Brand
name : Spiriva
Pronounced: speer-REE-vah
Generic name: Tiotropium bromide
Why is Spiriva HandiHaler prescribed?
Spiriva is used for the long-term, once-a-day treatment of bronchial
spasms (wheezing) associated with chronic obstructive pulmonary
disease, including chronic bronchitis and emphysema. It comes as
a capsule containing dry powder, which is inhaled through the mouth
using the HandiHaler device. When inhaled, Spiriva opens up narrow
air passages, allowing more oxygen to reach the lungs.
Most important fact about Spiriva HandiHaler
Spiriva is not for initial use in sudden attacks of wheezing when
fast action is needed--that is, Spiriva is not for "rescue
therapy."
How should you take Spiriva HandiHaler?
Spiriva capsules are designed to be used only with the HandiHaler
inhalation device. The capsules should not be swallowed. You should
try to use the inhaler about the same time every day.Spiriva capsules
are packaged as a blister card containing two strips. Each strip
has three capsules. When removing a capsule
from the blister card, peel back only the foil that is covering
the capsule you are about to use. The capsule's effectiveness may
be reduced if it is not used immediately after the foil is opened.
If you accidentally remove the foil covering any of the other capsules,
you must throw them away.
When you're ready to take Spiriva HandiHaler, use the HandiHaler
device as follows:
1. Open the dust cap, and then open the mouthpiece.
2. Place the capsule in the center chamber. Close the mouthpiece
until you hear a click. Leave the dust cap open.
3. Hold the HandiHaler device with the mouthpiece upward and press
the piercing button that will make holes in the capsule to allow
the powder to come out.
4. Before inhaling the powder, breathe out completely, but not
into the mouthpiece.
5. Place the inhaler's mouthpiece in your mouth, make a seal with
your lips, keep your head upright, and breathe in slowly and deeply
with your mouth. Breathe in quickly enough that you hear the capsule
vibrate.
6. Hold your breath for as long as is comfortable; at the same
time, remove the HandiHaler from your mouth.
7. When you're done, breathe out completely, seal your lips around
the mouthpiece again, and inhale a second time as before.
8. Remove the capsule from the inhaler and discard. You may notice
a tiny amount of powder is still left in the capsule; this is normal.
Avoid getting the Spiriva powder into your eyes. It can cause
blurred vision.
If you miss a dose...
Take it as soon as you remember. If it is almost time for your
next dose, skip the one you missed and go back to your regular
schedule. Do not take two doses at once.
Storage instructions...
Store at room temperature. Do not store capsules in the Handihaler.
Keep capsules away from moisture and extreme temperatures, such
as in the refrigerator or in direct sunlight.
Spiriva HandiHaler side effects
Side effects cannot be anticipated. If any develop or change in
intensity, tell your doctor as soon as possible. Only your doctor
can determine if it is safe to continue using Spiriva.
* Side effects may include:
Abdominal pain, constipation, dry mouth, chest pain, common cold, indigestion,
infection, muscle pain, nose bleeds, rash, runny nose or nasal inflammation,
sinus infection, sore throat, urinary tract infection, vomiting, yeast infection
Why should Spiriva HandiHaler not be prescribed?
You should not take Spiriva if you have an allergic reaction to
it, or if you are allergic to atropine or any of its derivatives,
including ipratropium (Atrovent).
Special warnings about Spiriva HandiHaler
An immediate allergic reaction (hives, swelling, or rash) is possible
when you first use Spiriva HandiHaler. Inhaled medications such
as Spiriva can also cause wheezing in some people. If you have
an allergic reaction or you start wheezing, stop using Spiriva
and contact your doctor.
Spiriva could worsen certain medical conditions. Use Spiriva HandiHaler
cautiously if you have narrow-angle glaucoma (high pressure inside
the eye), an enlarged prostate, or obstruction in the neck of the
bladder. Also tell your doctor if you have kidney problems.
Possible food and drug interactions when taking Spiriva HandiHaler
The use of Spiriva together with other anticholinergic drugs,
such as Atrovent, has not been studied and is not recommended.
Always tell your doctor about any medication you're taking, including
over-the-counter products and dietary supplements.
Special information if you are pregnant or breastfeeding
Spiriva has not been studied in pregnant women. This drug should
be used during pregnancy only if the benefits outweigh the potential
risks. Notify your doctor immediately if you are pregnant or plan
to become pregnant.
It is not known whether Spiriva appears in breast milk. If using
Spiriva is essential to your health, you doctor may recommend that
you discontinue breastfeeding while using Spiriva HandiHaler.
Recommended dosage for Spiriva HandiHaler
ADULTS Overdosage;
Any medication taken in excess can have serious consequences.
If you suspect an overdose, seek medical treatment immediately.
