SPIRIVA HANDIHALER Rx
Generic Name and Formulations:
Tiotropium (as bromide monohydrate) 18mcg/cap; dry pwd in caps for oral inhalation; with inhaler device.
Boehringer Ingelheim Pharmaceuticals
Indications for SPIRIVA HANDIHALER:
Long-term maintenance treatment of bronchospasm due to COPD, including chronic bronchitis and emphysema. To reduce exacerbations of COPD.
2 inh of one capsule contents (18mcg) once daily, using HandiHaler inhalation device. Max: 2 inh/24hrs. Do not swallow caps.
Allergy to ipratropium.
Not for the relief of acute symptoms. Discontinue if immediate hypersensitivity reactions (eg, angioedema) or paradoxical bronchospasm occurs; consider alternative therapy. Monitor for signs/symptoms of worsening narrow-angle glaucoma or worsening urinary retention (esp. GI or GU obstruction). Moderate-to-severe renal impairment; monitor for anticholinergic effects. Allergy to atropine or its derivatives; monitor. HandiHaler: avoid getting powder into eyes; or allergy to milk proteins. Pregnancy. Labor & delivery. Nursing mothers.
Avoid other anticholinergics.
Upper respiratory tract infection, dry mouth, sinusitis, pharyngitis, bronchitis, cough, headache, non-specific chest pain, UTI, dyspepsia, rhinitis, other anticholinergic effects (eg, urinary retention, constipation, dysuria, tachycardia, blurred vision, glaucoma); paradoxical bronchospasm.
HandiHaler (caps w. inh device)—5, 30, 90; Respimat (cartridge w. inh device)—4g (60 inh)
Sign Up for Free e-newsletters
Psychiatry Advisor Articles
- Effectiveness of Exercise in Decreasing Depressive Symptoms
- Obsessive Compulsive Disorder Associated With Decreased Educational Attainment
- Neuroactive Steroids May Be Therapeutic Targets for Depression and Anxiety
- Antidepressant Effectiveness for Depression in Schizophrenia
- Dementia Risk Not Associated With Proton Pump Inhibitor Use
- Nutritional Psychiatry: Emerging Evidence and Expert Interview
- Bipolar Disorder, Borderline Personality Disorder May Represent the Same Disorder
- FDA Approval: Once-Monthly Buprenorphine Injection for Opioid Use Disorder
- Posttreatment Brain Effects of Psilocybin in Patients With Treatment-Resistant Depression
- Borderline Personality Disorder: Not Just an Adult Condition
- Psychosis Treatment Failure More Common in Patients With ASD
- Psychiatric Risk for Female Offspring of World War II Finnish Evacuees
- Making a Decision: Using Conscious vs Unconscious Thinking to Solve the Problem
- Adult ADHD May Negatively Affect Fibromyalgia-Related Morbidity
- Depression Screening Tools Accurate in Post-Acute Coronary Syndrome