More Important Safety Information. Immediate hypersensitivity reactions, including urticaria, angioedema swelling of lips, tongue, or throat , rash, bronchospasm, anaphylaxis, or itching may occur after administration of SPIRIVA.
Given the similar structural formula of atropine to tiotropium, patients with a history of hypersensitivity reactions to atropine or its derivatives should be closely monitored for similar hypersensitivity reactions to SPIRIVA. Instruct patients to consult a physician immediately should any of these signs or symptoms develop. Since dizziness and blurred vision may occur with the use of SPIRIVA, caution patients about engaging in activities such as driving a vehicle, or operating appliances or machinery.
Prescribers and patients should be alert for signs and symptoms of urinary retention e. Spiriva can interact with several other medications. It can also interact with certain supplements as well as certain foods. Different interactions can cause different effects. For instance, some interactions can interfere with how well a drug works. Other interactions can increase side effects or make them more severe. Below are lists of medications that can interact with Spiriva. Before taking Spiriva, talk with your doctor or pharmacist.
Tell them about all prescription, over-the-counter, and other drugs you take. Also tell them about any vitamins, herbs, and supplements you use. Sharing this information can help you avoid potential interactions. If you have questions about drug interactions that may affect you, ask your doctor or pharmacist.
Spiriva belongs to a class of drugs called anticholinergic agents. Taking Spiriva with other anticholinergic agents can increase your risk of side effects from the drugs. These side effects include having trouble urinating and acute narrow-angle glaucoma increased pressure in your eye.
Before starting Spiriva or any other medications, check with your doctor or pharmacist. However, you should still check with your doctor or pharmacist before using any of these products while taking Spiriva. However, your breathing symptoms will likely get worse if you stop treatment. By using the Spiriva HandiHaler device correctly, the drug inside the Spiriva capsules will be inhaled through your mouth into your lungs.
If you happen to swallow a Spiriva HandiHaler capsule, call your doctor or pharmacist. They can recommend whether you need to be seen by a healthcare provider. Instead, Spiriva contains the drug tiotropium bromide, which belongs to a class of drugs called anticholinergic agents. These drugs work differently in your body than steroids work. But both steroids and anticholinergic agents can be used to help improve breathing symptoms in people with either asthma or chronic obstructive pulmonary disease COPD.
One study looked at 58, people diagnosed with dementia who had taken anticholinergic agents earlier in their life. Spiriva belongs to the class of drugs called anticholinergic agents. However, the use of anticholinergics was associated with higher risk for dementia, especially in middle-aged and older adults. More research is needed to know whether using anticholinergic drugs, such as Spiriva, can increase the risk for dementia later in life.
Over time, Spiriva works to open up your airways and improve your ability to breathe. But for sudden breathing problems, you should use a rescue inhaler. Rescue inhalers work quickly to relax your airways, which allows you to breathe easier. In fact, if you have arthritis , talk with your doctor about using the Spiriva Respimat inhaler. While Spiriva comes as either the HandiHaler or Respimat inhaler, the Respimat inhaler is certified by the Arthritis Foundation as being easy to use for people who have arthritis in their hands.
Spiriva is approved to treat chronic obstructive pulmonary disease COPD and asthma. With either of these conditions, your airways become narrowed, making it hard for you to breathe.
It belongs to a class of drugs called anticholinergic agents. It does this by binding to certain receptors attachment sites in your airways. Once your airways are opened, air can flow more easily through them, making it easier for you to breathe. For people with asthma, it takes about 4 to 8 weeks to see the most improvement in their symptoms.
When you get Spiriva from the pharmacy, the pharmacist will add an expiration date to the label on the bottle. This date is typically 1 year from the date they dispensed the medication. The expiration date helps guarantee that the medication is effective during this time.
If you have unused medication that has gone past the expiration date, talk to your pharmacist about whether you might still be able to use it. How long a medication remains good can depend on many factors, including how and where you store the medication. Spiriva HandiHaler capsules come in an aluminum foil blister pack. Spiriva HandiHaler capsules can be stored until their expiration date. They should never be put into the freezer. Once you assemble the Spiriva Respimat inhaler and begin to use it, the shelf-life of the medication is one of the following, whichever comes first:.
This helps prevent others, including children and pets, from taking the drug by accident. It also helps keep the drug from harming the environment.
The FDA website provides several useful tips on medication disposal. You can also ask your pharmacist for information on how to dispose of your medication.
As with all medications, the cost of Spiriva can vary. To find current prices for Spiriva in your area, check out GoodRx. The cost you find on GoodRx. Your insurance plan may require you to get prior authorization before they approve coverage for Spiriva.
This means that your doctor will need to send a request to your insurance company asking them to cover the drug. The insurance company will review the request and let you and your doctor know if your plan will cover Spiriva. If you need financial support to pay for Spiriva, or if you need help understanding your insurance coverage, help is available. Boehringer Ingelheim Pharmaceuticals, Inc.
Or you can also find more information online about cost savings programs. This website lists programs that may help lower the cost of your prescription. Animal studies have shown that some pregnant females who were given Spiriva had either pregnancy loss or offspring with low birth weights. Some animal studies have shown that Spiriva does pass into the breast milk of lactating rats.
Before taking Spiriva, talk with your doctor about your health history. Spiriva may not be right for you if you have certain medical conditions or other factors affecting your health. These include:. You can also call the American Association of Poison Control Centers at or use their online tool. But if your symptoms are severe, call or go to the nearest emergency room right away.
Spiriva Respimat is also indicated for long-term maintenance treatment of asthma in adults and children ages 6 years and older.
Spiriva contains the active drug tiotropium, which is a long-acting anticholinergic agent. It binds to the M3 muscarinic receptors on the smooth muscles of the airway. By inhibition of the M3 receptors, it enables bronchodilation of the smooth muscles.
Following inhalation of Spiriva, maximum plasma concentrations were seen at 5 to 7 minutes in people with either COPD or asthma. The drug is primarily excreted via urine and is unchanged. Spiriva is contraindicated in people who have a hypersensitivity to tiotropium, ipratropium, or any components of Spiriva. They should always be stored in the aluminum foil blister pack. Discard Spiriva HandiHaler capsules once their expiration date has been reached.
They should never be frozen. Disclaimer: Medical News Today has made every effort to make certain that all information is factually correct, comprehensive, and up-to-date. However, this article should not be used as a substitute for the knowledge and expertise of a licensed healthcare professional. You should always consult your doctor or other healthcare professional before taking any medication.
The drug information contained herein is subject to change and is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects.
The absence of warnings or other information for a given drug does not indicate that the drug or drug combination is safe, effective, or appropriate for all patients or all specific uses. Chronic obstructive pulmonary disease COPD support groups can give people a place to talk, share resources, and make friends.
Learn more. Chronic obstructive pulmonary disease COPD refers to a group of conditions that affect the airways. Symptoms include difficulty breathing and a…. COPD is an umbrella term covering a number of serious lung conditions, including emphysema. Find out more about the causes, symptoms, and how to….
FEV1 is a measurement doctors use to stage and diagnose lung conditions. They work using different mechanisms to open up airways. Examples of short-acting bronchodilators are albuterol and ipratropium. Long-acting bronchodilators include tiotropium Spiriva, an anti-muscarinic and salmeterol and formoterol Serevent and Foradil, both beta-agonists.
Salmeterol is the long-acting bronchodilator in Advair. Several studies have found that using the two types of bronchodilators that you're taking, along with an inhaled corticosteroid, results in better control of COPD symptoms, better exercise tolerance and better pulmonary function. Inhaled corticosteroid medications such as the fluticasone in Advair are essential to the treatment of asthma in all but the mildest cases.
They are also used to treat people with COPD who have frequent "exacerbations" — temporary worsening of symptoms, often brought on by infections or exposure to irritants. These drugs work by reducing airway inflammation, which helps you breathe more easily. If you develop side effects that seem to be caused by a medication, talk to your doctor.
Alternative drugs may be effective. One alternative for treating asthma is a leukotriene blocker, such as montelukast Singulair. Theophylline is an alternative for both asthma and COPD. Recent studies have shown substantial benefit using theophylline in doses lower than employed in the past.
You did not say if you are a smoker, but for those who smoke and have COPD, the most essential step in any treatment plan is to stop all smoking. Smokers who need help quitting should talk to their doctor about strategies for quitting, including medications that might help.
0コメント