Compare Atrovent vs. Spiriva
Head-to-head comparisons of medication uses, side effects, ratings, and more.
Controls COPD.
First choice inhaler for controlling mild chronic obstructive pulmonary disease (COPD).
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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3.5/ 5 average rating with 74 reviewsforSpiriva
Upsides
- The nebulizer is available in generic.
- Available in combination with albuterol in case Atrovent (ipratropium) by itself is not enough to control your symptoms.
- 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
- Effects don't last long so it needs to be used multiple times a day.
- Doesn't work fast enough to be used as a rescue inhaler for COPD attacks.
- The inhaler is only available in brand name.
- 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
Dosage forms
- Inhaler
- Nebulizer solution
- Inhaler
Price
Lowest price
$22.96
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$433.57
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Reviews
Not enough review data.Leave a review
74 reviews so far
64%
saidit'sworth it
46%
saiditworked well
8%
saidit'sa big hassle
Have you used Spiriva (Tiotropium)?
Leave a reviewSide effects
10possible side effects
- Bronchitis10%
- COPD attack8%
- Shortness of breath8%
- Headache6%
- Influenza like symptoms4%
- Dry mouth4%
- Nausea4%
- Dizziness3%
- Back pain2%
- Urinary tract infection2%
36possible side effects
- Respiratory tract Infection41%
- Dry mouth16%
- Pharyngitis13%
- Sinusitis11%
- Chest pain (non-specific)7%
- Urinary tract Infection7%
- Dyspepsia6%
- Rhinitis6%
- Headache6%
- Edema, Dependent5%
- Abdominal pain5%
- Constipation5%
- Dry Mouth5%
- Vomiting4%
- Myalgia4%
- Infection4%
- Moniliasis4%
- Epistaxis4%
- Rash4%
- Depression4%
- Insomnia4%
- Arthralgia4%
- Allergic reaction3%
- Leg pain3%
- Dysphonia3%
- Parathesia3%
- Gastroinestinal disorder not otherwise specified3%
- Castroesophegeal reflux3%
- Stomatitis3%
- Hypercholesterolemia3%
- Hyperglycemia3%
- Skeletal pain3%
- Angina pectoris3%
- Herpes zoster3%
- Laryngitis3%
- Cataract3%
Risks and risk factors
- Not a rescue inhaler
- Serious allergic reaction
- COPD attack
- Urination problems
- Benign prostate hyperplasia
- Urinary neck obstruction
- Serious allergic reaction
- History of atropine allergic reaction
- Sudden onset difficulty breathing (paradoxical bronchospasm)
- Worsening glaucoma
- History of narrow-angle glaucoma
- Difficulty urinating
- History of urinary bladder blockage (urinary obstruction)
- History of enlarged prostate
- Serious allergic reaction
- Severe milk protein allergy
- Reduced kidney function
- History of moderate to severe kidney disease
- Feeling dizzy
- Taking with other anticholinergic medications