is not known whether this medicine will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant.
It is not known whether inhaled tiotropium passes into breast milk or if it could affect a nursing baby. Tell your doctor if you are breast-feeding a baby.
Spiriva is not approved for use by anyone younger than 18 years old.
How should i use Spiriva?
Use Spiriva exactly as prescribed by your doctor.
The usual dose of this medication is 2 inhalations once a day. Follow all directions on your prescription label. Do not use this medicine in larger or smaller amounts or for longer than recommended.
Spiriva is not an emergency medicine. It will not work fast enough to treat a COPD flare-up. Your doctor may prescribe a quick-acting inhalation medicine to treat a bronchospasm. Tell your doctor if it seems like your medication is not working as well.
Read all patient information, medication guides, and instruction sheets provided to you. Ask your doctor or pharmacist if you have questions.
Any child using inhaled Spiriva should be supervised by an adult while using this medication.
Inhaled tiotropium powder (Spiriva HandiHaler) is packaged in capsules that come with a special inhaler device. Every time you use the medicine, load a capsule into the device and click on the mouthpiece to close. Press the button on the side of the device to pierce the capsule and release the medication into the inhaler. You will need 2 inhalations to keep the full dose from 1 capsule.
Do not take capsules by mouth. Spiriva capsule is for use only in HandiHaler device. Use only 1 tablet at a time. Do not use the HandiHaler device to make any other medications.
Keep each Spiriva capsule in its blister pack until you are ready to place the capsules into HandiHaler and use the device. Throw away any capsules that are not used as soon as you have taken it out of the blister. Exposure to air can damage the follicles.
To be sure this medication is helping your condition, your lung function will need to be checked on a regular basis.
Use this medication regularly to get the most benefit. Get your prescription refilled before you run out of medication completely.
Store at room temperature away from moisture and heat. Do not freeze. Do not store capsules in HandiHaler device.
What happens if I miss a dose?
Use the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not use extra medicine to make up the missed dose.
Do not use more than 2 inhalations in a 24-hour period.
What happens if I overdose?
Go to the nearest health facility or call emergency 115
Overdose symptoms may include dry mouth, red eyes, constipation, stomach pain, and confusion or drowsiness.
What should i avoid while using spiriva?
Avoid getting powder from a Spiriva capsule in your eyes. If this happens, call a doctor.
This medication may cause dizziness or blurred vision and may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert and able to see clearly.
Using Spiriva with other drugs that cause blurred vision, constipation, or difficulty urinating can worsen these effects. Avoid using cold or allergy medicine, over-the-counter sleeping pills, a muscle relaxer, or medicine to prevent nausea or motion sickness.
Spiriva side effects
Get emergency medical help if you have signs of an allergic reaction to Spiriva : hives, itching; shortness of breath; swelling of face, lips, tongue, or throat.
Call your doctor right away if you have:
- wheezing, choking, or other breathing problems after using this medicine;
- blurred vision, eye pain or redness, seeing halos around lights;
- sores or white patches on your mouth, lips, or tongue;
- pain or burning while urinating; or
- little or no urination.
Common spiriva side effects may include:
- Dry mouth;
- blurred vision;
- constipation, painful urination;
- stomach disorders;
- chest; or
- cold symptoms such as stuffy or runny nose, sinus pain, sore throat.
What other drugs will affect Spiriva?
Other drugs may interact with tiotropium inhalation, including prescription and over-the-counter medications, eye drops, vitamins, and herbal products. Tell each of your health care providers about all medicines you use now and any medicine you start or stop using.
Source: drugs and synthesis, index-china.com
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>>> See more about Spiriva 18mcg: https://index-china.com/product/spiriva-medicine-18mcg-tiotropium/
Assoc.Prof.Dr. Tran Ngoc Anh is currently Hanoi Medical University Hospital, Associate Professor, Department of Internal Medicine, Gastroenterology and Head of Department of General-Uematology of Hanoi Medical University. Consulting doctor at ThuocLP Pharmacy.
Professional qualifications, Academic degrees – Education:
Graduated from General Practitioner System, Hanoi Medical University
Graduated with a Master degree in Internal Medicine, Hanoi Medical University
Graduated from the training program specialized in Gastrointestinal, Henri Mondor Institute Center, University of Paris 6, French Republic 1996-1997; 1999
Graduated from the training program specialized in Gastrointestinal, North Royal Sydney Hospital, Australia; 2002
Graduated from a training program specialized in chronic liver diseases, Pizza, Italy 2009
Graduated with a PhD in Gastrointestinal, Hanoi Medical University
Associate Professor, Gastroenterology, Hanoi Medical University
Training and Scientific Research:
Published more than 200 articles in domestic and international specialized journals
Editor of many monographs and participates in compiling 2 textbooks.
Guide many students and graduate students of Hanoi Medical University
Manager of many grassroots research projects
Medical Certificate:
Certificate of Good Clinical Practice (GCP: 2012, 2015), Ministry of Health
Specialized certificates: General gastrointestinal endoscopy, Interventional gastrointestinal endoscopy, General gastrointestinal ultrasound, Interventional gastrointestinal ultrasound (Bach Mai BV), Chronic liver disease.
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