Spiriva

(Tiotropium)

3.5/ 5 average rating with 74 reviewsforSpiriva
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Makes it easier to breathe.

Skip Upsides & Downsides section. Skip to side effects section.

Our bottom line

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.

Quick facts about Spiriva
  • Drug class: Respiratory
  • Rx status: Prescription only
  • Generic status: No lower cost generic available
Prices and discounts
Lowest price for 1 30-capsules-of-18mcg-per-capsule handihalers
Determining your location...
$386.52
  • Retail price
    $480.38
  • Savings
    20%

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.
People’s experience with Spiriva

74reviews so far. What do you think?

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.
Prices and discounts
Lowest price for 1 30-capsules-of-18mcg-per-capsule handihalers
Determining your location...
$386.52
  • Retail price
    $480.38
  • Savings
    20%
How it works

Spiriva (Tiotropium) is a bronchodilator. It relaxes muscles in your lungs to open your airways and make breathing easier.

Quick facts about Spiriva
  • Drug class: Respiratory
  • Rx status: Prescription only
  • Generic status: No lower cost generic available

Used for

Dosage forms

  • Inhaler
People’s experience with Spiriva

74reviews so far. What do you think?

Skip side effects section. Skip to risks and warnings section.

Side effect rates for Spiriva (Tiotropium)

From 921 clinical trials of Spiriva when taken for copd (18 mcg)
  • Respiratory tract Infection
  • Dry mouth
  • Pharyngitis
  • Sinusitis
  • Pharyngitis
  • Chest pain (non-specific)
  • Urinary tract Infection
  • Sinusitis
  • Dyspepsia
  • Rhinitis

Risks and Warnings for Spiriva (Tiotropium)

Skip risks section. Skip to common concerns section.
    • Higher risk if:
    • History of atropine allergic reaction

    There are reports of severe allergic reactions in people taking Spiriva (Tiotropium) with a history of atropine allergy. Spiriva (Tiotropium) has a similar chemical structure to atropine so if you've had an allergic reaction to atropine, there is a possibility you will be allergic to Spiriva (Tiotropium). Call 911 or your doctor right away if you develop severe rash, itching, swelling or difficulty breathing while taking Spiriva (Tiotropium). Talk to your doctor about other medication choices to treat your COPD if you know you have an allergy to the drug atropine.

Common concerns from people taking Spiriva (Tiotropium)

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Pregnancy
Kidneys and liver
  • 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.