Compare Atrovent vs. Spiriva

Head-to-head comparisons of medication uses, side effects, ratings, and more.



Coming soon.Makes it easier to breathe. Spiriva (Tiotropium) works well to reduce COPD symptoms and flare-ups with fewer side effects than some medicines that open airways, but you have to use it every day.
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Coupons for Atrovent
Best available price for 15 (15ml of 0.06%) nasal sprays of ipratropium
Coupons for Spiriva
Best available price for 30 (30 capsules of 18mcg per capsule) handihalers of spiriva
Reviews & ratings
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Have you used Atrovent (ipratropium)?
Worth itNot sureNot worth it
Reviews for Spiriva
+11% better vs. Atrovent
+29% better vs. Atrovent
+8% better vs. Atrovent
Have you used Spiriva (tiotropium)?
Worth itNot sureNot worth it
Side effects

We haven’t found good data for Atrovent side effects.

FDA side effect reports for Atrovent »
  • Respiratory tract infection 4%
  • Dry mouth 13%
  • Sore throat 2%
  • Sinus inflammation 2%
  • Urinary tract infection 2%
  • Chest pain (non-specific) 2%
  • Headache 1%
  • Indigestion 1%
More Spiriva side effects »
How it works
Coming soon.Spiriva (Tiotropium) is a bronchodilator. It relaxes muscles in your lungs to open your airways and make breathing easier.
Type of medication
Prescription only
Available as
  • Inhaler
  • Inhaler
Used for
  • Chronic Obstructive Pulmonary Disease Nasal Discharge
Risk factors for serious side effects
    Coming soon.
    • History of atropine allergic reaction
    • History of narrow-angle glaucoma
    • History of urinary bladder blockage (urinary obstruction)
    • History of enlarged prostate
    • Severe milk protein allergy
    Detailed Spiriva (tiotropium) risks & warnings »

    Research studies with animals haven’t found a risk to unborn babies, but it hasn’t been properly studied in humans.

    Research studies with animals found harmful effects on unborn babies. It hasn’t been properly studied in humans. The benefits might outweigh the risks even if you’re pregnant. Talk with your doctor.

    Kidneys and liver
    No kidneys and liver related info.
    • The kidney is mainly responsible for removing Spiriva (Tiotropium) from the body so people with kidney disease or reduced function need to be watched closely. Spiriva (Tiotropium) can build up in the body and cause certain side effects. Tell your doctor if you develop dry mouth, blurry vision, confusion, sweating, increased heart rate or constipation. You may need to discuss other medication options to treat your COPD.
    Upsides and benefits
    Coming soon
    • Helps you breathe easier and lessens the need for a fast-acting (rescue) inhaler.
    • Reduces flare-ups and hospitalizations with fewer side effects compared to some other medicines that open airways.
    • You only need to take it once a day.
    Downsides and risks
    Coming soon
    • Won't cure your COPD (but it will relieve your symptoms).
    • You'll need to use this medicine for a long time, and you have to take it every day.
    • Can make symptoms of enlarged prostate or urinary blockage worse.
    • Can worsen a certain type of glaucoma.
    • You might feel dizzy or have blurry vision while taking this medicine.
    Tips from our pharmacists for people taking the medication
    Coming soon
    • Don't swallow the capsule. Insert the capsule into an inhaler device only.
    • Use daily to control your COPD.
    • Starts working the first few hours, but it may take longer to feel full effects.
    • Prevents breathing problems, but doesn't stop sudden cough or wheezing once they start.
    • Don't breathe out into the inhaler.
    • You might feel dizzy and notice changes in your vision.
    • Don't use it if you have an allergy to atropine.
    • Contains lactose, so don't use it if you're allergic to milk protein.
    Learn more
    More about AtroventSide effectsReviews & ratingsFDA package insert
    Have you used Atrovent (ipratropium)?
    Worth itNot sureNot worth it
    More about SpirivaSide effectsReviews & ratingsAlternativesFDA package insert
    Have you used Spiriva (tiotropium)?
    Worth itNot sureNot worth it