Compare Atrovent vs. Spiriva

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

Atrovent (Ipratropium)

Spiriva (Tiotropium)

Prescription only
No information currently available
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.

4.8/ 7 average rating with 74 reviewsforSpiriva
No information currently available
  • 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.
No information currently available
  • 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.
Used for
  • Chronic obstructive pulmonary disease Nasal discharge
Dosage forms
  • Inhaler
  • Inhaler
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Side effects
The Atrovent (Ipratropium) FDA package insert doesn’t have numbers about how common side effects are.
8possible side effects
  • Respiratory tract Infection
  • Dry mouth
  • Pharyngitis
  • Sinusitis
  • Chest pain (non-specific)
  • Urinary tract Infection
  • Dyspepsia
  • Rhinitis
See more detailed side effects
Risks and warnings
No information currently available
  • Serious allergic reaction

    History of atropine allergic reaction

  • Worsening glaucoma

    History of narrow-angle glaucoma

  • Difficulty urinating

    History of urinary bladder blockage (urinary obstruction)

    ...and 1 more risk factors

  • Serious allergic reaction

    Severe milk protein allergy

  • Reduced kidney function

    History of moderate to severe kidney disease

  • Feeling dizzy

    Taking with other anticholinergic medications

See more detailed risks and warnings