Spiriva

Tiotropium Bromide

The Spiriva listing is a generic tiotropium bromide 9mcg inhaler for COPD and long-term asthma control, in packs of 1, 3 or 6.

All strengths and pack prices
Spiriva: price of every strength and pack size
Strength Pack Price
9mcg 1 inhaler $50.99
9mcg 3 inhalers $131.73
9mcg 6 inhalers $229.50
Active ingredient
Tiotropium Bromide
Route
Inhalation
Form
Inhalation aerosol
Strengths
9mcg

You will receive a quality generic equivalent, depending on stock.

Shipped in a discreet, unmarked envelope.

Details

Therapeutic Class
Anticholinergic Bronchodilator
Pharmacological Class
Antimuscarinic
Minor Side Effects
Dry mouth
Moderate Side Effects
Sore throat, Cough
Dosage Forms
Inhalation aerosol
Administration Route
Inhalation
Originator
Boehringer Ingelheim
Onset Time
30 minutes
Duration
24 hours
Storage Instructions
Store at room temperature away from light.
Drug Interactions
Ipratropium, Aclidinium
Age Restrictions
Adults primarily

What you will receive

Spiriva is the originator brand name, made by Boehringer Ingelheim. We use it to identify the medicine; the pack you receive is a generic equivalent, not the original Spiriva.

  • The same active ingredient (Tiotropium Bromide) at the same strength.
  • The exact brand supplied depends on what is in stock when your order ships.

FAQ

How many Spiriva inhalers can I order at once?

Spiriva comes as generic tiotropium bromide inhalers at 9mcg, in packs of 1, 3 or 6. The pack contains generic tiotropium bromide, not the original Spiriva. The page lists the price per inhaler in Hong Kong dollars, and larger packs cost less per inhaler.

How are Spiriva inhalers delivered?

Spiriva inhalers are packed carefully and sent in plain, unbranded packaging with nothing on the outside about the contents. Tracked courier takes 5 to 9 business days with online tracking, while standard airmail takes 14 to 21 business days, or 30 at most, and is untracked.

Does Spiriva have other names?

Spiriva is a brand name of tiotropium bromide, which is also sold as Braltus. Here, tiotropium bromide can be bought online as generic Spiriva, and also as Tiova Rotacap. These are generics, not the original brand.

How long does one Spiriva inhaler dose last?

About 24 hours. That is why tiotropium is a once-daily inhaler, taken at a regular time each day. It is not a reliever, so a sudden attack of breathlessness still needs a fast-acting inhaler such as salbutamol.

Can I drink alcohol while using Spiriva?

No interaction between tiotropium and alcohol has been reported, and the inhaler is not affected by food or drink. Keeping to the once-daily dose matters more than timing it around meals.

Can Spiriva be used for asthma?

Tiotropium is added to asthma maintenance treatment for some adults whose symptoms are not controlled by their other inhalers. It is a background treatment taken every day, not something to use during an asthma attack.

What is the difference between Spiriva and Tiova Rotacap?

Both contain tiotropium, but they are different devices. Tiova Rotacap is a capsule inhaler supplied as 15 capsules, while the listing on this page is a 9mcg inhaler sold in packs of 1, 3 or 6.

About Spiriva

What the Spiriva inhaler does

This listing is a generic tiotropium bromide inhaler at 9mcg, used every day as a controller. Tiotropium relaxes the muscle around the airways so they stay open, and a single dose keeps working for about 24 hours. Its main job is COPD (chronic obstructive pulmonary disease, the umbrella term for emphysema and chronic bronchitis). Some adults whose asthma is still poorly controlled on other inhalers have it added as well.

It is not a rescue inhaler. A sudden attack of breathlessness needs a fast-acting reliever such as salbutamol, not tiotropium. Take your daily dose at the same time each day, including on days when you feel well.

How to use the inhaler

One inhalation once a day is the usual dose. Breathe out gently, close your lips around the mouthpiece and take a slow, deep breath as you release the dose, then hold your breath for a few seconds. Keep the device clean and capped, and keep the spray or powder out of your eyes — anticholinergic medicines can blur vision and are a particular problem for people with narrow-angle glaucoma.

A dry mouth is the most common effect, along with throat irritation, cough, headache and constipation. Sipping water through the day helps. Wheezing, chest tightness or breathlessness that begins right after inhaling needs urgent treatment. Eye pain, blurred vision or trouble passing urine are signs the medicine is affecting more than the lungs. Other anticholinergic medicines — ipratropium, some bladder medicines, some antihistamines and tricyclic antidepressants — add to the same effects.

Spiriva and the other tiotropium listing

Same ingredient, different device: the other tiotropium option here is Tiova Rotacap, a capsule inhaler that comes as 15 capsules and is used for COPD and chronic bronchitis. This page's listing is the 9mcg inhaler, available in packs of 1, 3 or 6. The ingredient page for tiotropium bromide covers both and explains how the strengths and devices differ.

Keeping the inhaler

Store it dry, away from direct heat and sunlight, and do not take the device apart or puncture a cartridge. A tiotropium inhaler is a daily medicine, so it is worth keeping it somewhere you will see it at the same time each morning or evening.