Buy Spiriva (Tiotropium) with HandiHaler Online from Canada
Spiriva
Spiriva HandiHaler, a prescribed medication for effectively managing chronic obstructive pulmonary disease (COPD) symptoms, addresses bronchospasm, shortness of breath, and wheezing. This FDA-approved drug, containing the active ingredient tiotropium, provides crucial relief for COPD challenges. Classified as an anticholinergic, Spiriva comes in 2 forms: Respimat & Handihaler. The Respimat includes a cartridge with liquid Spiriva, administered through an inhaler device, delivering a fine mist for inhalation. On the other hand, the Handihaler involves capsules containing Spiriva powder and an inhaler device, allowing the inhalation of Spiriva powder after piercing the capsule. So, if you want to buy Spiriva from an online Canadian Pharmacy, you must get your doctor’s prescription first.
Product Overview
Spiriva, a medication prescribed for chronic obstructive pulmonary disease (COPD) and asthma, contains the active ingredient tiotropium. Available in two forms, Spiriva Respimat and Spiriva Handihaler, it addresses symptoms like bronchospasm and shortness of breath. Respimat delivers liquid Spiriva as a mist through an inhaler, while Handihaler uses capsules with Spiriva powder.
However, its dosage varies for COPD and asthma. The Respimat strengths of this medication are 1.25 mcg and 2.5 mcg per puff, while Handihaler uses 18 mcg capsules. Administration involves specific steps to ensure proper inhalation. Spiriva works by easing airways within an hour, showing significant improvement in 4 to 8 weeks for asthma. Like many other drugs, Spiriva also has common side effects, including sore throat, cold, dry mouth, and headache, while serious effects include bronchospasm and severe allergic reactions.
Additionally, precautions of this medication include monitoring for hypersensitivity reactions and caution in patients with atropine hypersensitivity or severe milk protein allergies. This medication also has interactions with other anticholinergic drugs. Patients should consult their doctors for personalized guidance, considering individual health conditions and medication interactions.
Uses of Spiriva
Spiriva is used in the long-term treatment of:
- Chronic Obstructive Pulmonary Disease (COPD)
- Asthma in adults and children
[Important Warning: It’s crucial to understand that Spiriva should not be used as a rescue inhaler. Refrain from using it to alleviate sudden breathing difficulties resulting from asthma or COPD.]
How to Use Spiriva?
Dosage
Spiriva comes in different forms & strengths:
- Spiriva Respimat: There’s Spiriva Respimat, which has a special inhaler called Respimat. It has a cartridge with liquid Spiriva. The Respimat sprays Spiriva as a fine mist for you to breathe in. It comes in two strengths: 1.25 micrograms (mcg) per puff and 2.5 mcg per puff.
- Spiriva Handihaler: This includes an inhaler device called Handihaler and capsules with Spiriva powder. The Handihaler opens the capsule so you can breathe in the Spiriva powder. Each capsule has 18 mcg of Spiriva.
Recommended Dosage for Different Patients
Asthma Dosage:
For treating asthma with Spiriva Respimat, adults and children aged 6 years and older should take two puffs of 1.25 mcg once a day.
COPD Dosage:
- Both Spiriva Handihaler and Spiriva Respimat are used for treating COPD.
- For Spiriva Respimat, adults should take two puffs of 2.5 mcg once a day.
- For Spiriva Handihaler, adults should take two puffs from one 18 mcg capsule once a day. If you’re unsure which Spiriva form is best for your COPD, consult your doctor.
[Note: Remember these recommendations may vary depending on person to person. Consult your healthcare provider or doctor, and they’ll customize your dosage accordingly.]
How to Take It?
- Sit upright or stand. Ensure the HandiHaler device is not shaken.
- Hold the inhaler away from your face. Breathe out without blowing into the inhaler.
- Place the mouthpiece between your lips. Close your lips around it and inhale a long, steady breath through your mouth and the inhaler. Inhale quickly and deeply; you should hear the Spiriva capsule vibrating inside.
- Remove the inhaler from your lips and hold your breath for 10 seconds or as long as possible.
- Breathe out slowly.
- Repeat steps 1-5, but do not press the green piercing button again. Ensure you inhale each Spiriva capsule twice from the HandiHaler inhaler to receive the total dose.
- Pull up on the mouthpiece, allowing the empty Spiriva capsule to fall into a trash can. Do not touch the empty capsule.
- Hold the HandiHaler upside down and tap it gently to remove any remaining Spiriva powder.
- Close the mouthpiece, followed by the dust cap. Store the Spiriva HandiHaler until the next dose.
Following these steps diligently ensures the proper administration of Spiriva, providing adequate respiratory support.
[Note: Your doctor will decide the right amount for you based on your condition, following guidelines and studies on the drug. They’ll adjust it as needed over time.]
How Does Spiriva Work?
Spiriva begins to ease and expand airways in individuals with asthma or COPD within just one hour of administration. The most significant symptom improvement for those with asthma generally becomes noticeable after 4 to 8 weeks.
Important Safety Information
Side Effects
Common side effects of Spiriva include
- Sore Throat
- Common Cold
- Dry Mouth
- Sinusitis
- Headache
- Indigestion (upset stomach)
- Chest pain
- Constipation
- Urinary Tract Infection (UTI)
- Blurry Vision
- Dizziness
- Oral Thrush
- Fast Heart Rate
- Mild Allergic Reaction
Serious side effects of Spiriva include
- New or Worsened Urinary Retention
- Paradoxical Bronchospasm
- Severe Allergic Reaction
[Note: Remember, this list may not cover all possible side effects. Always consult with your healthcare giver for medical advice about side effects.]
Warnings
- Immediate hypersensitivity reactions, such as angioedema, itching, or rash, may occur post-Spiriva HandiHaler administration. Cease Spiriva HandiHaler promptly if such reactions manifest; consider alternative treatments. Patients with a history of atropine hypersensitivity should be closely monitored. Caution is advised in patients with severe hypersensitivity to milk proteins.
- Inhaled medications, including Spiriva HandiHaler, may induce paradoxical bronchospasm. Discontinue Spiriva HandiHaler if this happens and explore other treatment options.
- Patients with moderate to severe renal impairment (creatinine clearance ≤50 mL/min) using Spiriva HandiHaler should be closely monitored for anticholinergic side effects due to its predominantly renal excretion.
Precautions
Before you start taking Spiriva, have a chat with your doctor about your health history. Spiriva might not be suitable for you if you have specific health issues. These include:
- Glaucoma: If you’ve had increased Glaucoma (eye pressure) before, using Spiriva may raise the risk of acute narrow-angle glaucoma. This rare side effect leads to a sudden increase in eye pressure. If you experience blurry vision, eye pain, redness, halos, or colors, contact your doctor right away. Discuss any history of eye problems with your doctor before starting Spiriva.
- Urination Issues: If you’ve had difficulties passing urine before, using Spiriva may pose a higher risk of this side effect. Conditions like an enlarged prostate or bladder-neck obstruction can affect urination. If you have these issues or have experienced trouble urinating, talk to your doctor before starting Spiriva. If you face difficulties or pain while urinating on Spiriva, contact your doctor.
- Allergies: Avoid taking Spiriva if you’re allergic to tiotropium (the active drug), ipratropium, or any inactive ingredients in Spiriva. If you’re unsure about medication allergies, discuss it with your doctor.
Other Important Precautions
- Pregnancy: It’s unclear if Spiriva is safe during pregnancy.
- Breastfeeding: The safety of Spiriva during breastfeeding is uncertain.
Missed Dose
If you miss a dose of Spiriva, take it as soon as possible. But if it’s almost time for your next dose, skip the missed Spiriva dose and take your next dose as scheduled. You should not take two doses at once to make up for a missed dose. This can raise your risk of side effects.
[Note: If you have missed a dose of your medication and are unsure about when to take the next one, immediately consult your doctor or pharmacist.]
Overdose
Only use Spiriva as directed by your doctor to avoid serious side effects. Overdosing may result in symptoms such as dry mouth, nose, and throat, as well as pink eye. If you believe you’ve used too much Spiriva, contact your doctor. In case of severe symptoms, call 911 or your local emergency number, or head to the nearest emergency room.
[Note: If you consumed more than the recommended dose, get medical help right away, or call the Poison Help line at 1-800-222-1222.]
Storage
- Always keep Spiriva HandiHaler capsules in the pack.
- Keep them at room temperature (77°F/25°C) and away from moisture.
- Throw away Spiriva HandiHaler capsules when they are too old.
- Unopened Spiriva Respimat inhalers should be at room temperature (77°F/25°C).
- Don’t freeze them.
- Once put together, Spiriva Respimat lasts 3 months until the marked expiration date or when the inhaler locks, whichever is first.
- Spiriva can be between 59°F and 86°F (15°C to 30°C).
[Note: Discuss with your healthcare professional about the proper disposal of any unused medicine and any questions you may have regarding its storage.]
Spiriva Interactions
Spiriva and Other Medications
Spiriva can interact with certain medications, and it’s important to be aware of potential complications. Keep in mind that the lists provided may not cover all possible interactions. Before starting Spiriva, have a discussion with your doctor or pharmacist, sharing details about all your prescriptions, over-the-counter drugs, vitamins, herbs, and supplements.
It’s crucial to know about potential interactions to prevent any complications. If you have concerns or questions about how Spiriva might interact with other medications, don’t hesitate to ask your doctor or pharmacist for guidance.
Spiriva belongs to a class of drugs known as anticholinergic agents. It should not be used simultaneously with other medications from this class, as doing so may increase the risk of side effects. These side effects can include difficulty urinating and acute narrow-angle glaucoma (increased eye pressure).
Examples of other inhaled medications in the anticholinergic class include:
- Incruse Ellipta (umeclidinium)
- Combivent (ipratropium bromide/albuterol sulfate)
- Atrovent (ipratropium)
- Stiolto Respimat (tiotropium bromide/olodaterol)
- Trelegy (vilanterol/umeclidinium/and fluticasone)
- Anoro Ellipta (umeclidinium/vilanterol)
- Yupelri (revefenacin)
Note that this list is not exhaustive, and there are other anticholinergic agents taken orally.
Interaction with Herbs and Supplements
While there are no specific reports of herbs or supplements interacting with Spiriva, it’s still essential to consult with your doctor or pharmacist before using these products alongside Spiriva. Taking this precaution can help ensure your safety and well-being.
Before initiating Spiriva or any new medication, consult with your healthcare professional. They will review your entire medication list to determine the safety of taking Spiriva in your specific case.
[Note: This isn’t a complete list, and there could be other drugs that interact with Spiriva. Make sure to tell your doctor about any prescription, over-the-counter medicines, and herbal products you’re taking.]
Spiriva Alternatives
- Prednisone (prednisone)
- Yupelri (revefenacin)
- Serevent Diskus (salmeterol)
- Ventolin HFA (albuterol)
- Bevespi Aerosphere (formoterol–glycopyrrolate)
- Lonhala Magnair (glycopyrrolate)
- Albuterol Nebulizer Solution (Ipratropium)
- Breztri Aerosphere (budesonide–formoterol–glycopyrrolate )
- Arformoterol (brovana nebulizer solution)
- Incruse Ellipta (umeclidinium)
- Breo Ellipta (fluticasone furoate-vilanterol )
- Tudorza Pressair (aclidinium)
- Spiriva Handihaler (tiotropium bromide)
- Theophylline ER
- Azithromycin (zithromax)
- Advair Diskus (fluticasone-salmeterol)
- Daliresp (roflumilast)
- N-Acetylcysteine
[Note: Your doctor will choose what’s best for you. Don’t use any of these alternative medications without consulting your healthcare provider. Taking them by yourself may cause serious side effects.]
Frequently Asked Questions
If I stop taking Spiriva, will I have withdrawal symptoms?
No, you won’t experience withdrawal symptoms if you suddenly stop taking Spiriva. However, your breathing symptoms may worsen without the treatment. If you’re thinking of discontinuing Spiriva, it’s important to consult your doctor. They can advise you on whether it’s safe to stop using the medication and discuss alternative ways to manage your breathing condition.
Does Spiriva contain steroids?
No, Spiriva doesn’t have steroids. It has a drug called tiotropium bromide, which is part of a group of drugs called anticholinergic agents. These drugs do things in your body in a different way than steroids. However, both steroids and anticholinergic agents can be used to help people with asthma or chronic obstructive pulmonary disease (COPD) breathe better.
How quickly does Spiriva work?
Spiriva helps you breathe better by relaxing the air passages that let air in and out of your lungs. It starts working in about 30 minutes and should last the whole day. Spiriva has something called tiotropium bromide in it, which is part of a group of medicines called anticholinergics.
Is Spiriva intended for long-term use?
Yes, Spiriva is typically prescribed as a long-term treatment. Upon consultation with your doctor and mutual agreement on its safety and effectiveness for your condition, you can expect to use Spiriva over an extended period. It is important to follow your healthcare provider’s guidance regarding its long-term usage.
What are the signs of an overdose with Spiriva HandiHaler?
Overdose symptoms associated with Spiriva HandiHaler include dry mouth and conjunctivitis (pink eye). While rare, there have been reports of individuals experiencing a change in mental status, tremors, abdominal pain, and constipation after the availability of the HandiHaler form. The likelihood of these symptoms occurring due to excessive Spiriva intake is unknown. If you suspect an overdose, promptly contact your healthcare provider. Immediate medical attention is essential if you believe you have used too much Spiriva.
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