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Spiriva Respimat (Tiotropium Bromide)

TypeDrug NameDosage 
Spiriva Respimat2.5 mcg/4 ml/60 puffs

Generic Equivalent of Spiriva Respimat

No generic equivalents of Spiriva Respimat found.


Is A Prescription Required to Have Spiriva Respimat?

A Prescription is required to purchase Spiriva Respimat from our highly rated Canadian wide pharmacy.

What Type Of Inhaler Is Spiriva Respimat?

Spiriva Respimat (tiotropium bromide) is an anticholinergic inhalation spray, used for long term to open the airways of people with breathing difficulties (due to lung disease called chronic obstructive pulmonary disease) and to prevent worsening of condition in COPD. It is also used in asthma as an add-on therapy with an inhaled corticosteroid and beta-blocker when these medications are not enough to control asthma.

How Does Spiriva Respimat Work in the Body?

The medication (tiotropium bromide) belongs to a class of medicines known as bronchodilators. It acts by relaxing the muscles around the airways in your lungs, making it easier for the air to get in and out of the lungs. In COPD patients, it also prevents flare-up (worsening of condition) symptoms such as wheezing, cough, chest tightness and shortness of breath.

How Is Spiriva Respimat Supplied and Stored?

Spiriva Respimat is manufactured by Boehringer Ingelheim (Canada) Ltd and is available in a carton containing one Spiriva Respimat cartridge and one Spiriva Respimat inhaler. The dosage of tiotropium bromide is 2.5 mcg (4 mL) 60 doses. We are supply Spiriva Respimat in the quantity of 1, 2, or 3 inhalation sprays.

The medication should be stored at a temperature between 15°C and 30°C. Do not freeze your Spiriva Respimat cartridge and inhaler. It should be kept out of sight and reach of children.

What Is the Cost of Spiriva Respimat?

Our accredited Canadian online pharmacy is pleased to offer you the Spiriva Respimat 2.5 mcg/4 ml/60 dose at an unbeatable price of $428 for a supply of 3, which is $142.67 per unit. The market cost for Spiriva Respimat inhalation is around $423. Get discount prices for Spiriva and other asthma medications at Canada Wide.

Is Spiriva HandiHaler a steroid?

Spiriva Respimat is an inhaler preparation which contains only tiotropium bromide. It does not contain any steroids.

Is Spiriva A Bronchodilator?

Spiriva Respimat is an anticholinergic bronchodilator, which is used as first line treatment for patients with COPD. It relaxes the bronchial muscles an eases the passage of air through the lungs.

How Long Do You Have To Take Spiriva Before It Starts Working?

The medication helps to relax the muscles in the airways and keeps them open for 24 hours. It is important to note that it may take 4 to 8 weeks for breathing to improve while you are taking Spiriva.

What Type Of Inhaler Is Respimat?

Respimat, also known as Respimat SMI (SMI: Soft Mist Inhaler) is an advanced drug delivery system when compared to metered-dose inhalers (MDis) or dry powder inhalers (DPIs).

How Should You Use Spiriva Respimat?

Always use Spiriva Respimat exactly as prescribed by your doctor. It is important to read and understand the usage instructions before starting therapy with Spiriva Respimat. Take the medication regularly every day and do not stop the therapy suddenly when you feel better. The usual dose for adults to treat COPD is 2 puffs once a day, if possible at the same time, every day. For asthma, the dosage is 2 puffs once a day.

What Should I Avoid While Taking Spiriva Respimat?

Try avoiding the spray of Spiriva Respimat into your eyes. The pupil in your eye may get larger (dilate) and your vision may get blurred. In case this happens, call your doctor. Spiriva Respimat can lead to dizziness and blurred vision. In case you experience these symptoms, you not drive or operate heavy machinery.

How is Spiriva Respimat Metabolized in Body?

The drug is metabolized in liver to a small extent and most of it is excreted unchanged in urine. It has a half-life of 27 to 45 hours after inhalation.

What Are The Possible Side Effects of Spiriva Respimat?

Like all other medications, Spiriva Respimat can also cause side effects. Most common side effects include cough, dry mouth or throat, bad taste, hoarse voice, dizziness, rashes, itching, heartburn, constipation, trouble in sleeping, sinus infection, sore throat, inflammation of mouth or gums or tongue, infections or ulcerations in skin, nose bleeding, dryness of skin. Consult your doctor if dryness or bad taste in mouth or constipation persists for a longer time. Some of the uncommon but serious side effects include urinary retention with symptoms of difficulty and pain while passing urine, frequent urination, fungal infection of mouth and throat, paradoxical bronchospasm with symptoms such as chest tightness, associated with coughing, wheezing, breathlessness, immediately after inhalation. Rare side effects are serious allergic reaction, irregular or fast heartbeat, difficulty in swallowing, eye disorders such as eye pain, blurred vision, swelling of joints and absence of bowel movements. These are not all the side effects associated with Spiriva Respimat. In case you experience any unwanted effect, consult your doctor immediately.

When Should You Not Use Spiriva Respimat?

Do not use Spiriva Respimat if you:
  • Are allergic to ipratropium bromide or other anticholinergic drugs or any other ingredients of Spiriva Respimat
  • Are not using an inhaled corticosteroid and a long-acting beta-agonist for treatment of asthma
  • Are under 18 years of age

What Should You Tell Your Doctor Before Using Spiriva Respimat?

Before you start using Spiriva Respimat, be sure to tell your doctor if you:
  • Are pregnant or planning to become pregnant
  • Are breast-feeding
  • Are using any medications such as eye drops, other bronchodilators or other non-prescription medications
  • Have any medical problems such as difficulty in urination or enlarged prostate
  • Have eye problems such as glaucoma or eye pain
  • Have allergies to food or drugs
  • Have kidney problems
  • Have unstable heart diseases
  • Do not use this medicine to treat a sudden attack of wheezing or breathlessness
If you are prescribed Spiriva Respimat for asthma, you should also be prescribed an inhaled corticosteroid and a long acting beta-agonist medication. Consult your doctor immediately if:
  • You need more than one dose (2 puffs) per day to relieve your breathing problems
  • Your shortness of breath gets worsened
  • You have breathing difficulties and chest pain
  • You experience difficulty in urination

What Medicines Can Interact With Spiriva Respimat?

It is important to tell your health care professional about all other medicines that you have taken recently including any kind of supplements and non-prescription drugs. Spiriva Respimat should not be used with short or long acting muscarinic blockers such as include ipratropium, tiotropium, glycopyrronium, aclidinium, umeclidinium as there is a risk of overdosage.

Where Can I Buy Spiriva Respimat Online?

If prescribed by your health care professional, Spiriva Respimat can be bought directly from Canadian Online Pharmacy. You will not have to wait to start your therapy due to the swift shipping service provided by us.

How Is Spiriva Respimat Delivered?

The standard delivery fee is $10.00. The orders are usually shipped in 2-3 working days after the processing of the order. The medication package is delivered by regular mail within 10-14 business days after it has been shipped.
For further information and aid, you can contact our Customer Service at 604-581-4000 or email us at


  • Mailing Address:
  • Canada Wide Pharmacy
  • 102-15129 100 Avenue
  • Surrey, BC, V3R 9P4
  • order by phone 604-581-4000
  • Pharmacist: Yasir Mohamed
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  • Weekends: Closed