• Tiotropium (as Bromide)

Spiriva is an inhalation powder, supplied in a hard capsule. It is given through a HandiHaler and is used to treat COPD.

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One capsule contains 18 micrograms of tiotropium, with one metered dose containing 10 micrograms.

30 capsules - £105.00
18 mcg with Handihaler

One capsule contains 18 micrograms of tiotropium, with one metered dose containing 10 micrograms.

30 capsules - £107.00
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Spiriva is a treatment used in COPD. It is supplied as a capsule, which is taken through a device called a HandiHaler. The device pierces the capsule to release a powder, which is then inhaled by the user. Spiriva is manufactured by Boehringer Ingelheim and is only available to buy in the UK on prescription.

  1. Long-acting bronchodilator
  2. Simple to administer
  3. Relieves breathing difficulties

Chronic obstructive pulmonary disease is a term used to describe several conditions, including bronchitis, emphysema and chronic obstructive airways disease. It is largely caused by smoking, and is more prominent in those aged 35 and over; however it can occasionally be the result of repeated exposure to dust, fumes or pollutants. Such elements cause COPD by irritating the airways and leading to inflammation.

The most common symptoms of COPD are a phlegmy cough, wheeziness during periods of exertion and loss of breath. Often, these symptoms are mistaken for smoker’s cough, which is why only one third of the estimated 3 million people with COPD living in the UK are thought to have been given a diagnosis.

One of the first measures a doctor will take when treating the condition will be to advise the patient to eliminate the irritant causing it. COPD is a progressive condition, and continuing to expose the airways to irritants will exacerbate symptoms. To alleviate symptoms associated with the condition, a doctor may also issue a bronchodilator such as Spiriva, to facilitate easier breathing.

In this medication, the active ingredient is an antimuscarinic called tiotropium bromide monohydrate. This works by preventing the action of a chemical called acetylcholine, which can cause the muscles lining the airway to tense up and contract. Once the airways have been dilated, breathing becomes easier, and the symptoms of COPD become less severe.

To buy Spiriva online from our pharmacy, all you need to do is take our short questionnaire. It takes just five minutes, and your answers will be assessed by one of our qualified practitioners. Our UK-based pharmacy ships all orders by 24-hour courier, so that you don’t have to wait more than one working day to start using your medication.

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How to use Spiriva

It is crucial to read the instructions provided carefully prior to use, and to make sure that you follow the directions issued by your prescriber. This will help you to get the most benefit from your medicine and help to limit the risk of side effects.

  1. Take as directed.
  2. For COPD the recommended dose is one inhaled capsule per day.
  3. It is recommended that you do so at the same time each day, as the treatment provides relief for 24 hours.
  4. The capsules are to be used via the HandiHaler only. They should not be swallowed.
  5. Open the dust cap by pressing in the button and lifting the lid.
  6. Place one capsule in the compartment inside the HandiHaler.
  7. Close the mouthpiece over the compartment. You should hear a click.
  8. To puncture the capsule, press in the button and release.
  9. Breathe out fully.
  10. Place the mouthpiece in your mouth.
  11. Inhale slowly and deeply as far as you can, then hold your breath for as long as is comfortable. Remove the mouthpiece and commence breathing normally again.
  12. Once you have taken the dose, empty the HandiHaler and store with the dust cap secured.
  13. More detailed instructions and diagrams can be found in the leaflet.
  14. Do not take more than the prescribed amount.
  15. If you forget to take it, you can do so when you remember provided your next dose is not due. If your next dose is due, skip the one you have missed and take your next administration at the scheduled time.

The above is provided only as a guide. For more comprehensive instructions, please consult the leaflet supplied with the medicine.

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Spiriva side effects

It is vital to be aware of the potential side effects this medication may cause, so that you can seek immediate medical advice if necessary. Contact your doctor or your nearest hospital as soon as possible if you notice any signs of: an allergic reaction, such as swelling of the face, lips, mouth or throat, or hives; worsening of COPD symptoms; or any other side effects which could be harmful or cause you concern.

Common (1 in 10 people or less):
Mild oral dryness.

Uncommon (1 in 100 people or less):
Dizziness, headache, unpleasant taste, blurred vision, irregular heartbeat, sore throat, hoarseness, cough, heartburn, constipation, urinary retention or pain, fungal infections of the mouth and throat, or a rash.

Rare (1 in 1,000 people or less):
Sleeping difficulty, sight problems, palpitations, tightness of the chest after inhalation, nosebleed, laryngitis, inflammation of the sinuses, blockage of the intestines, gingivitis, difficulty swallowing, feeling or being sick, itching, or urinary tract infections.

This is only a summary of the side effects associated with this product. For more detailed information, please refer to the leaflet provided with the medicine.

Taking it with other medicines

Let your doctor know if you are using other medicines, whether or not they are for similar conditions.

Conditions to look out for

Those who have or have ever had any of the following conditions may not be able to use this treatment, and should notify their doctor during consultation as appropriate: glaucoma; prostate problems difficulty passing urine; lactose intolerance; kidney problems; a myocardial infarction during the last six months; irregular heartbeat or severe heart failure.

Q&A: our Spiriva discussion forum

Can I still drink alcohol?

Yes, alcohol is not thought to affect the way this treatment works.

Will I still be able to drive?

Yes, provided you experience no side effects which may cause your motor skills and judgment to become compromised. If you do, avoid driving and visit your doctor as soon as possible.

Can I take the medicine while pregnant?

If you are pregnant, breastfeeding or planning to become pregnant, discuss the use of this medicine with your doctor or family planning nurse prior to use.

How should I store it?

Keep in a safe place below 25°C and out of the reach of children.

Am I allergic to anything in the medicine?

This item contains: tiotropium (as bromide monohydrate) and lactose monohydrate.

Do not use it if you are allergic to any of these ingredients.

Is it available over-the-counter?

You will require a prescription to be able to buy Spiriva, which can be obtained via completion of our secure online consultation process.

Is it right for me?

It’s easy getting the medication you need. Just fill in our health assessment and one of our doctors will review your case. Once approved, your items will be dispensed at our UK-based pharmacy and shipped out by next-day parcel. We use secure courier services to deliver all orders, so that you don’t have to worry about your medication turning up late or getting lost in the post.

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