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Are you Looking to Buy Spiriva (Tiotropium Bromide) from OnlineCanadianPharmacy.

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Buy BrandSpiriva

Prescription Prescription Required
Formulation : Capsule
Drug Name Dosage Quantity Price Buy Now
Spiriva 18mcg 90 $272.18 Add To Cart
Dosage: 18mcg
Quantity: 90
Price: $272.18

( Affordable Generic Alternatives )

Buy Generic Tiotropium Bromide

Prescription Prescription Required
Formulation : Rotacap
Drug Name Dosage Quantity Price Buy Now
Tiotropium bromide 18mcg 60 $89.10 Add To Cart
Tiotropium bromide 18mcg 90 $122.96 Add To Cart
Tiotropium bromide
Dosage: 18mcg
Quantity: 60
Price: $89.10
Tiotropium bromide
Dosage: 18mcg
Quantity: 90
Price: $122.96


  • Spiriva (tiotropium) is a prescription medication used to treat chronic obstructive pulmonary disease (COPD).
  • It helps to improve breathing by relaxing the muscles around the airways, making it easier to breathe.
  • Spiriva is usually taken once daily, at the same time each day.
  • The usual dose is two inhalations from the Spiriva HandiHaler device.
  • It’s important to follow the instructions provided by your healthcare provider or pharmacist on how to use the HandiHaler device correctly.
  • Do not swallow Spiriva capsules. They are for inhalation only.
  • If you miss a dose, take it as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and continue with your regular dosing schedule.
  • Do not take more than the prescribed dose of Spiriva without consulting your doctor.
  • Contact your healthcare provider if you experience any unusual or severe side effects while taking Spiriva.

Dosage and administration


  • The usual dosage of Spiriva (tiotropium) is one capsule (18 micrograms) taken once daily.
  • Each capsule is for oral inhalation only and should not be swallowed.
  • Do not exceed the recommended dosage without consulting your healthcare provider.


  • Spiriva capsules are designed for use with the HandiHaler device.
  • To administer Spiriva, follow these steps:
    1. Open the HandiHaler device by lifting the mouthpiece cover.
    2. Remove one capsule from the blister packaging.
    3. Place the capsule into the chamber of the HandiHaler.
    4. Close the mouthpiece cover until it clicks into place.
    5. Press the green piercing button on the side of the HandiHaler once to puncture the capsule.
    6. Exhale fully and place the mouthpiece in your mouth.
    7. Inhale deeply and steadily through the mouthpiece.
    8. Hold your breath for a few seconds, then exhale slowly.
    9. Open the HandiHaler to check if the capsule is empty. If not, repeat steps 6-8 until all medication is inhaled.
    10. Rinse your mouth with water after each use to help prevent dry mouth or throat irritation.
  • Use Spiriva exactly as prescribed by your healthcare provider.
  • If you have any questions about how to use the HandiHaler device or how to take Spiriva, consult your doctor or pharmacist for guidance.

Side effects

  • Dry mouth
  • Sore throat
  • Cough
  • Sinus infection (sinusitis)
  • Constipation
  • Upset stomach
  • Blurred vision
  • Difficulty urinating
  • Back pain
  • Joint pain
  • Muscle pain
  • Dizziness
  • Headache
  • Nausea
  • Heartburn
  • Chest pain
  • Rapid or irregular heartbeat (palpitations)
  • Difficulty sleeping (insomnia)
  • Voice changes
  • Taste changes.


  • Inform your healthcare provider if you have a history of narrow-angle glaucoma, urinary retention, or enlarged prostate, as Spiriva may worsen these conditions.
  • Let your healthcare provider know about all the medications you are currently taking, including prescription and over-the-counter drugs, as well as herbal supplements, to avoid potential interactions.
  • If you experience any difficulty breathing, wheezing, or worsening of COPD symptoms after using Spiriva, contact your healthcare provider immediately.
  • Inform your healthcare provider if you have any allergies to medications or any other substances before starting Spiriva.
  • Do not exceed the prescribed dose of Spiriva, as this may increase the risk of side effects.
  • Use caution when driving or operating machinery until you know how Spiriva affects you, as it may cause dizziness or blurred vision.
  • Keep Spiriva capsules out of reach of children and pets, as ingestion may be harmful.
  • Store Spiriva capsules in a dry place at room temperature, away from moisture and heat.
  • Do not use Spiriva to treat sudden breathing problems (acute bronchospasm). Instead, use a rescue inhaler as prescribed by your healthcare provider.
  • If you become pregnant or plan to become pregnant while using Spiriva, discuss the risks and benefits with your healthcare provider.
  • Do not stop taking Spiriva without consulting your healthcare provider, even if you feel better, as this may lead to worsening of COPD symptoms.


Additional information

Brand Name:


Scientific Name:

Tiotropium Bromide, Tiotropium bromide

Other Names:

Spiriva, Tiova Rotacap



Quantities Available:

60, 90


Capsule, Rotacap

All product content included on is for information only. Please note that it is not a replacement for your individual professional medical care or advice. Always remember to speak with a qualified health professional before taking any prescription or non prescription medication.

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