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Starting from £77.00
Starting from £77.00
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Buy Spiriva online

Spiriva is a treatment for COPD. It comes as a hard capsule that’s used alongside your Handihaler, or as a powder that works in the same way.

Talk to us about your health, and order Spiriva online.

Starting from £77.00
Here’s what's included in the price:
Answer a few questions about your health so we can get to know you better.
Free 24h delivery
Your treatment delivered in secure packaging, the very next day.
We’ll check in with you regularly to see how your treatment is going.
This page was medically reviewed by Dr Daniel Atkinson, GP Clinical Lead on August 02, 2022. Next review due on August 01, 2024.

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Dr Daniel Atkinson

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What’s included? Everything.

Delivery, consultation, treatment. It’s all included in the price.

Spiriva HandihalerTiotropium

  • Handihaler - 18mcg
Quantity Starting from
30 Capsule £77.00
60 Capsule £141.00 Save £13.00
90 Capsule £203.00 Save £28.00

Combivent UDVsIpratropium + Salbutamol

  • 500mcg/3mg per 2.5ml
Quantity Starting from
60 dose(s) £58.00
120 dose(s) £98.00 Save £18.00

Onbrez InhalerIndacaterol

  • 150mcg
  • 300mcg
Quantity Starting from
30 Tablet £72.00
60 Tablet £130.00 Save £14.00
90 Tablet £188.00 Save £28.00
Quantity Starting from
30 Capsule £72.00
60 Capsule £130.00 Save £14.00
90 Capsule £188.00 Save £28.00

Seebri BreezhalerGlycopyrronium

  • 44mcg
Quantity Starting from
30 Capsule £64.00
60 Capsule £114.00 Save £14.00
90 Capsule £168.00 Save £24.00

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Disclaimer: The information provided on this page is not a substitute for professional medical advice, diagnosis, or treatment. If you have any questions or concerns about your health, please talk to a doctor.

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What is Spiriva?

Spiriva is a medication that’s prescribed to treat COPD, a group of conditions that cause airflow blockage and breathing-related problems. There are two types of treatment available. Spiriva Handihaler and Spiriva Respimat. They both contain the same active ingredient, tiotropium bromide. The main difference is the way that they’re both taken.

Spiriva Handihaler is used with a capsule. This capsule is inserted into your Handihaler and pierced, which then releases a powder that you inhale. Spiriva Respimat comes as a powder instead of a capsule, but it’s still inhaled using your inhaler. It’s down to you to decide which form of Spiriva you might prefer to use.

How does Spiriva work?

The active ingredient in both Spiriva treatments is tiotropium, which is a bronchodilator (a substance that relaxes and opens up your airways). The result is that breathing becomes easier, reducing the symptoms of COPD. It can also prevent your condition from worsening and causing further negative effects.

Bronchodilators work by targeting the beta-2 receptor in your lung’s airways. When this receptor is activated the muscles in your airways relax, resulting in easier breathing.

What doses of Spiriva are there?

There are two doses of Spiriva, and they depend on whether you choose the Handihaler or the Respimat. The Handihaler comes in capsules with 18 micrograms of tiotropium. This version of the treatment only needs to be taken once a day. The Respimat version comes in doses of 2.5 micrograms of tiotropium, which is to be taken in two puffs – also once a day.

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How to use Spiriva

Always follow the advice of your prescriber.

  • Pull the cap and mouthpiece upwards on your Handihaler to open it. (You’ll need to press the pierce button in and then let go.)
  • Remove the Spiriva capsule from the package. Just make sure to do this immediately before you are due to take it. Once removed, place the capsule in the now open chamber.
  • Close the mouthpiece but keep the dust cap open. Once closed you should hear a click.
  • Hold the HandiHaler with the mouthpiece facing up. Press the piercing button on the side. This will pierce the capsule and allow you to inhale the powder inside.
  • Completely breathe out, while avoiding breathing into the mouthpiece.
  • Put the device to your mouth with your lips around the mouthpiece. Keep your head up and breathe in from the HandiHaler slowly and deeply. You might hear or feel the capsule vibrate. If you do then you are taking the treatment correctly.
  • Breathe in as much as you can. When your lungs are full, hold your breath for as long as you can. Make sure to remove the Handihaler from your mouth at the same time as doing this.
  • Repeat steps five and six until the capsule is completely empty.
  • Open the mouthpiece. Remove the used capsule.
  • Close your Handihalers mouthpiece and dust cap and store it somewhere safe.

For the Respimat, instructions are as follows:

  • Press down on the safety catch with one hand while pulling off the clear base with the other.
  • Place the Respimat cartridge into your inhaler. Once done, place your inhaler on a hard surface and push down until it clicks into place.
  • Mark the check-box on the inhalers label to keep a track of the number of cartridges used. Once done, put the clear base back into place. You should hear a click if done successfully.
  • Keep the cap closed and turn the clear base in the same direction as the arrows shown. You’ll know that this is done when you hear the device click. This usually takes around half a turn.
  • Open the cap until it fully snaps open.
  • Point the inhaler towards the ground and click the dose release button. Close the cap and repeat steps four to six until a cloud appears.
  • Once you see a cloud, repeat steps four to six another three times. Once you have completed these steps, the Respimat is ready to use. It will deliver 60 puffs (30 doses) before needing another cartridge.

How long does it take Spiriva to work?

You should feel some positive effects take place shortly after inhalation. You’ll need to regularly use this treatment to feel its full effects. It’s recommended that you do this for four to eight weeks.

What should I do if I make a mistake when using Spiriva?

If you forget a dose of Spiriva Handihaler or Spiriva Respimat then it’s important that you don’t double the dose to make up for the forgotten dose. Instead, just take your next dose as soon as you remember. If it is almost time for your next dose then just wait until then instead. If you take too much Spiriva then you should seek medical attention.

Medically reviewed by
Dr Daniel Atkinson
GP Clinical Lead
on August 02, 2022.
Meet Daniel
This page was medically reviewed by Dr Daniel Atkinson, GP Clinical Lead on August 02, 2022. Next review due on August 01, 2024.

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When we present you with stats, data, opinion or a consensus, we’ll tell you where this came from. And we’ll only present data as clinically reliable if it’s come from a reputable source, such as a state or government-funded health body, a peer-reviewed medical journal, or a recognised analytics or data body. Read more in our editorial policy.

FAQ: Spiriva

Have something specific you want to know? Search our info below, or ask our experts a question if you can’t find what you’re looking for.

Is Spiriva similar to any other treatments?

There is a generic, non-branded form of tiotropium available. There’s also another branded version called Braltus which offers the same dose as the Spiriva Handihaler. These treatments will vary in cost and the way that they’re used and produced, but will work in similar ways to treat your COPD.

Which version of Spiriva should I use?

The version of Spiriva that you should use will depend on your own personal preference, as they’re both just as effective as each other in treating COPD. Some people prefer to use the Handihaler, whereas others prefer to use the Respimat.

How effective is Spiriva?

Clinical studies have shown that Spiriva Respimat and Spiriva Handihaler are both highly effective at reducing the impact of COPD symptoms and preventing any further degeneration. After just eight weeks the treatment was logged as having “very good” results against patients with COPD of any severity. Both the Handihaler and Respimat versions have been shown to have the same rate of effectiveness.

Do I need a prescription for Spiriva?

You’ll need a prescription for both the Spiriva Respimat and Handihaler. This is just to make sure that the treatment is safe for you to use before you take it. You’ll be able to order a regular prescription of this treatment online after having a chat with our clinician about your health.

Why should I buy Spiriva online with Treated?

Subscribe to Treated for COPD treatments made easy. Once you’ve talked to our experts, we can generate a prescription for the treatment you need to be delivered to you on a schedule that works for you.

We also provide expert aftercare, so we’ll keep regular contact with you once you’ve got your treatment to make sure it’s working as expected. You can change or cancel your subscription whenever you want.
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