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What is Spiriva Respimat used for?

Spiriva Respimat (Tiotropium Bromide Monohydrate) is a medication that is used by adult patients with asthma to manage COPD (Chronic obstructive lung disease), bronchitis and emphysema. When used consistently and properly it can manage the shortness of breath, coughing and wheezing associated with lung diseases. These symptoms prevent you from engaging in activities such as driving, work, recreation and athletics. This is a long term once daily drug meant to treat and prevent symptoms and is not used to treat asthma attacks or breathing problems that are in progress. You may need a quick relief medication to deal with sudden symptoms. Your doctor may have prescribed this medication for a different condition. If this is the case, find out what this medication is supposed to treat. Do not share this medication with friends and family with similar symptoms. It may not provide any benefit and may result in unpleasant side effects. Pediatric use has results comparable to that observed in adults.
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Spiriva Respimat Inhaler Information

How to use Spiriva Respimat?

When your doctor prescribes this medication they may provide instructions and may have a demonstration. The manufacturer's packaging should also have a patient information pamphlet that illustrates its use. Using the device correctly is essential for getting the most benefit from the medication. Call your doctor or pharmacist if you require any clarification on this product.

When using this you will need to insert the cartridge into the device. Before using this in earnest, you will need to prime this device by activating the device and releasing a dose away from you. Ensure that you do not get respimat into your eyes.

You will have to do this four times total to prime the device. If you happen to miss a dose, simply ignore the missed dose and take the next one when scheduled.
Do not take a double dose within a 24 hour period as this will not accelerate treatment and may cause more severe/frequent side effects. Once you have used this for a total of three months you will have to dispose of the device and canister even if there is some medication leftover. This may contribute to acute narrow angle glaucoma.

What are the side effects of Spiriva Respimat?

Spiriva respimat has known side effects. This is not a complete list of potential side effects of prescription drugs observed in adult patients. It is encouraged to report negative side effects to your doctor if they arise.

  • pain or tenderness around the eyes and cheekbones
  • sore mouth or tongue
  • sweating
  • cough
  • vomiting
  • difficulty with swallowing
  • trouble concentrating
  • chest tightness or heaviness
  • tender, swollen glands in the neck
  • nausea
  • unusual tiredness or weakness
  • Bloating
  • fast, pounding, or irregular heartbeat or pulse
  • dry mouth
  • tightness in the chest
  • lower back or side pain
  • loss of interest or pleasure
  • body aches or pain
  • voice changes
  • diarrhea
  • large, hive-like swelling on the face, eyelids, lips, tongue, throat, hands, legs, feet, or sex organs
  • puffiness or swelling of the eyelids or around the eyes, face, lips, or tongue
  • increased hunger
  • feeling sad or empty
  • fruit-like breath odor
  • red skin
  • loss of voice
  • irritability
  • change in vision
  • dizziness
  • burning, crawling, itching, numbness, prickling, "pins and needles", or tingling feelings
  • Arm, back, or jaw pain
  • trouble breathing
  • trouble sleeping
  • lack of appetite
  • nausea
  • unexplained weight loss
  • Cough
  • Acid or sour stomach
  • bone pain
  • painful blisters on the trunk of body
  • canker sores
  • painful or difficult urination
  • increased thirst
  • swelling or inflammation of the mouth
  • blurred vision
  • dryness of the throat
  • runny or stuffy nose
  • fast or irregular heartbeat
  • congestion
  • hoarseness
  • indigestion
  • difficulty having a bowel movement (stool)
  • ear congestion
  • muscle pain
  • difficult, burning, or painful urination
  • leg pain
  • hives, itching, or skin rash
  • heartburn
  • belching
  • sore throat
  • headache
  • frequent urge to urinate
  • sores, ulcers, or white spots on the lips or tongue or inside the mouth
  • increased urination
  • chills
  • tiredness
  • Bloody nose
  • bladder pain
  • sweating
  • chest pain
  • bloody or cloudy urine
  • flushed, dry skin
  • chest pain or discomfort
  • Fainting
  • discouragement
  • stomach discomfort, upset, or pain
  • sneezing
  • fever

What are the drug interactions with Spiriva Respimat?

When discussing Spiriva Respimat with your doctor be sure to disclose all your known medications to check for drug interaction and allergic reactions.

  • Propantheline
  • Oxitropium Bromide
  • Cyproheptadine
  • Scopolamine
  • Carisoprodol
  • Amitriptyline
  • Dimenhydrinate
  • Benztropine
  • Chlorpheniramine
  • Cyclobenzaprine
  • Fluphenazine
  • Tolterodine
  • Flavoxate
  • Clomipramine
  • Clemastine
  • Trospium
  • Aclidinium
  • Pimozide
  • Dicyclomine
  • Amifampridine
  • Olanzapine
  • Donepezil
  • Orphenadrine
  • Procyclidine
  • Methacholine
  • Cyclopentolate
  • Doxepin
  • Darifenacin
  • Brompheniramine
  • Pirenzepine
  • Belladonna
  • Stramonium
  • Propiverine
  • Oxybutynin
  • Umeclidinium
  • Trihexyphenidyl
  • Imipramine
  • Tiotropium
  • Amoxapine
  • Ipratropium
  • Promethazine
  • Prochlorperazine
  • Trimipramine
  • Clozapine
  • Carbinoxamine
  • Protriptyline
  • Trifluoperazine
  • Pipenzolate Bromide
  • Diphenhydramine
  • Hyoscyamine
  • Paroxetine
  • Desipramine
  • Mepenzolate
  • Tropicamide
  • Tizanidine
  • Thioridazine
  • Biperiden
  • Chlorpromazine
  • Terodiline
  • Meclizine
  • Revefenacin
  • Glycopyrrolate
  • Atropine
  • Nortriptyline
  • Clidinium
  • Glycopyrronium Tosylate
  • Solifenacin
  • Fesoterodine
  • Homatropine
  • Perphenazine
  • Hydroxyzine
  • Loxapine
  • Thiothixene

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Disclaimer: This primer is intended to provide basic information on this medication and is not intended to replace the medical advice provided by a certified medical professional. Any prescription drug use needs to be approved by your doctor. Do not avoid or ignore any advice provided by your physician in favor of what is written here. Always consult with a pharmacist or doctor before taking this medication and seek counselling from them if you have any questions or concerns about your medication.

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