Easy to use long-acting treatment for COPD.

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.
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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.
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.
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.
How we source info.
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.
Always follow the advice of your prescriber.
For the Respimat, instructions are as follows:
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.
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.
How we source info.
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.
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.
Role of tiotropium in the treatment of COPD. International Journal of Chronic Obstructive Pulmonary Disease, 2(2), pp.95–105.
Spiriva 18 microgram inhalation powder, hard capsule - Patient Information Leaflet (PIL) - (emc).
Spiriva Respimat 2.5 microgram, inhalation solution - Patient Information Leaflet (PIL) - (emc).
[The efficacy of tiotropium bromide (spiriva) in the treatment of patients with chronic obstructive pulmonary disease of varying severity: results of the Russian trial]. Terapevticheskii Arkhiv, 82(10), pp.46–51.
Treatment
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30 Capsule | £88.95 |
60 Capsule | £162.95 Save £14.95 |
90 Capsule | £233.95 Save £32.90 |
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1 Pack | £83.95 |
2 Pack | £152.95 Save £14.95 |
3 Pack | £217.95 Save £33.90 |
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1 Dose | £33.95 |
2 Dose | £53.95 Save £13.95 |
3 Dose | £72.95 Save £28.90 |
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120 Capsules | £28.95 |
240 Capsules | £44.95 Save £12.95 |
360 Capsules | £56.95 Save £29.90 |
Quantity | Starting from |
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60 dose(s) | £66.95 |
120 dose(s) | £112.95 Save £20.95 |
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30 Capsule | £73.95 |
60 Capsule | £130.95 Save £16.95 |
90 Capsule | £193.95 Save £27.90 |
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30 Dual Doses | £83.95 |
120 Dual Doses | £152.95 Save £182.85 |
180 Dual Doses | £221.95 Save £281.75 |
Quantity | Starting from |
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30 Pack | £106.95 |
60 Pack | £198.95 Save £14.95 |
90 Pack | £279.95 Save £40.90 |
Quantity | Starting from |
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120 Pack | £116.95 |
240 Pack | £208.95 Save £24.95 |
360 Pack | £289.95 Save £60.90 |
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Powder inhaler with three active ingredients to improve COPD.
Combination relief and prevention for COPD symptoms, in an MDI or NEXThaler.
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