Spiriva Handihaler

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Boehringer Ingelheim

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What is Spiriva Handihaler?

Tiotropium belongs to the class of medications called bronchodilators. Spiriva Handihaler (Tiotropium-inh) is used once daily for the long-term relief of symptoms such as shortness of breath and wheezing associated with the lung disease known as COPD (Chronic Obstructive Pulmonary Disease) (COPD), which includes chronic Bronchitis and emphysema.

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Spiriva Handihaler frequently asked questions

How To Buy Spiriva Handihaler Online?

You can buy Spiriva Handihaler online at PocketPills if you already have a valid prescription from your doctor. You can get started by uploading your prescription, ordering a refill by transferring any existing medications to our pharmacy or talking to one of our Canadian Doctors to get an online prescription. Get started now!

How To Get a Prescription for Spiriva Handihaler?

You can consult a Canadian doctor online at pocketpills.com. Our physicians can prescribe medications online during your consultation. Once you receive a prescription, you'll have the option to have it delivered to your door in discreet packaging and at no additional cost!. Click here to get an online prescription today!

Can I Get Same-Day Delivery?

Yes! We do provide same-day delivery in select areas. We do next business day delivery and can also ship overnight as well.

How Much is Shipping Cost for Spiriva Handihaler in Canada?

Shipping cost for Spiriva Handihaler to you in Canada is zero. Pocketpills offers FREE shipping anywhere in Canada to help you get access to treatment.

How to get Spiriva Handihaler delivered to my home?

You could get Spiriva Handihaler delivered at your doorstep from us in Canada if you ordered prescription medications with a valid prescription. If you are not sure if we deliver to your area, contact us.

How to get Spiriva Handihaler in Canada for free?

You can get Spiriva Handihaler for free in Canada if your health insurance provider covers it fully. Contact your provider or us to help you find out if you qualify to get Spiriva Handihaler for free.

Can I consult a doctor online to get Spiriva Handihaler?

Yes. You can book a consultation online with a Canadian doctor here with us at PocketPills to see if you qualify for a prescription to order Spiriva Handihaler.

Can I buy Spiriva Handihaler without a prescription?

You need a valid prescription to buy Spiriva Handihaler from us. Contact us if you need a prescription. One of our doctors can give you a telephone call at your convenience.

Spiriva Handihaler How to Take

Tiotropium belongs to the class of medications called bronchodilators. Spiriva Handihaler (Tiotropium-inh) is used once daily for the long-term relief of symptoms such as shortness of breath and wheezing associated with the lung disease known as COPD (Chronic Obstructive Pulmonary Disease) (COPD), which includes chronic Bronchitis and emphysema. Tiotropium works by opening the airways to make breathing easier.

Tiotropium is also used to treat Asthma in combination with other medications, when your asthma is not well controlled with those medications alone. The other medications include an inhaled corticosteroid (e.g. fluticasone, budesonide) and a long-acting beta-agonist (e.g., salmeterol, vilanterol).

Tiotropium should not be used as a rescue medication to relieve sudden attacks of COPD or asthma symptoms such as wheezing or shortness of breath. Consult your doctor or pharmacist for advice about rescue medications that are appropriate for you.

Your doctor may have suggested Spiriva Handihaler (Tiotropium-inh) for conditions other than those listed in these drug information articles. As well, some forms of Spiriva Handihaler (Tiotropium-inh) may not be used for all of the conditions discussed here. If you have not discussed this with your doctor or are not sure why you are taking Spiriva Handihaler (Tiotropium-inh), speak to your doctor. Do not stop taking Spiriva Handihaler (Tiotropium-inh) without consulting your doctor.

Do not give Spiriva Handihaler (Tiotropium-inh) to anyone else, even if they have the same symptoms as you do. It can be harmful for people to take Spiriva Handihaler (Tiotropium-inh) if their doctor has not prescribed it.


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Spiriva Handihaler Dosage

For adults and children 18 years of age and older, the recommended dosage of tiotropium is to inhale the contents of one 18 µg capsule once daily through the HandiHaler® inhalation device.

Many things can affect the dose of medication that a person needs, such as body weight, other medical conditions, and other medications. If your doctor has recommended a dose different from the ones listed here, do not change the way that you are taking the medication without consulting your doctor.

Take Spiriva Handihaler (Tiotropium-inh) at the same time each morning. The capsule shell should be discarded after the medication has been taken. Do not swallow the capsule shell.

Your doctor or another health care professional, such as your pharmacist, should teach you how to use the HandiHaler® inhalation device. If you are unsure of how to use the device, contact your doctor or pharmacist.

It is important to take Spiriva Handihaler (Tiotropium-inh) exactly as prescribed by your doctor. If you miss a dose, take it as soon as possible and continue with your regular schedule. If it is almost time for your next dose, skip the missed dose and continue with your regular dosing schedule. Do not take a double dose to make up for a missed one. If you are not sure what to do after missing a dose, contact your doctor or pharmacist for advice.

Store Spiriva Handihaler (Tiotropium-inh) at room temperature, protect it from light and moisture, and keep it out of the reach of children.

Do not dispose of medications in wastewater (e.g. down the sink or in the toilet) or in household garbage. Ask your pharmacist how to dispose of medications that are no longer needed or have expired.

Spiriva Handihaler Side Effects

Many medications can cause side effects. A side effect is an unwanted response to a medication when it is taken in normal doses. Side effects can be mild or severe, temporary or permanent.

The side effects listed below are not experienced by everyone who takes Spiriva Handihaler (Tiotropium-inh). If you are concerned about side effects, discuss the risks and benefits of Spiriva Handihaler (Tiotropium-inh) with your doctor.

The following side effects have been reported by at least 1% of people taking Spiriva Handihaler (Tiotropium-inh). Many of these side effects can be managed, and some may go away on their own over time.

Contact your doctor if you experience these side effects and they are severe or bothersome. Your pharmacist may be able to advise you on managing side effects.

  • bad taste in your mouth
  • Constipation
  • cough
  • dizziness
  • Dry Mouth or throat
  • dry skin
  • hoarseness
  • joint swelling
  • nosebleed
  • rash, itching
  • sinus infection
  • skin infection or sores
  • sore throat
  • trouble sleeping

Although most of the side effects listed below don't happen very often, they could lead to serious problems if you do not seek medical attention.

Check with your doctor as soon as possible if any of the following side effects occur:

  • blurred vision or other changes in vision
  • difficulty passing urine
  • heartburn
  • rapid, pounding, or irregular heartbeat
  • signs of dehydration (e.g., decreased urine, dry skin, dry and sticky mouth, sleepiness, dizziness, headache, thirst, confusion)
  • sores, ulcers, or white spots on lips or tongue or inside the mouth
  • swelling or redness of the mouth, gums, or tongue
  • symptoms of a urinary tract infection (e.g. pain when urinating, urinating more often than usual, low back or flank pain)

Stop taking the medication and seek immediate medical attention if any of the following occur:

  • cough, wheezing, or breathlessness immediately after using the inhaler
  • lack of bowel movements (bowel obstruction)
  • signs of a serious allergic reaction (e.g., abdominal cramps, difficulty breathing, nausea and vomiting, or swelling of the face and throat)
  • trouble swallowing

Some people may experience side effects other than those listed. Check with your doctor if you notice any symptom that worries you while you are taking Spiriva Handihaler (Tiotropium-inh).


Discreet Packaging

Your privacy is important. That's why we send your medication inside a plain delivery box so no one will know what's inside.

Spiriva Handihaler Available Form


Each light green, hard gelatin capsule printed "TI 01" on one side and the Boehringer Ingelheim company logo on the other side contains tiotropium 18 µg. Nonmedicinal ingredients: lactose is used as a filler. Capsule shells are made of gelatin.

Inhalation device

The HandiHaler® inhalation device is a grey reusable plastic device that is especially designed for administering Spiriva® capsules.

Spiriva Handihaler Contraindications

Do not use Spiriva Handihaler (Tiotropium-inh) if you:

  • are allergic to tiotropium or any ingredients of Spiriva Handihaler (Tiotropium-inh)
  • are allergic to atropine or atropine-like medications (e.g., ipratropium,)

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Your medication is delivered directly to you at no added cost. We even offer same-day delivery in select locations.

Spiriva Handihaler Precautions

There may be an interaction between tiotropium and any of the following:

If you are taking any of these medications, speak with your doctor or pharmacist. Depending on your specific circumstances, your doctor may want you to:

  • stop taking one of the medications,
  • change one of the medications to another,
  • change how you are taking one or both of the medications, or
  • leave everything as is.

An interaction between two medications does not always mean that you must stop taking one of them. Speak to your doctor about how any drug interactions are being managed or should be managed.

Medications other than those listed above may interact with Spiriva Handihaler (Tiotropium-inh). Tell your doctor or prescriber about all prescription, over-the-counter (non-prescription), and herbal medications you are taking. Also tell them about any supplements you take. Since caffeine, alcohol, the Nicotine from cigarettes, or street drugs can affect the action of many medications, you should let your prescriber know if you use them.

Spiriva Handihaler Warnings

Before you begin using a medication, be sure to inform your doctor of any medical conditions or Allergies you may have, any medications you are taking, whether you are pregnant or breast-feeding, and any other significant facts about your health. These factors may affect how you should use Spiriva Handihaler (Tiotropium-inh).

Asthma Medications: Tiotropium is intended for use with other medications to treat asthma. It should not be used to treat asthma if you are not also using a corticosteroid and a long-acting beta-agonist. It does not provide fast relief from asthma symptoms such as wheezing and shortness of breath. Always carry a short-acting beta-agonist, such as salbutamol, with you to treat sudden flare-ups of symptoms.

Bladder or urinary problems: Tiotropium can worsen symptoms of bladder problems. If you have a history of bladder problems, discuss with your doctor how Spiriva Handihaler (Tiotropium-inh) may affect your medical condition, how your medical condition may affect the dosing and effectiveness of Spiriva Handihaler (Tiotropium-inh), and whether any special monitoring is needed.

Dizziness/blurred vision: Tiotropium may cause dizziness or blurred vision, affecting your ability to safely drive or operate machinery. Avoid these and other hazardous tasks until you know how Spiriva Handihaler (Tiotropium-inh) affects you.

Enlarged prostate: Tiotropium can worsen symptoms of an enlarged prostate, such as difficulty starting urination. If you have an enlarged prostate, discuss with your doctor how Spiriva Handihaler (Tiotropium-inh) may affect your medical condition, how your medical condition may affect the dosing and effectiveness of Spiriva Handihaler (Tiotropium-inh), and whether any special monitoring is needed.

Glaucoma: People with eye conditions (e.g., glaucoma) are more likely to experience worsening of their conditions and symptoms such as eye pain and swelling, blurred vision, or other unusual changes in their vision. Take extra care to ensure that tiotropium powder does not come into contact with your eyes. If your eyes have been in contact with tiotropium powder or you have any of these symptoms, contact your doctor immediately.

Inhalation-induced bronchospasm: Inhaled forms of medications may cause spasms of the airways which make breathing difficult. If you experience this problem when using tiotropium, stop using Spiriva Handihaler (Tiotropium-inh) immediately. Speak to your doctor if you experience any problems with breathing while taking this or other inhaled medication.

Kidney function: Reduced kidney function or Kidney Disease may cause tiotropium to build up in the body, causing side effects. In people with reduced kidney function, tiotropium should only be used if the potential benefits outweigh the risks.

If you have reduced kidney function or kidney disease, discuss with your doctor how Spiriva Handihaler (Tiotropium-inh) may affect your medical condition, how your medical condition may affect the dosing and effectiveness of Spiriva Handihaler (Tiotropium-inh), and whether any special monitoring is needed.

Urinary tract problems: Spiriva Handihaler (Tiotropium-inh) can cause increased difficulty with urine flow and urinary retention. If you have an enlarged prostate gland or another condition that makes it difficult to pass urine, discuss with your doctor how Spiriva Handihaler (Tiotropium-inh) may affect your medical condition, how your medical condition may affect the dosing and effectiveness of Spiriva Handihaler (Tiotropium-inh), and whether any special monitoring is needed.

If you experience difficulty starting to urinate or have pain when you urinate, speak with your doctor as soon as possible.

Worsening symptoms: If you find you need to use your short-acting ("rescue") inhaler more often or if your condition seems to worsen, call your doctor. If you have not been given instructions beforehand, contact your doctor immediately about what to do if any of the following situations occur (they may be signs of seriously worsening COPD or asthma):

  • decreased effectiveness of short-acting, inhaled bronchodilators such as salbutamol, terbutaline, or fenoterol (less than 4 hours of relief)
  • need for more inhalations than usual of short-acting, inhaled bronchodilators

Pregnancy: No studies have been done on the use of tiotropium by pregnant women. Spiriva Handihaler (Tiotropium-inh) should not be used during pregnancy unless the benefits outweigh the risks. If you become pregnant while taking Spiriva Handihaler (Tiotropium-inh), contact your doctor immediately.

Breast-feeding: Spiriva Handihaler (Tiotropium-inh) may pass into breast milk. If you are a breast-feeding mother and are using tiotropium, it may affect your baby. Talk to your doctor about whether you should continue breast-feeding.

Children: The safety and effectiveness of Spiriva Handihaler (Tiotropium-inh) for children younger than 18 years of age have not been established.


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All material © 1996-2021 MediResource Inc. Terms and conditions of use. The contents herein are for informational purposes only. Always seek the advice of your physician or other qualified health providers with any questions you may have regarding a medical condition.

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