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Spiriva

Tiotropium

RespiratoryInhaler18mcgATC R03BB04

Ingredients & Drug Type

Spiriva is listed as Respiratory containing Tiotropium. A respiratory medicine used for allergy, asthma, or airway symptoms depending on dosage form.

Active ingredient
Tiotropium
Therapeutic class
Respiratory
Dosage form
Inhaler
Strength
18mcg

Dosing

Adult
1 puff مرة يومياً
Frequency
حسب الحاجة
Route
inhalation
  • Frequency: حسب الحاجة.
  • Route: inhalation.
  • The final dose depends on diagnosis, age, weight, kidney/liver function, pregnancy status, and other medicines.
  • Use the dose written by your doctor or pharmacist; this page is educational and not a personal prescription.

Instructions: اشطف الفم بالماء بعد كل استخدام

Pregnancy Category
C — Use only if benefit outweighs risk

Medical Overview

Spiriva is listed as Respiratory containing Tiotropium. A respiratory medicine used for allergy, asthma, or airway symptoms depending on dosage form.

Spiriva (tiotropium) — COPD maintenance’s global cornerstone: 24-hour LAMA bronchodilation, fewer exacerbations and admissions (UPLIFT), plus an approved severe-asthma add-on (Respimat). The famous HandiHaler rule: the capsule goes in the DEVICE, never swallowed (documented worldwide); never a rescue inhaler; dry mouth is the toll; smoking cessation and vaccines remain the real disease-modifiers.

Uses / Indications

  • Maintenance treatment of COPD
  • Asthma, allergic rhinitis, cough, or airway narrowing depending on diagnosis.

Side Effects

  • جفاف الفم (الأشيع — مضاد كوليني: ماء وعلكة)
  • طعم معدني
  • إمساك خفيف
  • وبحة. احتباس بولي لدى مضخمي البروستات (يُسأل عنه)
  • وتسرع نبض نادر. رذاذه بالعين خطأً: توسع حدقة وخطر زرق حاد (أغمض عينيك بالاستنشاق).
  • Tremor, palpitations, dry mouth, throat irritation, or hoarseness depending on the medicine.

Contraindications

  • حساسية له أو للأتروبين وأقاربه. حذر: زرق مغلق الزاوية
  • تضخم بروستات بأعراض احتباس
  • وقصور كلوي متوسط+ (مراقبة). **ليس بخاخ إنقاذ** — الأزمة للموسع السريع دائماً.
  • Drug allergy or unsupervised inhaler use in severe breathlessness.

Warnings

  • قاعدة الهاندي هيلر الذهبية: الكبسولة **للجهاز لا للفم** — تُوضع بحجرته وتُثقب وتُستنشق بشهيقين عميقين (حالات بلع موثقة عالمياً أفقدت الجرعة وأربكت المرضى). نفس الموعد صباحاً
  • ولا يوقف عند التحسن — ثباته اليومي هو ما يبعد النوبات. وكالعادة الأصدق: **الإقلاع عن التدخين ولقاحا الإنفلونزا والمكورات** يفعلون لرئتك ما لا يفعله أي بخاخ. نهجة متسارعة رغم الالتزام = مراجعة خطة (ثنائي/ثلاثي أحدث؟). احجز صدرية عبر كلينكس جو.
  • Severe breathlessness, blue lips, or no response to rescue inhaler needs emergency care.

Drug Interactions

  • لا يُجمع بمضاد مسكاريني آخر (أتروفنت معه تكرار صنفي بلا داعٍ)
  • ومضادات الكولين الجهازية تراكب جفافه واحتباسه. سواها نظيف.
  • May interact with heart medicines, some antidepressants, or QT-prolonging medicines.

Patient Guidance

  • Learn correct inhaler technique.
  • Rinse the mouth after steroid inhalers.
  • Keep a written asthma action plan when relevant.

Before Using This Medicine

Tell your clinician before use if you have

  • Any previous allergy to this medicine, its class, or any ingredient.
  • Pregnancy, breastfeeding, planned pregnancy, or fertility treatment.
  • Kidney, liver, heart, stomach ulcer, bleeding, epilepsy, or chronic disease history.
  • Regular medicines, supplements, herbal products, or alcohol use.

Seek urgent care if you notice

  • Breathing difficulty, face or throat swelling, severe rash, fainting, or chest pain.
  • Severe diarrhea, black stools, vomiting blood, yellow eyes, confusion, or unusual bleeding.
  • Any symptom that feels severe, new, or rapidly worsening after taking the medicine.

Need a prescription or advice about Spiriva?

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Storage & Manufacturer

Storage:
Store at room temperature away from heat, moisture, and direct sunlight unless the package label says otherwise.

Trusted Medical Sources

Use these references to verify official labeling, patient information, therapeutic class, dosing cautions, contraindications, and safety updates.

Common Questions

What is Spiriva?

Spiriva contains Tiotropium and is categorized as Respiratory. Its exact use depends on diagnosis and the official product label.

What is the dose of Spiriva?

Catalog dosing information includes: 1 puff مرة يومياً. The personal dose must be confirmed by a doctor or pharmacist.

What warnings matter before using Spiriva?

Check allergies, pregnancy or breastfeeding, chronic disease, and all current medicines before use. Seek urgent care for severe allergy or rapidly worsening symptoms.

How should Spiriva be stored?

Store at room temperature away from heat, moisture, and direct sunlight unless the package label says otherwise.

Medical disclaimer: This page is for educational purposes only. It does not replace personalized advice from a licensed pharmacist or your treating physician. Dose, interactions, and contraindications may vary by individual patient. Always confirm with your healthcare provider before starting, stopping, or changing any medication.

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