For COPD treatment, the use of Spiriva HandiHaler and Advair Diskus has been directly compared in a clinical study. Benzodiazepines If you have any of these symptoms, stop taking the medicine and seek emergency medical care. For asthma, youll take Spiriva every day to relax your airways and help keep them open. These diseases include emphysema and chronic bronchitis. If this happens, use your rescue inhaler, stop taking SPIRIVA RESPIMAT, and call your doctor right away or seek emergency medical care. COPD drugs: a list of medications to help relieve your symptoms, Treating Symptoms of Chronic Obstructive Pulmonary Disease with Essential Oils, Debra Rose Wilson, Ph.D., MSN, R.N., IBCLC, AHN-BC, CHT, Asthma and COPD Medication Albuterol is in Short Supply: What You Can Do About it, COPD: How a 5-Question Screening Tool Can Help Diagnose Condition, 5 Ways to Keep Your Lungs Healthy and Strong, FEV1 and COPD: How to Interpret Your Results. People taking Spiriva HandiHaler had a significantly higher FEV1 6 hours after taking their dose compared to people taking Atrovent. Below are examples of these side effects. This isn't something you should do without your dr telling you to do it. These side effects include having trouble urinating and acute narrow-angle glaucoma (increased pressure in your eye). Using more than this can lead to serious side effects. Spiriva HandiHaler capsules can be stored until their expiration date. Advair Diskus contains two active drugs: fluticasone propionate and salmeterol. Most respiratory conditions older people have don't get better, they just feel better because of the medication. Sharing this information can help you avoid potential interactions. COPD is a chronic (long term) lung condition that gradually worsens over time. Its also not known if Spiriva passes into the breast milk of lactating women. If you no longer need to take Spiriva and have leftover medication, its important to dispose of it safely. There arent any herbs or supplements that have been specifically reported to interact with Spiriva. muscle pain. Spiriva Respimat is due, use a 'reliever puffer' in the usual way. This study didnt determine whether the anticholinergic drugs caused the peoples dementia. Both conditions cause your airways to become swollen and narrowed, making it hard for you to breathe. While it might be tempting to stop taking your medication immediately, you should always talk to your doctor first. And continue using your rescue inhaler as directed by your doctor if you have sudden breathing problems or worsened asthma or COPD symptoms. Abruptly stopping Lamictal may also lead to a return of symptoms of the condition that is being treated. Serious side effects from Spiriva can occur, but they arent common. Spiriva should be taken once each day. Still looking for answers? I was hospitalized for 3 days to run tests on my heart last week. Print patient leaflet in large text. see your dr if you are having concerns with it. If youd like to stop taking Spiriva, talk with your doctor. (A generic drug is an exact copy of a brand-name medication.) Several clinical studies looked at using Spiriva Respimat to treat asthma in adults over a period of 12 to 48 weeks. For some people, this type of pain is confused with having a problem with their heart. seeing flashes or sparks of light. And if you have any symptoms that concern you, such as chest pain or irregular heart rate, call your doctor right away. Examples of other drugs that contain anticholinergic agents and are taken by inhalation include: This list doesnt include all the anticholinergic medications that are available. There arent any reports of Spiriva causing weight gain in people using the drug to treat either asthma or chronic obstructive pulmonary disease (COPD). The medication comes in two forms: Spiriva Respimat and Spiriva Handihaler. Off-label use is when a drug thats approved to treat one condition is used to treat a different condition. Clinical studies have shown that Spiriva is effective to treat asthma. You can also call 800-222-1222 to reach the American Association of Poison Control Centers or use its online resource. Spiriva Respimat and Advair Diskus are also used to treat asthma in adults and children. Youll still need to use your rescue inhaler, as directed by your doctor, even if youre using Spiriva. Spiriva works by relaxing the muscles in the walls of your airways. In addition to treating COPD, Spiriva Respimat is also used to treat asthma in adults and children ages 6 years and older. Spiriva generally costs more than Incruse Ellipta costs. Spiriva is meant to be used as a long-term treatment. After 2 years of treatment, there were no differences in the number of COPD flare-ups seen between the two groups of people. This may help reduce the risk of having . For the Spiriva Respimat, the recommended dosage for adults is two puffs of 2.5 mcg once per day. Don't stop any medications without a provider's OK. 1. Do not stop taking SPIRIVA RESPIMAT suddenly even if you feel better. Withdrawal is more difficult to cope with, because it happens when you are addicted to a drug. It can be taken at any time of day, as long as its around the same time every day. Here we look at how Spiriva and Advair Diskus are alike and different. However, tapering antidepressants over 6-8 weeks or longer may further reduce the risk of withdrawal. Do not stop using your medicine or lower the dosage without checking . Package leaflet: Information for the user. Spiriva is sometimes also used off-label for other conditions. When youre ready to take a dose, start by placing one Spiriva HandiHaler capsule into the center chamber of your inhaler device. For this condition, the 1.25 mcg strength of Spiriva Respimat is prescribed. (An active ingredient is what makes a drug work.) They should never be put into the freezer. Usual Adult Dose: COPD These factors may include your insurance coverage (if you have it) and which pharmacy you use. But you may take it with other maintenance treatments, such as budesonide/formoterol (Symbicort). Serious side effects from Spiriva arent common, but they can occur. Hypercapnia: What Is It and How Is It Treated? You may wonder how often certain side effects occur with this drug, or whether certain side effects pertain to it. SPIRIVA RESPIMAT or SPIRIVA HANDIHALER can cause your breathing to suddenly get worse (bronchospasm). No, you shouldnt take Spiriva to treat sudden breathing problems. Unopened Spiriva Respimat inhalers should also be stored at room temperature (77F/25C). Yes, youll probably be able to. However, after treatment, people who took Advair Diskus had better overall health. A medication timer may be useful, too. Your doctor can tell you more about alternatives to Spiriva for your condition. seeing floating spots before the eyes or a veil or curtain appearing across part of vision. To find out more about how Spiriva compares with Advair, see this article. Below are lists of medications that can interact with Spiriva. Boehringer Ingelheim Pharmaceuticals, Inc., the manufacturer of Spiriva, offers a cost savings program for Spiriva Respimat. It can happen for several reasons, such as hyperventilation. Before taking Spiriva, be sure to tell your doctor about all medications you take, including prescription and over-the-counter types. If you miss a dose of Spiriva, take it as soon as you remember. Asthma can be considered severe when it's either not well controlled or has to be controlled with high doses of asthma drugs. Hello cklogie. Spiriva HandiHaler and Spiriva Respimat both contain the drug tiotropium bromide, while Incruse Ellipta contains the drug umeclidinium. For more information on the possible side effects of Spiriva, talk with your doctor or pharmacist. It does this by binding to certain receptors (attachment sites) in your airways. If youre concerned about weight gain or high blood pressure with Spiriva, talk with your doctor. Spiriva generally costs much more than Advair Diskus. The more common side effects of Spiriva can include: Most of these side effects may go away within a few days or a couple of weeks. If so, why? These drugs work differently in your body than steroids work. The following information describes dosages that are commonly used or recommended. No, Spiriva doesnt contain steroids. abnormal liver function tests. It sounds more like a small stroke or TIA which can also cause dizziness and lightheadedness. Talk with your doctor about whether its safe for you to drink alcohol while youre using Spiriva. Spiriva is a maintenance treatment. Disclaimer: Medical News Today has made every effort to make certain that all information is factually correct, comprehensive, and up-to-date. Print patient leaflet as text only. She also complains of her left side not being a hundred percent. nausea. seeing floating dark spots or material before eyes. Its foolish to stop respiratory drugs without advice. Its important to note that this drug is not a rescue inhaler. In these studies, some people were given Spiriva Respimat, while other people were given a placebo (no active drug). Your doctor may order tests to determine the severity of your kidney problem and whether Spiriva is safe to prescribe for you. Here are answers to some frequently asked questions about Spiriva. The product code (s) for this leaflet is: PLGB 41042/0082. FOR ORAL INHALATION ONLY Take care to avoid spraying SPIRIVA RESPIMAT into your eyes. Spiriva Respimat is used to treat: asthma in adults and some children chronic obstructive pulmonary disease (COPD) in adults Spiriva Handihaler is used to treat COPD in adults You'll use. It binds to the M3 muscarinic receptors on the smooth muscles of the airway. The left sidedness sounds like she may have weakness of the left side, & that could mean several things including a small stroke. Does Spiriva have any long-term side effects. Instead, theyre only used to treat asthma. To learn about other mild side effects, talk with your doctor or pharmacist, or read the prescribing information for Spiriva Respimat or Spiriva HandiHaler. These may worsen with SpirivaStop taking Spiriva and seek immediate medical help if your breathing suddenly worsens, your throat or tongue swells, you get hives, vision changes or eye pain, or problems passing urine. Trouble urinating. If youre breastfeeding, or planning to breastfeed, talk with your doctor about whether its safe for you to use Spiriva. These drugs are typically used as needed when youre having sudden breathing problems, such as cough or shortness of breath. In the studies, a measurement called FEV1 was recorded to see how well treatment improved peoples lung function. (Withdrawal symptoms are side effects that can occur when you stop taking a drug that your body has become dependent on.) It's helpful to work with your doctor or respiratory therapist when learning this technique. However, this article should not be used as a substitute for the knowledge and expertise of a licensed healthcare professional. Try to keep holding your breath for at least 10 seconds, or for as long as youre able to comfortably do so. You should take Spiriva according to your healthcare providers instructions. If you drink alcohol, talk with your doctor about how much may be safe to drink during your Spiriva treatment. Spiriva is not known to cause weight gain. These drugs treat asthma and COPD by keeping your airways open. Over time, Spiriva works to open up your airways and improve your ability to breathe. Spiriva HandiHaler isnt approved for use in children. SPIRIVA RESPIMAT can cause your breathing to suddenly get worse (bronchospasm). Available for Android and iOS devices. By using the Spiriva HandiHaler device correctly, the drug inside the Spiriva capsules will be inhaled through your mouth into your lungs. If you have any of these symptoms, stop taking the medicine and seek emergency medical care. If this happens, use your rescue inhaler, stop taking SPIRIVA, and call your doctor right away or seek emergency medical care. Other drugs are available that can treat either asthma or chronic obstructive pulmonary disease (COPD). Allergic reaction. Before starting Spiriva or any other medications, check with your doctor or pharmacist. It wont work to relieve sudden breathing problems caused by COPD. Acute closed-angle glaucoma is an emergency that requires immediate treatment. This leads to symptoms such as wheezing and shortness of breath. As a result, air can flow more easily in and out of your lungs. If youd like to stop taking Spiriva, talk with your doctor. Breathing difficulties can develop gradually or come on suddenly. Its unknown whether Spiriva is safe to use while pregnant or breastfeeding. For further information call emc accessibility on 0800 198 5000 . Theyll also let you know if you need to start using a different drug for your condition when you stop your Spiriva treatment. Youll take two inhalations (puffs) of Spiriva HandiHaler once each day to get your full dose of the drug. Brovana is inhaled using a jet nebulizer. But suddenly stopping treatment could worsen your breathing problems because you wont be treating your condition anymore. Are there any adverse problems from stopping spiriva abruptly? Spiriva belongs to a group of drugs called anticholinergics. And if you already have high blood pressure, talk with your doctor about whether its safe for you to use Spiriva. Instead, use Spiriva every day to keep your airways open and help prevent breathing problems. Spiriva Handihaler is not used to treat asthma. Youll use Spiriva once a day as a maintenance (long-term) treatment for your asthma. Youll still need to use your rescue inhaler, as directed by your doctor, even if youre using Spiriva. You may also want to check out the online communities at Bezzy. Its important to note that Spiriva is not a rescue inhaler. Your doctor will explain how you should use Spiriva. Can Spiriva affect eye conditions other than closed-angle glaucoma? Youll receive instructions for preparing and using Spiriva Handihaler with your medication. Precautions. In this study, a measurement called FEV1 was recorded to see how well treatment improved peoples lung function. This will draw the medication into your lungs. If you stop using it suddenly or lower the dosage, the signs and symptoms of your COPD may worsen. Spiriva Respimat comes as a liquid solution inside an inhaler. While stopping smoking is the only thing that can slow the progression of COPD, taking SPIRIVA RESPIMAT daily could help improve your breathing. Adviar: is a cortico-steriod. Learn about asthma complications, what to do about them, and how to decrease your risk of developing them. In clinical studies, there were no differences in the common side effects seen in children and teenagers using Spiriva Respimat compared to adults using the drug. You can also call the American Association of Poison Control Centers at 800-222-1222 or use their online tool. Spiriva contains the active drug tiotropium bromide. If youre pregnant, or may become pregnant, talk with your doctor about whether its safe for you to use Spiriva. i have a nebulizer if needed. Youll still need to use your rescue inhaler, as directed by your doctor, even if youre using Spiriva. If you happen to swallow a Spiriva HandiHaler capsule, call your doctor or pharmacist. Spiriva and Incruse Ellipta both contain drugs that belong to a class of medications called anticholinergic agents. Heres some detail on several of the side effects this drug may or may not cause. For this condition, the 2.5 mcg strength of Spiriva Respimat is prescribed. Medications containing a combination of ingredients are also available. Instead, its meant to be used consistently each day to help manage breathing problems. Ask them what other medications are better options for you. People with chronic obstructive pulmonary disease (COPD) may experience more severe COVID-19 outcomes than those without COPD. In this article, were only comparing Advair Diskus with Spiriva. A popular lung medication, albuterol, has been in a national shortage since the fall of last year. With oral thrush, a fungus called Candida albicans overgrows inside your mouth. Here's what you need, If you're living with COPD, modern medicine can help you manage the condition and live a healthy life. Before taking Spiriva, talk with your doctor or pharmacist. The typical doses and frequency for using each form of Spiriva are as follows: The typical dosage of Spiriva Respimat for asthma is two inhalations (puffs) taken once each day. The FDA pharmacist I spoke to said it takes a month for this drug to fully eliminate from the body. Answers. You use them to relieve sudden breathing problems, such as asthma attacks or sudden worsening of COPD symptoms. But if your symptoms are severe, call 911 or go to the nearest emergency room right away. For example, theyll typically prescribe a rescue inhaler, such as albuterol (Ventolin HFA, Proventil-HFA, Proair, or others) to use with Spiriva. Then hold the inhaler to your mouth and close your lips around the mouthpiece. I am scared this medicine has done permanent damage to me. Spiriva HandiHaler comes as powder-filled capsules that are taken using an inhaler. This drug should be used with caution in people whove had glaucoma in the past because Spiriva may worsen the condition. And theyll discuss other ways to treat your breathing condition. little or no urinating. Spiriva is approved to treat chronic obstructive pulmonary disease (COPD) and asthma. I stopped taking Spiriva 2.5 weeks ago. To help you cope with these symptoms, consider the following options: Fortunately, Advair is a combination of fluticasone (steroid) and salmeterol (bronchodilator), and these supplements do not cause an addiction. To help make sure that you dont miss a dose, try setting a reminder on your phone. Theyll also explain how much to use and how often. There's no cure for COPD, but conventional treatment can be complemented by treatment with essential oils to treat its symptoms. Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. Its available in these two forms, which each have different FDA-approved uses: With either COPD or asthma, you may have shortness of breath, cough, or wheezing. Spiriva has an average rating of 5.8 out of 10 from a total of 98 reviews for the treatment of COPD, Maintenance. It can also interact with certain supplements as well as certain foods. Call your doctor right away if you have an allergic reaction to Spiriva. How long a medication remains good can depend on many factors, including how and where you store the medication. There are currently no generic forms of either drug. Spiriva is a brand-name prescription drug thats used long term to improve breathing in people with certain respiratory conditions. One study looked at 58,769 people diagnosed with dementia who had taken anticholinergic agents earlier in their life. If this happens, use your rescue inhaler, stop taking SPIRIVA RESPIMAT, and call your doctor right away or seek emergency medical care. iSPERSE consists of salt-based inactive substances that act as the vehicle to deliver the active ingredients, and spray-drying technology for improved delivery to the patient's lungs. Like Spiriva, certain other medications can be used consistently each day to help manage breathing symptoms over time. will nebulizer tx stop the progression of copd? redness, swelling, or itching of the eye or eyelid. If you need financial support to pay for Spiriva, or if you need help understanding your insurance coverage, help is available. Could time-restricted eating cause fertility problems? Call 911 if your symptoms feel life threatening or if you think youre having a medical emergency. It wont work to relieve sudden breathing problems caused by asthma or COPD. Bring someone with you to your appointment if doing so will help you feel more comfortable. If this happens, use your rescue inhaler, stop taking SPIRIVA, and call your doctor right away or seek emergency medical care. Spiriva is used to treat asthma and chronic obstructive pulmonary disease (COPD). Like most drugs, Spiriva may cause mild or serious side effects. This form of Spiriva is a liquid that's taken using. Examples include tiotropium/olodaterol (Stiolto Respimat), umeclidinium/vilanterol (Anoro Ellipta), and fluticasone/umeclidinium/vilanterol (Trelegy Ellipta). combination inhalers that contain a steroid and a long-acting beta agonist (LABA), such as: fluticasone and vilanterol (Breo Ellipta). What should I know about Spiriva vs. Advair? Note: The Food and Drug Administration (FDA) tracks side effects of drugs theyve approved. However, these drugs arent meant to be used as rescue inhalers for sudden breathing problems. For COPD, youll take Spiriva every day to relax your airways and keep them open. What are the odds of surviving COVID-19 with COPD? Disclaimer: Healthline has made every effort to make certain that all information is factually correct, comprehensive, and up to date. apart from your original symptoms (condition) coming back. However, Advair Respules arent used to treat COPD. To learn more about how to use Spiriva Respimat, see this article. Examples of these side effects include constipation and trouble urinating. Some clinical studies compared COPD treatment with Spiriva HandiHaler to that of ipratropium bromide (Atrovent) over a period of 1 year. Your doctor may prescribe Spiriva with other drugs to treat your asthma or COPD. With asthma, you may have wheezing, tightness in your chest, shortness of breath, and cough. For information on cost assistance for Spiriva HandiHaler, visit the Medicine Assistance Tool website. Spiriva can interact with several other medications. Below, we describe some treatments that may be used with Spiriva to treat either COPD or asthma. 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. 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: After the shelf-life has passed, you should dispose of Spiriva Respimat. Rescue inhalers are drugs that work quickly to relax your airways, which allows you to breathe easier. They should always be stored in the aluminum foil blister pack until youre ready to use them. The Handihaler pierces the capsule allowing you to breathe in the Spiriva powder. Spiriva contains the drug tiotropium bromide, which belongs to a class of drugs called anticholinergic agents. Spiriva Respimat is prescribed to treat COPD in adults. Brovana (arformoterol tartrate) is a drug used to treat chronic obstructive pulmonary disease (COPD). Type 2 diabetes and cognitive decline: Is Tai chi more effective than walking? Spiriva HandiHaler, Spiriva Respimat, and Advair Diskus are each used to treat chronic obstructive pulmonary disease (COPD) in adults. Be careful to avoid covering the air vents on the sides of the inhaler. Spiriva Handihaler comes with capsules containing Spiriva powder and an inhaler device called the Handihaler. Oral thrush (yeast infection in your mouth) is a possible side effect of Spiriva, but it doesnt occur very often. However, its important to note that Spiriva isnt meant to be used as a rescue inhaler for sudden breathing problems. The terminal half-life of Spiriva in people with COPD is 25 hours. In rare cases, Spiriva can cause acute closed-angle glaucoma if you already have long-term closed-angle glaucoma. General chest soreness can sometimes happen just from inhaling the drug into your lungs. Spiriva is meant to be used consistently as a maintenance (long-term) treatment for asthma and chronic obstructive pulmonary disease (COPD). I agree with my friend Pledge on this. Brand-name medications usually cost more than generics. Spiriva HandiHaler should be taken as two inhalations (puffs), using just one powder capsule for both puffs, once each day. If youre pregnant or breastfeeding or planning to become pregnant or to breastfeed, talk with your doctor about the risks and benefits of using Spiriva. While tapering will reduce your withdrawal symptoms, it won't get rid of them entirely. Different interactions can cause different effects. But for sudden breathing problems, you should use a rescue inhaler. Some animal studies have shown that Spiriva does pass into the breast milk of lactating rats. Your FEV1 result can be used to determine how severe your COPD is. Talk with your doctor about your health history before you take Spiriva. Dont take more than one dose of Spiriva at a time. Serious side effects and their symptoms can include: Spiriva Respimat is used to improve lung function in children with asthma who are ages 6 years and older. But its not known for sure how many people have had allergic reactions to the drug. These lists contain examples of serious side effects that can occur with either form of Spiriva, with Advair Diskus, or with any of the drugs (when taken individually). SPIRIVA RESPIMAT can increase the pressure in your eyes (acute narrow-angle glaucoma), which can cause the following symptoms: eye pain, blurred vision, seeing halos or colored images along with red eyes. Youll likely use other medications in combination with Spiriva to manage your COPD or asthma symptoms. Atrovent HFA (ipratropium bromide) is a prescription inhaler used to treat COPD in adults. Or go to the nearest emergency room. Spiriva contains the drug tiotropium bromide. No, if you suddenly stop taking Spiriva, you shouldnt have any withdrawal symptoms. All these factors can affect whether Spiriva is a good option for you. It should be taken as one inhalation (puff) once each day. Spiriva HandiHaler and Spiriva Respimat are both FDA-approved to treat chronic obstructive pulmonary disease (COPD) in adults. Youll receive instructions for preparing and using Spiriva Respimat with your medication. What is Lumigan (bimatoprost) used for? Spiriva and Advair Diskus are both approved to treat COPD and asthma. 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 HandiHaler, Spiriva Respimat, and Incruse Ellipta all belong to a class of drugs called anticholinergic agents. In the studies, a measurement called FEV1 was recorded to see how well treatment improved peoples lung function. Youll still need to use your rescue inhaler, as directed by your doctor, even if youre using Spiriva or Incruse Ellipta. Factors to consider include the following: Closed-angle glaucoma. Youll use Spiriva once a day as a maintenance (long-term) treatment for your COPD. There are currently no generic forms of either drug. But its not known for sure how many people have had these side effects. The manufacturer also provides instructions for use on its website. +0. People with chronic obstructive pulmonary disease (COPD) often have comorbidities or other medical conditions. Keep in mind that side effects of a drug can depend on: Your doctor or pharmacist can tell you more about the potential side effects of Spiriva. The form your doctor prescribes depends on the condition youre using it to treat. (Spiriva belongs to the class of drugs called anticholinergic agents.). Spiriva Respimat should be taken as two inhalations (puffs) once each day. Also, describe any vitamins, herbs, or supplements you use. More research is needed to know whether using anticholinergic drugs, such as Spiriva, can increase the risk for dementia later in life. However, animal studies dont always predict whatll happen in people. Fluticasone belongs to a class of drugs called corticosteroids, while salmeterol belongs to a class of drugs called long-acting beta2-agonists (LABAs). Both these medications belong to a group of drugs called anticholinergics. Many different conditions can cause breathing problems, including stress and anxiety. Spiriva has caused glaucoma (increased pressure in your eye) and blurry vision in some people using the drug. SPIRIVA HandiHaler should only be inhaled by mouth (oral inhalation). It wont work to relieve an asthma attack. Do not use more Spiriva than your doctor prescribes. The form your doctor prescribes depends on the lung condition you have. Be careful to avoid covering the air vents on the sides of the inhaler. If she has weakness on her left side, that is NOT from suddenly stopping Spiriva. This drug should be taken as two inhalations (puffs) once each day. Depending on how severe your breathing problems are, your doctor may also prescribe other maintenance treatments with Spiriva. If you think youve taken too much of this drug, call your doctor. But if they become bothersome, talk with your doctor or pharmacist. Your doctor will determine the best dosage to fit your needs. I was put on Advair 250 twice a day for acid reflux-related asthma. Symptoms can include raised red patches on your skin (hives), itching, rash and/or swelling of the lips, tongue, or throat that may cause difficulty in breathing or swallowing. (The Handihaler is used to treat COPD only.). This can be helpful in those with an ongoing cough due to COPD or other chronic lung conditions. This is called an asthma attack. The instructions that you receive with your Spiriva Respimat inhaler show you how to prepare the inhaler for use. If youre taking Spiriva Respimat for COPD, visit this program website. Lumigan (bimatoprost) is a prostaglandin eye drop that helps fluid drain from inside the eye. Although its very rare, some people taking Spiriva have had heart effects while using the drug. Once the inhaler is ready, first breathe out slowly and fully. Symptoms caused by an overdose can include: Call your doctor if you think youve used too much Spiriva. 43% of reviewers reported a positive experience, while 30% reported a negative experience. But if you think youre having a medical emergency, you should call 911 or your local emergency number. Spiriva contains the active drug tiotropium bromide, which belongs to a class called anticholinergic agents. Pressure, talk with your doctor if you have any withdrawal symptoms, stop the. Drug thats used long term ) lung condition you have any symptoms that you... 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