Are you Looking to Buy Spiriva (Tiotropium Bromide) from PrescriptionPoint.

Spiriva is a medication that comes in a capsule form. It contains a medicine called tiotropium. This medicine helps open up the airways in your lungs, making it easier to breathe.

Spiriva is used to treat long-term lung conditions like COPD and asthma. It helps prevent symptoms such as coughing, wheezing, and shortness of breath. Spiriva is not a rescue medicine—it won’t work right away for sudden breathing problems. Instead, it’s taken every day to help manage your symptoms over time.

The capsule is used with a special inhaler called the HandiHaler or Respimat. You should never swallow the capsule—it’s meant to be inhaled through the device.

The Spiriva medication above is manufactured by Cipla. American customers can order brand-name Spiriva online online from Canada through PrescriptionPoint. We also carry it’s generic alternative called Tiotropium Bromide. We carry many more quality medications from. Our Canadian online pharmacy allows you to order medications 24 hours a day and 7 days a week.

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A prescription must be provided for Spiriva. You must provide a copy of the prescription. We accept prescriptions electronically and through mail.

If you have any questions regarding the medication, contact us by mail, phone or internet. If you wish to speak to a representative, call our toll free number 1-877-244-0431. Our reps are available from Monday to Friday from 6am to 6pm and Saturdays from 7am to 4pm.

Indications: Spiriva (tiotropium bromide) is indicated for the long-term treatment of bronchospasm associated with COPD. It is a bronchodilator that helps relax the muscles around the airways in the lungs, keeping them open for 24 hours. This allows for easier airflow, making breathing easier by ensuring air can move in and out of the lungs more freely.

Ingredients: The active ingredient in Spiriva is tiotropium bromide monohydrate. Inactive ingredients include lactose monohydrate, which contains milk protein.

Directions:  Follow your doctor’s prescription exactly.

• Use Spiriva once daily by inhaling it through the HandiHaler device. This device is specifically designed for Spiriva, and it should not be used with any other medication.
• To release the dust cap, press the green piercing button completely in and let go.
• Open the dust cap completely by pulling it upwards, then open the mouthpiece by pulling it upwards.
• The blister card contains two blister strips joined along a perforated line. Prior to removing the first capsule from the blister card, separate the blister strips by tearing along the perforation.
• Immediately before use, peel the aluminum back foil until one capsule is fully visible. After opening a strip, the in-use shelf life of the remaining capsules in the strip is 5 days.
• Remove one Spiriva capsule from the blister.  Do not expose more than one capsule. If more than one capsule is exposed, you should discard the exposed unused capsules. Do not store the capsule in the HandiHaler device.
• Place the capsule in the centre chamber. It does not matter which end of the capsule is placed in the chamber.
• Close the mouthpiece firmly until you hear a click, leaving the dust cap open.
• Hold the HandiHaler with the mouthpiece upwards and press the green piercing button completely in only once, and release. This makes holes in the capsule and allows the medication to be released when you breathe in. The piercing of the Spiriva capsule may produce small gelatin pieces. Some of these small pieces may pass through the screen of your HandiHaler device into your mouth or throat when you breathe in your medicine. This is normal. The small pieces of gelatin should not harm you.
• If you feel that your chest is congested with mucus, try to cough to clear your lungs before you inhale Spiriva. Breathe out completely. Important: Do not breathe into the mouthpiece at any time.
• Hold the HandiHaler by the grey base. Do not block the air intake vents. Raise the HandiHaler to your mouth and close your lips tightly around the mouthpiece. Keep your head in an upright position and breathe in slowly and deeply but at a rate sufficient to hear or feel the capsule vibrate. Breathe in until your lungs are full; then hold your breath as long as comfortable (try counting to 10) and at the same time take the HandiHaler out of your mouth. Resume normal breathing.
• To ensure complete inhalation of capsule contents, you must repeat steps 8 and 9 once again.
• Open the mouthpiece again. Tip out the used capsule and dispose. Do not touch the used capsules. If the dry powder gets on your hands, make sure you wash your hands thoroughly.
• Close the mouthpiece and dust cap for storage of your HandiHaler device.

Contraindications: Do not use Spiriva if you are allergic to:

• Ipratropium bromide
• Other anticholinergic drugs (including atropine or its derivatives),
• Or any ingredient in Spiriva.

Do not use Spiriva if you are under 18 years old.

Note: Spiriva is not for emergency use. Avoid using it to treat sudden breathing problems during flare-ups of your condition. Your doctor may prescribe a different medication to address sudden breathing issues.

 Before you use Spiriva, tell your doctor or pharmacist if you:

• are pregnant or planning to become pregnant
• are breastfeeding
• are taking any medications, including over-the-counter eye drops
• have medical issues like difficulty urinating or an enlarged prostate
• have eye problems, such as glaucoma or eye pain
• have allergies to food, drugs, or lactose (milk sugar)
• have kidney problems

Common side effects: Side effects may include

• dry mouth
• constipation
• urinary retention
• blurred vision and a sore throat.

Some people may also experience a mild cough, headache, or difficulty swallowing.

Serious side effects: Signs may include

• chest pain
• rapid or irregular heartbeat
• trouble breathing
• swelling of the face or lips
• signs of an allergic reaction such as rash, itching, or dizziness.

This list is not complete. If you notice other signs, call your doctor.

Store Spiriva at room temperature, away from moisture and heat. Keep the medication in its original packaging to protect it from light.

References

Pdf.hres.ca. (2017). Prescribing Information.

FDA.gov. (2009). Prescribing Information