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Spiriva

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Product Details

Description

Buy Spiriva Online from Licensed Canadian Pharmacies

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).

Drug Summary

Generic NameTiotropium bromide
Brand NameSpiriva HandiHaler
FormsInhalation powder in a capsule
Strengths Available18 mcg
Packaging30, 60, or 90 capsules per pack
Requires PrescriptionPrescription only (Rx)
Ships to the U.S.Yes
Uses and Benefits

What Is Spiriva Used For?

Spiriva is used to:

  • Treat long-term airway obstruction in COPD
  • Reduce COPD symptoms and exacerbations

What Are the Benefits of Spiriva?

  • Dosing is once a day. Fits easily into your morning routine.
  • The capsule formulation plus HandiHaler device provides reliable delivery of the dry powder to the lungs when used correctly.
  • Spiriva may be used alongside other maintenance inhalers.
Dosage

What Is the Recommended Dosage of Spiriva Capsules?

Dosage of Spiriva for Chronic Obstructive Pulmonary Disease Management
  • Typical dose for adults: One 18 mcg capsule inhaled once per day. Inhale the capsule using the HandiHaler device.
Usage Guide

How Do You Use Spiriva?

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:

  • Open the HandiHaler device and place the capsule into the center chamber.
  • Close the device and press the green button once to pierce the capsule.
  • Breathe out away from the mouthpiece (never into the device).
  • Seal your lips around the mouthpiece (HandiHaler) and inhale slowly and deeply to pull the powder into your lungs.
  • Repeat one more inhalation to make sure all the medicine is taken.
  • Remove and discard the empty capsule after use.
  • Clean the HandiHaler according to the instructions printed on the label.
How It Works

How Does Spiriva Work?

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.

Side Effects

What Are the Side Effects of Spiriva?

Common Spiriva side effects may include:

  • Dry mouth (sip water or use sugar-free gum to reduce it)
  • Sore throat
  • Irritation in the mouth and throat
  • Headache
  • Constipation
  • Upper respiratory infections, sinusitis, or bronchitis may appear during treatment

Serious side effects (rare):

  • Serious allergic reactions
  • Worsening of wheeze or breathlessness (need immediate medical attention if it occurs)
  • Acute narrow-angle glaucoma (triggered by anticholinergic effects)
  • Urinary retention or difficulty emptying, especially in patients with prostatic hypertrophy
  • Rapid or irregular heartbeat (palpitations)

Note: Call your provider if you experience any serious symptoms or unusual changes.

Warnings

What Are the Warnings for Spiriva?

After you order Spiriva online, consider these warnings:

  • Stop using this medicine & take urgent medical care if breathing worsens after use.
  • Spiriva is not for the relief of acute bronchospasm and should not replace a rescue inhaler in emergencies.
  • Avoid in known hypersensitivity to tiotropium or ipratropium (cross-reactivity is possible).
Safety Guide

What Precautions Should You Take While Using Spiriva?

Follow these safety steps to get the most benefit when you buy Spiriva from Canada:

  • Take Spiriva exactly as prescribed and don’t change or stop your treatment without speaking with your doctor.
  • Let every health care professional know you are using Spiriva, even dentists, especially prior to any surgeries or procedures.
  • Speak with your provider about the risk and monitoring if you have:
  • Urinary difficulty
  • Glaucoma
  • Severe renal disease
  • Get medical care right away if:
  • Your COPD worsens
  • You need your rescue inhaler more often
  • You develop a high fever or purulent sputum (phlegm or mucus)
Missed Dose

What Should You Do If You Miss A Dose of Spiriva?

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.

Overdose

What Happens When You Take Too Much of Spiriva?

An overdose of Spiriva, for example, taking multiple inhalations or accidental ingestion of capsules, may increase anticholinergic side effects, like:

  • Severe dry mouth
  • Urinary retention
  • Rapid heartbeat
  • Blurred vision
  • Confusion
  • Severe worsening of breathing

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.

Storage Guide

How Do You Store Spiriva?

When you order Spiriva from Canada and then store it following these guidelines:

  • Store your capsules and the HandiHaler at room temperature.
  • Keep all the capsules in their original blister packaging until you are ready to use.
  • Do not store the capsules in the refrigerator or freezer.
  • Discard unused or expired capsules as per your regional disposal guidelines.
Interactions

What Medication Interacts with Spiriva?

Drug CategoryDrug Examples
Other Anticholinergic medicinesIpratropium, Aclidinium (Tudorza), Umeclidinium (Incruse), Glycopyrrolate
Beta-Agonist BronchodilatorsAlbuterol, Salmeterol, Formoterol
Drugs Causing Urinary RetentionOxybutynin, Tolterodine, Solifenacin
Drugs Causing Glaucoma ExacerbationTopical anticholinergics, Scopolamine
Medications That Dry SecretionsAntihistamines (Diphenhydramine, Chlorpheniramine), Tricyclic antidepressants (Amitriptyline)
Alternatives

What Are the Alternatives to Spiriva for COPD?

Alternative MedicationActive IngredientConditions This Medication TreatsDrug Forms
Incruse ElliptaUmeclidiniumCOPD maintenance therapyDry powder inhaler (DPI)
Seebri NeohalerGlycopyrrolateCOPD maintenance therapyDPI
Lonhala MagnairGlycopyrrolate (nebulized)COPD maintenance therapyNebulizer solution
Tudorza PressairAclidinium bromideCOPD maintenance therapyDPI
YupelriRevefenacinCOPD maintenance therapyNebulizer solution
Bevespi AerosphereGlycopyrrolate / FormoterolCOPD needing dual bronchodilationHFA inhaler
Stiolto RespimatTiotropium / OlodaterolCOPD maintenance and alternative to Spiriva monotherapyRespimat inhaler
Utibron NeohalerIndacaterol / GlycopyrrolateCOPD maintenance therapyDPI
Anoro ElliptaUmeclidinium / VilanterolCOPD requiring LAMA / LABA therapyDPI
Trelegy ElliptaFluticasone furoate / Umeclidinium / VilanterolCOPD or asthma uncontrolled on LAMA/LABA or ICS/LABADPI
Breo ElliptaFluticasone furoate / VilanterolCOPD maintenance; asthma in adultsDPI
SymbicortBudesonide / FormoterolAsthma uncontrolled on ICS alone and COPD maintenanceHFA inhaler
Advair Diskus or Advair HFAFluticasone propionate / SalmeterolAsthma and COPD maintenance therapyDPI / HFA inhaler
DuleraMometasone / FormoterolAsthma maintenance therapyHFA inhaler
Arnuity ElliptaFluticasone furoateAsthma maintenanceDPI
Asmanex HFA or Asmanex TwisthalerMometasone furoateMaintenance treatment of asthmaHFA inhaler / DPI
Cost & Coupons

Why Buy Spiriva from Polar Bear Meds?

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.

Spiriva Cost & Coupons

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.

FAQ

Guarantee

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.

Important Notice

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

Medically Reviewed by "Dr. Jackson Miller (M.D)"

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.

Find Dr. Jackson Miller on:LinkedIn
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