Use an inhaled shortacting beta2 agonist saba for immediate relief of acute symptoms. The handihaler device is an inhalation device used to. Spiriva respimat should be used with caution in people with recent myocardial infarction within the past 6 months. Spiriva tiotropium bromide dose, indications, adverse. Tiotropium delivered via respimat compared with handihaler.
Spiriva capsules should not be swallowed and should only be inhaled through the mouth oral inhalation using the handihaler device. The recent tiotropium safety and performance in respimat. Spiriva tiotropium bromide monohydrate is indicated as a longterm once daily maintenance bronchodilator. Brand spiriva caps and device boehringeringelheim 18mcg30 blisters and generic tiotropium with device 18mcg15 blisters. Product monograph template standard boehringer ingelheim. Only use the device that comes with spiriva handihaler tiotropium capsules for inhalation. In summary, tiotropium delivered via the respimat smi device has been.
Spiriva handihaler definition of spiriva handihaler by. If you accidently open another blister, the capsule in that blister should not be used. Spiriva caps and device information find the best prescription drug prices and order spiriva tiotropium handihaler inhalation through canada pharmacy online. Then take out one of the tiotropium capsules from the blister package right before you use it. Request savings card spiriva tiotropium bromide for copd. Tiotropium inhalation powder is a prescription medication used to treat chronic obstructive pulmonary disease copd.
Spiriva capsules contain 18 mcg of tiotropium in a light green, hard gelatin capsule with ti 01 printed on one side and boehringer ingelheim company logo on the other side. Maintenance treatment of patients with copd including chronic bronchitis and emphysema, maintenance treatment of associated dyspnoea and for prevention of exacerbations. Tiotropium capsule inhalation side effects, medical uses. Read all of this leaflet carefully before you start using this medicine. Tiotropium is used to treat chronic obstructive pulmonary disease. Before you use spiriva handihaler for the first time, and each time you refill your prescription, carefully read the instructions for use. Tiotropium definition of tiotropium by medical dictionary. The handihaler device should not be used for administering other medications. Tiotropium is used to control and prevent symptoms such as wheezing, shortness of breath caused by ongoing lung disease chronic obstructive pulmonary diseasecopd which includes bronchitis and emphysema.
Administration spiriva handihaler tiotropium bromide. A novel tiotropium bromide monodose capsule dry powder inhaler dpi formulation and device have been developed. Spiriva tiotropium dosing, indications, interactions. The handihaler device is gray colored with a green piercing button. Push the button on the side of the device to pierce the capsule and release the medicine into the inhalation chamber. Read more about the prescription drug tiotropium capsule inhalation. Includes spiriva side effects, interactions and indications. Because these reactions are reported voluntarily from a population of uncertain size, it is not always possible to reliably estimate their frequency or establish a causal. Tiotropium belongs to a class of drugs known as anticholinergics. The aim of this study was to investigate the handling of and preference for each device immediately after switching from the handihaler to the respimat. The handihaler device is an inhalation device used to inhale the dry powder.
Find patient medical information for spiriva with handihaler inhalation on webmd including its uses, side effects and safety, interactions, pictures, warnings and user ratings. Tell your doctor about all your medical conditions including kidney problems, glaucoma, enlarged prostate, problems passing urine, or blockage. Dailymed spiriva handihaler tiotropium bromide capsule. Do not spray spiriva respimat into your eyes, as this may cause blurring of vision and pupil dilation.
In the published study, moderatetosevere copd patients were administered one of three pur0200 doses 3mg, 6mg or 9mg tiotropium bromide, spiriva handihaler 18mg tiotropium bromide or placebo in a crossover study design. Indications for spiriva respimat tiotropium bromide and spiriva handihaler tiotropium bromide inhalation powder spiriva respimat, 2. If you do not think about the missed dose until the next day, skip the missed dose and go back to your normal time. Spiriva capsules contain 18 mcg of tiotropium and are light green, with the boehringer ingelheim company logo on the spiriva capsule cap and ti 01 on the spiriva capsule body, or vice versa.
Copd is a lung disease that also includes chronic bronchitis swelling of the tubes leading to the lungs and emphysema damage to the air sacs in the lungs. Tiotropium bromide monohydrate has a molecular mass of 490. Dailymed spiriva respimat tiotropium bromide inhalation. Tiotropium respimat vs tiotropium handihaler in copd.
Important safety information for spiriva handihaler tiotropium bromide inhalation powder do not use spiriva handihaler. Tiotropium handihaler and respimat have similar efficacy, safety, and. Boehringer ingelheim announces fda approval of spiriva. Take the risk of cardiovascular side effects into account when prescribing tiotropium delivered via respimat or handihaler to patients with certain cardiac conditions, who were excluded from. Tiotropium inhalation powder is packaged in capsules that are for use only with a special inhaler device spiriva handihaler. Pharmacokinetic bioequivalence of two inhaled tiotropium. Spiriva handihaler consists of spiriva capsules and the handihaler device. To receive the full dose of medication, spiriva respimat must be administered as 2 inhalations oncedaily ie, 2 inhalations of 2.
Turning the base of the respimat device until it clicks will release the. The contents of the capsule should only be inhaled through your mouth using the handihaler device. Inform patients not to spray spiriva respimat into the eyes as this may cause blurring of vision and pupil dilation. Tiotropium comes as a powder in a tiotropium capsule that fits the handihaler device. Read the patient information leaflet and instruction sheet if available from your pharmacist before you start using tiotropium and each time you. The handihaler device, which you should put the spiriva capsule into.
Each time you use the medicine, load a capsule into the device and click the mouthpiece closed. How to use spiriva handihaler tiotropium bromide inhalation powder use spiriva handihaler 1 time a day, every day, to help you breathe better. Tiotropium inhalation aerosol is a cartridge that is inserted into a special inhaler device spiriva respimat. Open the handihaler device separate only one of the blisters from the blister card, then open the blister. How to use spiriva capsule, with inhalation device. Tiotropium spiriva is an inhaled muscarinic antagonist for patients with chronic obstructive pulmonary disease copd, and is available in two forms.
Tiotropium is only licensed for use in asthma when delivered using the solution for inhalation device, respimat. Two formulations are available as the brand name spiriva. Each tiotropium capsule, containing only a small amount of tiotropium powder, is one full dose of medicine. How to use spiriva handihaler tiotropium bromide for copd. As recently as march, dutch researchers reported a nearly 30% increase in mortality with tiotropium respimat, compared with tiotropium handihaler eur. Tiotropium is not indicated for the relief of acute bronchospasm. Pair taking spiriva handihaler with another activity you do every day, like watching the news. Spiriva 18 microgram inhalation powder, hard capsule.
A spiriva capsule is for use only in the handihaler device. Spiriva capsules contain 18 mcg tiotropium powder for. Taking your dose of spiriva requires four main steps. Handihaler inhalation device contains which is used to deliver the contents of spiriva inhalation capsules, which contains the bronchodilator tiotropium, used for longterm treatment of chronic obstructive pulmonary disease copd and other obstructive airways disease. Consumer information about the medication tiotropium capsule inhalation, includes side effects, drug interactions, recommended dosages, and storage information.
Spiriva handihaler is a dry powder that consisting of spiriva hard capsules and a handihaler device. Open the blister and the handihaler device, insert the spiriva capsule, press the handihaler button, and inhale your medication. It is also used as maintenance treatment for asthma in adults and children 6 years of age and older tiotropium belongs to the family of medicines known as. Avoid driving or hazardous activity until you know how this medicine will affect you. Find out what health conditions may be a health risk when taken with spiriva with handihaler inhalation. Spiriva handihaler consists of spiriva capsules containing tiotropium powder for oral inhalation and a handihaler device. Bronchodilator pregnancy risk category c action inhibits smoothmuscle muscarinic m 3 receptors, leading to bronchodilation availability capsules for inhalation. It works by relaxing the muscles around the airways so that they open up and you can breathe more easily. Questionnaire on switching from the tiotropium handihaler. Longterm safety of tiotropium delivered by respimat softmist.