
Tiotropium (Tio…



We offer competitive pricing on all our medications. Find a lower price? We'll match it from any verified Canadian online pharmacy! Know More

We offer competitive pricing on all our medications. Find a lower price? We'll match it from any verified Canadian online pharmacy! Know More
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Sign in or create a new account.
Upload your prescription.
Complete your purchase by processing the payment.
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Spiriva contains tiotropium bromide, which is a long-acting anticholinergic inhaler (also called a long-acting muscarinic antagonist, LAMA). This medicine is used once a day as a maintenance bronchodilator for people who are dealing with chronic obstructive pulmonary disease (COPD).
Each capsule of Spiriva contains 18 mcg tiotropium (dry powder). Remember that these capsules are for inhalation only (with the HandiHaler device), so don’t swallow them. Spiriva relaxes airway muscles to help keep airways open, reduces breathlessness, and decreases COPD exacerbations when you take it every day.
It’s not a rescue inhaler and will not relieve sudden symptoms, but keep a short-acting bronchodilator (your rescue inhaler), always, for emergencies.
Typical packs contain 30, 60, or 90 capsules, and treatment is prescription only. So you need to get a prescription from a qualified doctor to buy Spiriva online from Canada.
Note: Spiriva HandiHaler is for COPD. Spiriva Respimat is approved for both COPD and asthma (in people who are 6 years and older).
| Generic Name | Tiotropium bromide |
|---|---|
| Brand Name | Spiriva HandiHaler |
| Forms | Inhalation powder in a capsule |
| Strengths Available | 18 mcg |
| Packaging | 30, 60, or 90 capsules per pack |
| Requires Prescription | Prescription only (Rx) |
| Ships to the U.S. | Yes |
Spiriva is used to:
Take one Spiriva capsule (tiotropium) out of its blister only when you’re ready to use it, so it stays dry, and use it following these steps:
COPD is a chronic lung condition with symptoms like breathlessness, cough, and mucus buildup. Spiriva helps open the airways long-term. Tiotropium (the active ingredient in Spiriva) helps in relaxing the airways by blocking certain cell signals (M1 and M3 muscarinic receptors).
This action stops a chemical called acetylcholine from causing the airway muscles to tighten and from making extra mucus. The effect lasts for about 24 hours, which allows patients with COPD to take it once a day. This is why many patients notice easier breathing within the first few uses.
Common Spiriva side effects may include:
Serious side effects (rare):
Note: Call your provider if you experience any serious symptoms or unusual changes.
After you order Spiriva online, consider these warnings:
Follow these safety steps to get the most benefit when you buy Spiriva from Canada:
If you miss a dose, take the next Spiriva capsule at your regular dosing time the following day. Just don’t take a double dose to make up for the missed one.
An overdose of Spiriva, for example, taking multiple inhalations or accidental ingestion of capsules, may increase anticholinergic side effects, like:
Call 911 or the Poison Control Center at their toll-free number 1-800-222-1222 right away if you notice any severe overdose symptoms.
When you order Spiriva from Canada and then store it following these guidelines:
| Drug Category | Drug Examples |
|---|---|
| Other Anticholinergic medicines | Ipratropium, Aclidinium (Tudorza), Umeclidinium (Incruse), Glycopyrrolate |
| Beta-Agonist Bronchodilators | Albuterol, Salmeterol, Formoterol |
| Drugs Causing Urinary Retention | Oxybutynin, Tolterodine, Solifenacin |
| Drugs Causing Glaucoma Exacerbation | Topical anticholinergics, Scopolamine |
| Medications That Dry Secretions | Antihistamines (Diphenhydramine, Chlorpheniramine), Tricyclic antidepressants (Amitriptyline) |
| Alternative Medication | Active Ingredient | Conditions This Medication Treats | Drug Forms |
|---|---|---|---|
| Incruse Ellipta | Umeclidinium | COPD maintenance therapy | Dry powder inhaler (DPI) |
| Seebri Neohaler | Glycopyrrolate | COPD maintenance therapy | DPI |
| Lonhala Magnair | Glycopyrrolate (nebulized) | COPD maintenance therapy | Nebulizer solution |
| Tudorza Pressair | Aclidinium bromide | COPD maintenance therapy | DPI |
| Yupelri | Revefenacin | COPD maintenance therapy | Nebulizer solution |
| Bevespi Aerosphere | Glycopyrrolate / Formoterol | COPD needing dual bronchodilation | HFA inhaler |
| Stiolto Respimat | Tiotropium / Olodaterol | COPD maintenance and alternative to Spiriva monotherapy | Respimat inhaler |
| Utibron Neohaler | Indacaterol / Glycopyrrolate | COPD maintenance therapy | DPI |
| Anoro Ellipta | Umeclidinium / Vilanterol | COPD requiring LAMA / LABA therapy | DPI |
| Trelegy Ellipta | Fluticasone furoate / Umeclidinium / Vilanterol | COPD or asthma uncontrolled on LAMA/LABA or ICS/LABA | DPI |
| Breo Ellipta | Fluticasone furoate / Vilanterol | COPD maintenance; asthma in adults | DPI |
| Symbicort | Budesonide / Formoterol | Asthma uncontrolled on ICS alone and COPD maintenance | HFA inhaler |
| Advair Diskus or Advair HFA | Fluticasone propionate / Salmeterol | Asthma and COPD maintenance therapy | DPI / HFA inhaler |
| Dulera | Mometasone / Formoterol | Asthma maintenance therapy | HFA inhaler |
| Arnuity Ellipta | Fluticasone furoate | Asthma maintenance | DPI |
| Asmanex HFA or Asmanex Twisthaler | Mometasone furoate | Maintenance treatment of asthma | HFA inhaler / DPI |
At Polar Bear Meds, we’re committed to making prescription medications like Spiriva for COPD management more accessible and affordable for U.S. patients. Our prices are significantly lower than typical U.S. pharmacy retail rates without compromising on safety or quality. Every order is sourced exclusively from licensed and trusted pharmacies and undergoes complete prescription verification to ensure compliance and authenticity. We offer discreet, trackable shipping to all U.S. states, along with refill support for ongoing treatment. Our friendly customer service team is here to help you.
Get your medicines delivered straight from Canada to your doorstep in the U.S. You can also save more by using the Spiriva coupon code “WELCOMEPB10” for 10% off on your first order. There are no hidden handling or processing fees, as we believe in complete transparency. Looking to save even more? Join our referral program & earn a $20 credit every time you refer a friend or a family member. Your referral will also receive a $20 credit, so everyone wins. Additionally, after every 10 verified customers' referrals, you'll receive a $100 credit in your account as a thank-you for spreading the word.
At Polar Bear Meds, your safety is our priority. Every order is dispensed from a fully licensed Canadian pharmacy following strict standards for quality, security, and patient care. To conveniently buy Spiriva from Canada at a competitive cost, call us at 1-888-779-2193 toll-free.
The content provided on the Polar Bear Meds website serves to increase knowledge about healthcare products and medical conditions and is strictly for informational purposes. It should not replace professional medical advice. We urge you to consult with a qualified healthcare professional prior to utilizing any prescription or over-the-counter medication. Our platform grants access to an extensive array of products, sourced internationally, including Canada. We collaborates with a licensed pharmacy partner in Canada and trusted dispensing pharmacies globally. All affiliated fulfillment centers are accredited by the regulatory authorities of their respective countries.

Dr. Jackson Miller is a board-certified medicine physician & hospitalist. He is a healthcare professional with a strong background in patient care. With years of experience and a patient-first approach, he believes the foundation of good health is a patient who feels informed and empowered. He contributes to medical content review, drawing on his background in clinical practice and patient education. He focuses on presenting health information in a clear, accurate, and accessible way to help readers make informed decisions. His work emphasizes clarity, evidence-based guidance, and understandable explanations of medical topics.

We offer competitive pricing on all our medications. We'll match if you find a lower price on an identical product at a verified Canadian online pharmacy!
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