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Buy Spiriva Respimat 2.5 mcg Inhaler Online from Canada

Tiotropium Inhalation

Spiriva Respimat

Spiriva Respimat is an FDA-approved inhalation spray that prevents bronchospasm in adults with COPD and asthma attacks in individuals aged 6 and older. The recommended dosage for COPD is 5 mcg once daily, and for asthma, it’s 2.5 mcg once daily. It’s important to use Spiriva capsules only with the HandiHaler device and not to swallow them. Before using, inform your doctor if you have glaucoma, urinary problems, or allergies to tiotropium or ipratropium. Common side effects include dry mouth, blurred vision, and constipation. Avoid freezing the inhaler and store it at room temperature. Consult your healthcare provider for personalized advice.

Product Overview

Spiriva Respimat is a long-acting bronchodilator used to treat bronchospasm in adults with chronic obstructive pulmonary disease (COPD), including bronchitis and emphysema. It is also indicated for preventing asthma attacks in adults and children aged 6 years and older. The main ingredient in the FDA-approved medications is tiotropium bromide, which works by relaxing the muscles in the airways, making breathing easier, and reducing symptoms such as wheezing and shortness of breath.

Available in strengths of 1.25 mcg/actuation and 2.5 mcg/actuation, Spiriva Respimat is inhaled once daily using the Respimat device. The recommended dosage for COPD is 5 mcg (2 puffs of 2.5 mcg each) per day, while for asthma, it is 2.5 mcg (2 puffs of 1.25 mcg each). It is suitable for adults and children over 6 years of age.

Common side effects include dry mouth, blurred vision, constipation, and upset stomach. In case of a missed dose, take it as soon as possible, but do not double up. If an overdose occurs, symptoms may include dry mouth, red eyes, and confusion. Store Spiriva Respimat at room temperature, away from extreme heat or cold, and do not freeze the cartridge. It is crucial to follow the prescribed dosage and consult a healthcare provider for any concerns or adjustments needed in the treatment plan.

Uses of Spiriva Respimat

Spiriva Respimat is used to treat:

  • Bronchospasm (narrowing of the lungs’ airways) in adults suffering from chronic obstructive pulmonary disease (COPD), including bronchitis and emphysema.
  • Asthma attacks in adults and children who are at least 6 years old.

How to Use Spiriva Respimat?


Spiriva comes in 2 forms and the following strengths:

Solution for inhalation 

  • 1.25mcg/actuation
  • 2.5mcg/actuation (specifically for Pediatric Purposes)

Capsule, powder for oral inhalation

  • 18mcg

Recommended Dosage for Different Patients

For Chronic Lung Disease (COPD)

To help with breathing problems and reduce flare-ups:

  • Spiriva Respimat: Inhale 5 mcg (2 puffs; 2.5 mcg per puff) once a day.
  • Spiriva Handihaler: Inhale the contents of 1 capsule (18 mcg) twice a day using the HandiHaler device.

For Asthma

Used for daily, long-term treatment of asthma in patients aged 12 years and older:

  • Spiriva Respimat: Inhale 2.5 mcg (2 puffs; 1.25 mcg per puff) once a day.

For Cystic Fibrosis (Special Designation)

Used to help improve lung function as part of the usual treatment for patients with cystic fibrosis.

Asthma (For Pediatric Purpose)

  • Used for daily, long-term treatment of asthma in patients aged 6 years and older.
  • Inhale 2.5 mcg (2 puffs; 1.25 mcg per puff) once a day.

[Note: Remember these recommendations may vary depending on person to person. Discuss it with your doctor, and they’ll customize your dosage accordingly.]

How to Take It?

Prepare the Inhaler

  • If it’s your first time using it, or if you haven’t used it for more than 3 weeks, insert a new cartridge into the inhaler.
  • Rotate the clear base until you hear a click, about half a turn.
  • Open the cap and point the inhaler towards the ground.
  • Press the dose-release button to release a puff. Repeat this step three more times to ensure the inhaler is ready for use.

Take Your Dose

  • Hold the inhaler upright with the cap closed.
  • Gently turn the inhaler until you hear a clicking sound.
  • Open the cap and breathe out entirely away from the inhaler.
  • Bring the inhaler to your mouth and close your lips around the mouthpiece.
  • Breathe slowly and deeply through your mouth, pressing the dose-release button as you inhale.
  • Inhale deeply and hold your breath for about 10 seconds, or until it feels comfortable, then gently exhale.
  • If your dose requires two puffs, close the cap and repeat steps 2 to 7.

After Use

  • Close the cap until you use the inhaler again.
  • Once a week, use a damp cloth or tissue to clean the mouthpiece and the internal metal component.

[Note: Your doctor will decide the right amount for you based on your condition, following guidelines and studies on the drug. They’ll adjust it as needed over time.]

How Does Spiriva Respimat Work?

Spiriva Respimat works by relaxing the muscles in the airways of the lungs. It contains a medication called tiotropium bromide, which is a type of drug called a long-acting anticholinergic or bronchodilator. When inhaled, it blocks a specific lung receptor called the muscarinic receptor. This action helps open the airways, making breathing easier and reducing symptoms such as wheezing, coughing, and shortness of breath. Spiriva Respimat is used as a maintenance treatment for conditions like chronic obstructive pulmonary disease (COPD) and asthma, meaning it’s taken regularly to help manage symptoms and prevent flare-ups rather than providing immediate relief during an acute attack.

Important Safety Information

Side Effects

Common side effects of Spiriva Respimat Inhaler may include:

  • Dry mouth
  • Blurred vision
  • Constipation, painful urination
  • Upset stomach
  • Chest pain, fast heart rate
  • Cold symptoms like a stuffy or runny nose, sinus pain, sore throat

Serious side effects of Spiriva Respimat Inhaler may include:

  • Wheezing, choking, or experiencing other breathing problems after using this medication.
  • Blurred vision, pain or redness in the eyes, or seeing halos around lights.
  • Sores or white patches in your mouth, on your lips, or your tongue
  • Pain or burning sensation when you urinate
  • Little or no urination

[Note: Remember, this list may not cover all possible side effects. Always consult with your healthcare giver for medical advice about side effects.]


  • Use Spiriva capsules only with the HandiHaler device; do not swallow the capsule. Use only one capsule at a time.
  • Spiriva Respimat Inhalation Spray comes in a package with one aluminum cartridge and one Respimat inhaler device. The cartridge should only be used with the Respimat inhaler, not any other device. The inhaler is a cylindrical plastic device with a gray body and a clear base. The base is removed to insert the cartridge, and the inhaler has a dose indicator.
  • Before using Spiriva, inform your doctor if you have narrow-angle glaucoma, an enlarged prostate, or a bladder obstruction.
  • Spiriva is prescribed to prevent bronchospasm attacks. It should not be used to manage an active attack because it does not act quickly enough. For immediate relief during an attack, use a quick-acting inhalation medication.


Before taking Spiriva, consider the following:

  • Glaucoma: If you’ve had glaucoma, using Spiriva may increase your risk of acute narrow-angle glaucoma. Watch for symptoms like eye pain, blurry vision, redness, or seeing halos/colors. Inform your doctor about any past eye problems.
  • Problems Urinating: If you’ve had trouble urinating due to conditions like an enlarged prostate or bladder-neck obstruction, Spiriva might increase your risk of urinary issues. Discuss your history with your doctor before starting Spiriva.
  • Allergies: Avoid Spiriva if you’re allergic to tiotropium, ipratropium, or any inactive ingredients in the medication. Discuss any medication allergies with your doctor.
  • Pregnancy: The safety of Spiriva during pregnancy is unknown. Refer to the “Spiriva and pregnancy” section for more information.
  • Breastfeeding: It’s unclear if Spiriva is safe while breastfeeding. Refer to the “Spiriva and breastfeeding” section for more details.

Spiriva Respimat Contraindications

  • Spiriva Respimat should not be used by patients who have had allergic reactions to atropine or similar medicines, such as ipratropium or oxitropium, or any ingredient in this medication.

Missed Dose

  • Take the medicine as soon as you remember. 
  • If it’s almost time for your next dose, skip the missed one. 
  • Don’t take two doses at once. 
  • Don’t use the medicine more than twice in one day. 
  • Make sure to refill your prescription before you run out of medicine.

[Note: If you have missed a medication dose and are unsure when to take the next one, immediately consult your doctor or pharmacist.]


If you take too much of the medicine, you might have symptoms like a dry mouth, red eyes, constipation, stomach pain, and feeling confused or sleepy.

[Note: If you consumed more than the recommended dose, get medical help right away or call the Poison Help line at 1-800-222-1222.]


  • Keep it at room temperature, between 68°F and 77°F (20°C to 25°C).
  • Avoid placing it in extremely hot or cold temperatures, and keep it away from direct sunlight and heat.
  • Avoid freezing the Spiriva Respimat cartridge and inhaler, as the cold temperature can harm the medication and lessen its effectiveness.
  • If the Spiriva Respimat has not been used for over 3 days, dispense one puff towards the ground before using it again.
  • If it has been used for less than 21 days, consider replacing the cartridge, even if medication remains.

[Note: Discuss with your healthcare professional the proper disposal of unused medicine and any questions you may have regarding its storage.]

Spiriva Respimat Interactions

  • Advair Diskus (fluticasone / salmeterol)
  • Breo Ellipta (fluticasone / vilanterol)
  • Symbicort (budesonide / formoterol)
  • ProAir HFA (albuterol)
  • Singulair (montelukast)
  • Vitamin B12 (cyanocobalamin)
  • Vitamin C (ascorbic acid)
  • Vitamin D3 (cholecalciferol)

[Note: This isn’t a complete list, and there could be other drugs that interact with Spiriva Respimat. Tell your doctor about any prescription drug, over-the-counter medicines, and herbal products you’re taking.]

Spiriva Respimat Alternatives

[Note: Your doctor will choose what’s best for you. Don’t use any of these alternative medications without consulting your healthcare provider. Taking them by yourself may cause serious side effects.] 

Frequently Asked Questions

Can I use the Spiriva Respimat 2.5 mcg inhaler as a rescue inhaler?

No, Spiriva Respimat 2.5 mcg is not a rescue inhaler. It’s a maintenance medication designed for long-term management of chronic obstructive pulmonary disease (COPD) symptoms. For sudden breathing problems or acute attacks, use a short-acting bronchodilator commonly prescribed as a rescue inhaler. Keep a rescue inhaler on hand for sudden relief during emergencies, and follow your healthcare provider’s instructions.

How long can I continue using Spiriva Respimat?

The duration of Spiriva Respimat use depends on your healthcare provider’s recommendation. It is generally a long-term maintenance medication for managing chronic obstructive pulmonary disease (COPD) symptoms. Your doctor will assess your condition regularly and determine the appropriate length of treatment. Do not stop or continue Spiriva Respimat without consulting your healthcare provider to ensure optimal respiratory health management.

How quickly does Spiriva Respimat show its effects?

Spiriva Respimat may not provide immediate relief. Its gradual effects help maintain open airways over time, improving symptoms of chronic obstructive pulmonary disease (COPD). Individual responses vary, but noticeable benefits often occur after consistent use. Following your healthcare provider’s guidance on dosage and administration is crucial for optimal and sustained respiratory improvement. If you have concerns about its effectiveness, consult your doctor.

Are there age restrictions for using Spiriva Respimat?

Spiriva Respimat is typically prescribed for adults with chronic obstructive pulmonary disease (COPD). It is not approved for use in children or adolescents. Age restrictions are in place due to limited research on the safety and effectiveness of Spiriva Respimat in younger populations. Consult a healthcare provider if you are under the age of 18 to determine the most appropriate treatment options.

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