Compare Spiriva vs. Symbicort

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

Spiriva (Tiotropium)

Prescription only
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
Prevents breathing problems.

Symbicort (Budesonide / Formoterol) is good for people who need two medicines to control their asthma or COPD, but it might be expensive since there's no generic available.

4.7/ 7 average rating with 394 reviewsforSymbicort
Upsides
  • 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.
  • 2-in-1 medicine that lowers inflammation and opens airways in your lungs. Medicines are more effective together than alone.
  • Makes lung function significantly better.
  • Lowers the number of flare-ups and rescue inhaler uses in asthma and COPD.
  • In studies, shown to improve asthma symptoms, rescue inhaler use, and lung function on the first day.
Downsides
  • 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.
  • You have to use Symbicort twice a day, every day to control your symptoms.
  • You can't lower the dose or stop taking it too suddenly.
  • Lower doses are not as effective for COPD.
  • Can make your heart race.
  • Steroids can slow height growth in kids.
  • Because steroids suppress your immune system, you can catch bacterial and viral infections easier, and they can take longer to go away.
  • There have been some reports of worsening asthma leading to death when taking this medicine.
Used for
Dosage forms
  • Inhaler
  • Inhaler
Price
Lowest price near you
$385.02
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Lowest price near you
$324.13
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Reviews
74 
64%
think this treatment is worth it
46%
think this treatment works well
8%
think this treatment is a hassle

Have you used Spiriva (Tiotropium)?

Leave a review
394 
58%
think this treatment is worth it
40%
think this treatment works well
14%
think this treatment is a hassle

Have you used Symbicort (Budesonide / Formoterol)?

Leave a review
Side effects
8possible side effects
  • Respiratory tract Infection
    41%
  • Dry mouth
    16%
  • Pharyngitis
    13%
  • Sinusitis
    11%
  • Chest pain (non-specific)
    7%
  • Urinary tract Infection
    7%
  • Dyspepsia
    6%
  • Rhinitis
    6%
See more detailed side effects
8possible side effects
  • Nasopharyngitis
    11%
  • Upper respiratory tract infection
    8%
  • Headache
    7%
  • Pharyngolaryngeal pain
    6%
  • Sinusitis
    6%
  • Influenza
    3%
  • Back pain
    3%
  • Nasal congestion
    3%
See more detailed side effects
Risks and warnings
  • 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
  • Asthma-related death

    Adverse effect of long-acting beta agonist drugs (LABAs), one of the medications in Symbicort (Budesonide / Formoterol), a combination drug.

  • Pneumonia

    History of chronic obstructive pulmonary disease (COPD)

    ...and 2 more risk factors

  • Adrenal suppression (HPA axis suppression)

    Lowering dose or stopping too quickly especially after long-term treatment

    ...and 1 more risk factors

  • Mouth and throat infection

    Not rinsing mouth after use

    ...and 1 more risk factors

  • Difficulty breathing (bronchospasm)

    Adverse effect of long-acting beta agonist drugs (LABAs) found in Symbicort (Budesonide / Formoterol), a combination medication.

  • Heart disease

    History of arrhythmia, hypertension or heart failure

See more detailed risks and warnings