SPIRIVA Ressources

Application Information

This drug has been submitted to the FDA under the reference 021395/001.

Names and composition

"SPIRIVA" is the commercial name of a drug composed of TIOTROPIUM BROMIDE.

Answered questions

Is Spiriva a corticosteroid?
Asked by Adrian Dickow 3 months ago.

Spiriva is not a steroid. It is from a drug class known as parasympatholytics. These are moderately strong bronchodilators that act on the smooth muscle in your airways to relax them. Spiriva is taken once a day, usually in the morning. It should NEVER be used as a rescue medication. Spiriva is for people who have COPD or sometimes asthma who need more than Albuterol/Salbutamol or a long-acting bronchodilator from the same class as Albuterol/Salbutamol can do. It compliments your rescue inhaler and the Serevent in Advair or Foradil in Symbicort. Spiriva should be used in combination with an inhaled steroid because the person taking it must be having some serious trouble breathing for it to be prescribed. If your asthma or COPD is normally bad without medication, an inhaled steroid with rescue inhaler would be the first choices for treatment. Spiriva compliments them to help ease shortness of breath further and all day long. Spiriva is going to be used a lot more now because Combivent was recently taken off the market. Combivent was a short-acting combination of Albuterol/Salbutamol and Atrovent. Atrovent lasts for 4 to 6 hours and does the same thing as Spiriva. Spiriva last for 24 hours. So, if you were on Combivent, you might be put on a Albuterol/Salbutamol rescue inhaler with either an Atrovent rescue inhaler or daily Spiriva. In my experience, Spiriva isn't very strong. I find that my Albuterol/Salbutamol rescue inhaler does more, but that Spiriva can make it much easier for me to climb stairs in combination with Advair (inhaled steroid and long-acting bronchodilator). Instead of doing the heavy lifting like Albuterol/Salbutamol does, it takes the edge off. Answered by Dalton Pottier 3 months ago.

Spiriva A Steroid Answered by Regenia Menze 3 months ago.

Tiotropium is used to prevent wheezing, shortness of breath, and difficulty breathing in patients with chronic obstructive pulmonary disease (COPD, a group of diseases that affect the lungs and airways) such as chronic bronchitis (swelling of the air passages that lead to the lungs) and emphysema (damage to air sacs in the lungs). Tiotropium is in a class of medications called bronchodilators. It works by relaxing and opening the air passages to the lungs to make breathing easier. Please see the web pages for more details on Tiotropium (generic name) Spiriva (brand name). Answered by Joann Gundy 3 months ago.

I use it for treatment of Emphysema it works great but taists like crap Answered by Michael Hutcherson 3 months ago.

if you have glaucomer ostio poroses and arithmia of heart should you take this med. Answered by Sanford Dohnal 3 months ago.


I need information about deaths related to spiriva?
I have just heard about some deaths related to spiriva. My mother passed away in January of 2006 and was taking this medication for c.o.p.d. Any documented evidence I can recieve would be very helpful. Asked by Holly Richmond 3 months ago.

Spiriva hasn't caused any deaths to my knowledge. There is potential for Spiriva to cause death if someone were to use it as a rescue medication, which it is definitely not. Inappropriate use of any medication can result in harm or death. COPD can result in death because it is a chronic and progressive disease that decreases the patient's lung function and makes it significantly harder to breathe as the disease progresses. I have treated an end-stage COPD patient who could only manage an oxygen saturation of 75% on a non-rebreather mask. That was the best we could do for him because he didn't want to go on a ventilator and we know there is nothing we can do to help him even if he is on a ventilator. COPD is like that. The person with it just fades away over a period of years, getting increasingly sick, going on home oxygen, taking all sorts of respiratory medications, and very likely ending-up in the hospital for their last days. We really can't do anything except keep their home medications and oxygen settings going, nursing would manage pain control, if it were needed. Spiriva is a good drug. Unless you are allergic to something that composes it, you should be fine. I take Spiriva for my asthma and it hasn't caused me any problems in the two months I have been taking it. It doesn't do much, but takes the edge off my shortness of breath when I'm going up stairs. Answered by Chin Schamel 3 months ago.

I have COPD and I take Spiriva daily. I have taken it for years. It is a very helpful drug as far as I am concerned. My lungs like it too. Answered by Clarinda Vanleuven 3 months ago.

I am a Respiratory Therapist and have not seen any deaths. The only thing that could cause the deaths is maybe an allergic reaction to the medication. Your grandmother had COPD and that alone will cause death. Which I am very sorry for you. She would have had immediate reaction to it if she was allergic. Answered by Florene Bourque 3 months ago.


Is it ok to take spiriva and advair?
I have copd and pulmanary friborious ,advair 2 times daily spiriva once in between seems like a lot to me I don't normanally take meds except vits.. and dilantain Asked by Kathern Peay 3 months ago.

spiriva is to be taken once daily...this is also known as atrovent or ipratropium bromide, what this is is a long term bronchodilator. these helps to keep your airways open so that breathing is easier through the day! Advair, which is a combo of two drugs: flovent and serevent. These two drugs are completely ok to take together. If I were you I would get up of a morning take both the spiriva and advair....dont forget to rinse your mouth after the advair. it can cause horrible thrush in your mouth. then at the end of the day or evening take another dose of your advair, and rinse. just an fyi about the advair....the serevent in the advair is a bronchodilator and the flovent is the steroid. with the pulmonary fibrosis i am surprised you dont have another inhaler maybe "albuterol" or a nebulizer machine that nebulizes albuterol or xopenex. these are typically taken 2-4 times daily as well. they are extremely beneficial to a patient that has difficulty breathing due to COPD and pulmonary fibrosis! if breathing becomes difficult immediately seek you physician for advice. Good luck to ya honey!! Answered by Rosamond Vrable 3 months ago.

This Site Might Help You. RE: is it ok to take spiriva and advair? I have copd and pulmanary friborious ,advair 2 times daily spiriva once in between seems like a lot to me I don't normanally take meds except vits.. and dilantain Answered by Madalene Rabel 3 months ago.

If that is what your doctor has prescribed then yes it is ok. I take Spiriva and Symbicort daily, to help control my asthma. If your doctor has prescribed this and people here say no...why would you listen to a group of uneducated strangers who don't know your medical history? If you have concerns talk to your doctor or pharmacist and get the correct information. Answered by Horace Colton 3 months ago.

I have COPD and also take Spiriva and Advair 500/50. I have Proventil for emergency use. I also take Uniphyl and Prednisone. There are a few others I also take that are unrelated to my COPD. Answered by Jewell Staines 3 months ago.

I have copd and I take spiriva, advair, singulair and albuterol. What you are taking is not a lot. Answered by Ellamae Parisien 3 months ago.


Does anyone know the side effects of"Spiriva Handihaler"? My husband takes this and threw out the paper .?
I plan on going to the drug store and ask the pharmacist but thought maybe someone had used this. Asked by Laci Golida 3 months ago.

As an anticholinergic drug, SPIRIVA (tiotropium bromide inhalation powder) may potentially worsen symptoms and signs associated with narrow-angle glaucoma, prostatic hyperplasia or bladder-neck obstruction and should be used with caution in patients with any of these conditions. As a predominantly renally excreted drug, patients with moderate to severe renal impairment (creatinine clearance of ≤ 50 mL/min) treated with SPIRIVA should be monitored closely (see CLINICAL PHARMACOLOGY, Pharmacokinetics, Special Populations, Renally-impaired Patients). Information for Patients It is important for patients to understand how to correctly administer SPIRIVA capsules using the HandiHaler inhalation device (see Patient's Instructions for Use). SPIRIVA capsules should only be administered via the HandiHaler device and the HandiHaler device should not be used for administering other medications. The contents of SPIRIVA capsules are for oral inhalation only and must not be swallowed. Capsules should always be stored in sealed blisters. Remove only one capsule immediately before use, or its effectiveness may be reduced. Additional capsules that are exposed to air (i.e., not intended for immediate use) should be discarded. Eye pain or discomfort, blurred vision, visual halos or colored images in association with red eyes from conjunctival congestion and corneal edema may be signs of acute narrow-angle glaucoma. Should any of these signs and symptoms develop, consult a physician immediately. Miotic eye drops alone are not considered to be effective treatment. Care must be taken not to allow the powder to enter into the eyes as this may cause blurring of vision and pupil dilation. SPIRIVA HandiHaler is a once-daily maintenance bronchodilator and should not be used for immediate relief of breathing problems, i.e., as a rescue medication. Answered by Graig Spagnolia 3 months ago.

Those types of drugs actually have very few side effects if you inhale it correctly. If you don't, you'll can get side effects like dry mouth, constipation, blurry vision, etc. Answered by Dimple Alwine 3 months ago.


Can i use advair and spiriva togeather ?
Asked by Minh Capria 3 months ago.

According to Spiriva's website, yes. Spiriva is a different type of long-acting bronchodilator than the one found in Advair (which is a combination of a steroid (reduces swelling) and another long-acting bronchodilator (stops the twitchiness)). While Spiriva's website says this is OK, I'd still recommend you make sure you have your personal physician's approval. Only your physician knows all of your medical history, which might include something that contra-indicates one or both of these medications. If your doctor has prescribed both, I'd say that Spiriva's concurring findings would indicate it's fine. The only drug Spiriva advises against using simultaneously is Atrovent, which is not found in Advair. Hope this helps. :o) Answered by Lizzette Rachel 3 months ago.

You can certainly use Advair with Spiriva..That's what my Pulmonary doc Rx'd for me. I use them everyday. I just switched back to Albuterol as a rescue inhaler. I use albuterol in my nebulizer also as needed Answered by Ella Linnemann 3 months ago.


Is there a generic for spiriva?
Asked by Arden Willadsen 3 months ago.

Generic spiriva is currently not available in the United States, since a patent is preventing the manufacturing of the said product because of high standards that are required to release it. Although there are other countries outside of the United States that sell these generic spiriva, some even online. The expected release of this generic brand is around 2014. You can save a lot of money by buying generic brands, so I suggest buying them online. There are legit websites that sell generic spiriva but most of them come from imports. Answered by Mittie Liggans 3 months ago.


What is the other substitute for spiriva?
Asked by Carol Govert 3 months ago.

Spiriva(tiotropium bromide) and Atrovent(ipatropium bromide) are antimuscarinic agent, which are often referred to as an anticholinergic.The Spiriva is a long acting where as the Atrovent is short acting.You would have to take the Atrovent more frequently.Hope this helps:) Answered by Shanice Duthie 3 months ago.

There really isn't one...Spiriva is a very special resp. med which can't be replaced by a different one...however, you could talk to your doc about adding maybe Advair and a rescue inhalor (albuterall). Answered by Sherice Reyes 3 months ago.

tiova rotacaps Answered by Boris Brandis 3 months ago.


Benifits of Spiriva Inhalers?
Asked by Clemmie Brucato 3 months ago.

Spiriva is similar to Atrovent, and was first distributed in this country after March 31, 2003. It might work better for asthma than for COPD - it didn't work well for me. As my doc said, there's only one way to find out if it will benefit you. Good luck. Answered by Bettie Suhar 3 months ago.

The benefits of using Spiriva Inhaler is remarkable! I have only been on it since September 27, 2006 and it has done wonders for me. I noticed the difference within days. I can now breath normally and am not short of breath, and I do not wheeze at all. I feel like I could run 10 miles! It is a wonderful medication and there are no side effects that I have noticed. I would reccommend it for anyone with breathing problems. Answered by Charisse Kendzierski 3 months ago.

It's a wonderful drug for me.Ihave been on it for 6 months and my breathing is so improved.My doc says i will have to stay on it the rest of my life,but hey, it helps me breathe. Answered by Venita Rebuldela 3 months ago.

i've got COPD it works great plus you take once a day in the morning. i love that Answered by Nakia Ijams 3 months ago.


What stroke risk is associated with Spiriva?
Asked by Felton Alfandre 3 months ago.

"Based on data from these studies, preliminary estimates of the risk of stroke are eight patients per 1,000 patients treated for one year with Spiriva, and six patients per 1,000 patients treated for one year with placebo," states the FDA. "This means that the estimated excess risk of any type of stroke due to Spiriva is two patients for each 1,000 patients using Spiriva over a one-year period." The FDA urges caution in interpreting the preliminary findings. "Pooled analyses can provide early information about potential safety issues. However, these analyses have inherent limitations and uncertainty that require further investigation using other data sources," states the FDA. Boehringer Ingelheim and Pfizer agree with that, according to Boehringer Ingelheim's news release. Boehringer Ingelheim advises patients to ask their doctors if they have questions about Spiriva treatment; Answered by Sammy Colehour 3 months ago.


What other inhaler can substitute in spiriva?
Asked by Rosalba Gossom 3 months ago.

matt and masters property are both correct. Matt's point of spiriva (tiotropium bromide) being the same as Atrovent (ipratropium bromide) is mostly true. They are in the same anticholinergic drug class. Master's Property's point of spiriva being in its own class is also true because it is the only anticholinergic drug that is long acting and last for up to 24 hours per dose (one 18mcg capsule). Atrovent lasts about 6-8 hours so you would have to take it more often. Also Spiriva is in powder form and Atrovent is an aerosol. Good Luck with your meds and have a great day. Answered by Kate Stuckel 3 months ago.

Spirivia is much like atrovent also know as ipratropium bromide Answered by Genevie Wilcutt 3 months ago.

There's not really a substitute...it's kind of in it's own class. Answered by Andra Boze 3 months ago.

Call your pharmacist. Answered by Pauline Cuesta 3 months ago.


Forms

ApplId/ProductId Drug name Active ingredient Form Strenght
021395/001 SPIRIVA TIOTROPIUM BROMIDE POWDER/INHALATION EQ 0.018MG BASE per INH

Similar Active Ingredient

ApplId/ProductId Drug name Active ingredient Form Strenght
021395/001 SPIRIVA TIOTROPIUM BROMIDE POWDER/INHALATION EQ 0.018MG BASE per INH
021936/001 SPIRIVA RESPIMAT TIOTROPIUM BROMIDE SPRAY, METERED/INHALATION EQ 0.0025MG BASE per INH
021936/002 SPIRIVA RESPIMAT TIOTROPIUM BROMIDE SPRAY, METERED/INHALATION EQ 0.00125MG BASE per INH
207070/001 SPIRIVA RESPIMAT TIOTROPIUM BROMIDE SPRAY/INHALATION 2.5MCG

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