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.

Lowest price near you
  • Retail price
    $451.98
  • Savings
    11%
Quick facts about Spiriva
  • Drug class: Respiratory
  • Rx status: Prescription only
  • Generic status: No lower cost generic available

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.
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?

Prices and coupons

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Side effect rates for Spiriva (Tiotropium)

From 921 clinical trials of Spiriva when taken for copd (18 mcg)
  • Respiratory tract Infection
    41%41%
    37%37%
  • Dry mouth
    16%16%
    3%3%
  • Pharyngitis
    13%13%
    11%11%
  • Sinusitis
    11%11%
    9%9%
  • Pharyngitis
    9%9%
    7%7%
  • Chest pain (non-specific)
    7%7%
    5%5%
  • Urinary tract Infection
    7%7%
    5%5%
  • Sinusitis
    7%7%
    5%5%
  • Dyspepsia
    6%6%
    5%5%
  • Rhinitis
    6%6%
    5%5%
  • Headache
    6%6%
    5%5%
  • Edema, Dependent
    5%5%
    4%4%
  • Abdominal pain
    5%5%
    3%3%
  • Constipation
    5%5%
    4%4%
  • Dry Mouth
    5%5%
    3%3%
  • Constipation
    4%4%
    2%2%
  • Vomiting
    4%4%
    2%2%
  • Myalgia
    4%4%
    3%3%
  • Infection
    4%4%
    3%3%
  • Moniliasis
    4%4%
    2%2%
  • Epistaxis
    4%4%
    2%2%
  • Rash
    4%4%
    2%2%
  • Depression
    4%4%
    3%3%
  • Insomnia
    4%4%
    3%3%
  • Arthralgia
    4%4%
    3%3%
  • Allergic reaction
    3%3%
  • Leg pain
    3%3%
  • Dysphonia
    3%3%
  • Parathesia
    3%3%
  • Gastroinestinal disorder not otherwise specified
    3%3%
  • Castroesophegeal reflux
    3%3%
  • Stomatitis
    3%3%
  • Hypercholesterolemia
    3%3%
  • Hyperglycemia
    3%3%
  • Skeletal pain
    3%3%
  • Angina pectoris
    3%3%
  • Depression
    3%3%
  • Herpes zoster
    3%3%
  • Laryngitis
    3%3%
  • Cataract
    3%3%
0%
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Where we got our data »

The placebo bar shows how common a side effect was for people taking a sugar pill instead of Spiriva.

Spiriva (Tiotropium)
Placebo

People taking Spiriva felt side effect more

People taking Spiriva felt side effect less

No difference

Risks and Warnings for Spiriva (Tiotropium)

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    • 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.

Pharmacist Q&A

Spiriva (Tiotropium) questions for

Frequently Asked Questions

This medication treats chronic obstructive pulmonary disease (COPD), including chronic bronchitis and emphysema.

Who is this drug for?

This medication treats chronic obstructive pulmonary disease (COPD), including chronic bronchitis and emphysema.

Common concerns from people taking Spiriva (Tiotropium)

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Pregnancy

Research studies with animals found harmful effects on unborn babies. It hasn’t been properly studied in humans. The benefits might outweigh the risks even if you’re pregnant. Talk with your doctor.

Tip: Always talk with your doctor before you take any medication while pregnant.
FDA pregnancy category for Spiriva
CWeigh risks vs. benefits
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.