Spiriva Respimat

Spiriva Respimat

tiotropium bromide


Boehringer Ingelheim


Concise Prescribing Info
Tiotropium Br monohydrate
Maintenance bronchodilator treatment for symptomatic relief of COPD. Add-on maintenance bronchodilator treatment in patients ≥6 yr w/ severe asthma who experienced ≥1 severe exacerbations.
Dosage/Direction for Use
Hypersensitivity to tiotropium Br, atropine or its derivatives eg, ipratropium or oxitropium.
Special Precautions
Hypersensitivity. Not to be used for initial treatment of acute bronchospasm episodes or symptomatic relief & 1st-line treatment for asthma. Narrow-angle glaucoma, prostatic hyperplasia or bladder-neck obstruction; inhalation-induced bronchospasm. Dry mouth. May cause wheezing & breathing difficulties due to benzalkonium Cl. Avoid contact w/ eyes. May affect ability to drive & use machines. Moderate to severe renal impairment (CrCl ≤50 mL/min). Avoid use during pregnancy. Not recommended during lactation. Not recommended in childn & adolescents <18 yr.
Adverse Reactions
Dehydration; dizziness, insomnia; glaucoma, increased IOP, blurred vision; atrial fibrillation, palpitations, supraventricular tachycardia, tachycardia; cough, epistaxis, pharyngitis, dysphonia, bronchospasm, laryngitis, sinusitis; mild dry mouth, constipation, oropharyngaeal candidiasis, dysphagia, GERD, gingivitis, glossitis, stomatitis, intestinal obstruction eg, paralytic ileus; rash, pruritus, angioneurotic oedema, urticaria, skin infection & ulcer, dry skin, hypersensitivity eg, immediate reactions; joint swelling; urinary retention, dysuria, UTI.
Drug Interactions
Not recommended w/ other anticholinergic-containing drugs.
MIMS Class
Antiasthmatic & COPD Preparations
ATC Classification
R03BB04 - tiotropium bromide ; Belongs to the class of other inhalants used in the treatment of obstructive airway diseases, anticholinergics.
Spiriva Respimat inhalation soln 2.5 mcg/puff
60 puff x 1's
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