Compare ipratropium vs. Spiriva

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

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Atrovent (ipratropium)

Prescription only

Spiriva (Tiotropium)

Prescription only
Relieves runny nose due to the common cold or allergies.

Atrovent (ipratropium) is a good add-on treatment only when oral allergy medicines and steroid nasal sprays have not worked to control your runny nose, but the effects don't last long.

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.

3.5/ 5 average rating with 74 reviewsforSpiriva
Upsides
  • Won't make you drowsy like other allergy medicines.
  • Atrovent (ipratropium) is generally well tolerated.
  • Available in a cheap, generic form.
  • Safe for use in children age 6 and older (depending on dosage).
  • 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
  • Can take 1 to 2 weeks before you start feeling better.
  • The nasal spray should only be used for maximum of 4 days if you have a cold or 3 weeks if you have allergies.
  • Effect doesn't last long so you will need to use it multiple times in a day.
  • Doesn't work directly to target your allergies.
  • Won't work well if you also have a stuffy nose and/or are sneezing.
  • 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.
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Used for
  • Runny nose
Dosage forms
  • Nasal spray
  • Inhaler
Price
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Reviews
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74 reviews so far
64%
saidit'sworth it
46%
saiditworked well
8%
saidit'sa big hassle

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Side effects
8possible side effects
  • Headache
    10%
  • Upper lung infection
    10%
  • Bloody nose
    9%
  • Sore throat
    8%
  • Dry nose
    5%
  • Stuffy nose
    3%
  • Inflammation and irritation of the nose
    2%
  • Nausea
    2%
See more detailed side effects
36possible 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%
  • Headache
    6%
  • Edema, Dependent
    5%
  • Abdominal pain
    5%
  • Constipation
    5%
  • Dry Mouth
    5%
  • Vomiting
    4%
  • Myalgia
    4%
  • Infection
    4%
  • Moniliasis
    4%
  • Epistaxis
    4%
  • Rash
    4%
  • Depression
    4%
  • Insomnia
    4%
  • Arthralgia
    4%
  • Allergic reaction
    3%
  • Leg pain
    3%
  • Dysphonia
    3%
  • Parathesia
    3%
  • Gastroinestinal disorder not otherwise specified
    3%
  • Castroesophegeal reflux
    3%
  • Stomatitis
    3%
  • Hypercholesterolemia
    3%
  • Hyperglycemia
    3%
  • Skeletal pain
    3%
  • Angina pectoris
    3%
  • Herpes zoster
    3%
  • Laryngitis
    3%
  • Cataract
    3%
See more detailed side effects
Risks and risk factors
  • Eye problems
  • Allergic reaction
See more detailed risks and warnings
  • 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
See more detailed risks and warnings