Home Educational Resources Inhalers Spiriva® Handihaler®
Generic Name: Tiotropium bromide
Instructions for use
- Wash and dry your hands well.
- Peel back the aluminum foil and remove a capsule immediately before using.
- Open the dust cap by pulling it upward.
- Open the white mouthpiece under the dust cap.
- Place the capsule in the center chamber.
- Close the mouthpiece firmly until you hear a click. Leave the dust cap open.
- Hold the inhaler with the mouthpiece up.
- Press the green piercing button all the way down once and release. This makes holes in the capsule and allows the medication to release when you breathe in.
- Sit up straight or stand up.
- Exhale out through your mouth away from the inhaler.
- Hold the inhaler level to the floor and place the mouthpiece in your mouth; seal your lips around it. Do not to block the air vents.
- Breathe in through your mouth until your lungs are full. You should hear the capsule vibrate.
- Remove the mouthpiece from your mouth and hold your breath for 10 seconds or as long as comfortable.
- Exhale slowly away from the inhaler.
- Repeat steps 9 to 14. You must inhale twice from same capsule to receive full dose of medication.
- Open the mouthpiece and gently tap out the capsule and powder into trash. Do not store capsules in the inhaler.
- Close the mouthpiece and dust cap. Store in a cool dry place.
Key product details
Medication Class & Use
- Long acting anticholinergic bronchodilator (maintenance inhaler): Works to relax the muscles that tighten around the airway and makes breathing easier.
- Use this inhaler every day to prevent symptoms, even if you are feeling well.
- Do not use for fast relief.
- Usual COPD Dosing: 2 inhalations (one capsule) once daily.
- Available in package containing 5 capsules, 30 capsules and 90 capsules.
- DO NOT SWALLOW CAPSULES.
- Check chamber for powder buildup and tap it out before use.
- Clean as needed- rinse in warm water and let air dry for 24 hours.
- Avoid getting powder in your eyes; the medicine can cause eye problems and worsen narrow angle glaucoma.
- Avoid use with other anticholenergic medications due to additive effect.
- Monitor for anticholinergic effects in patients with reduced renal function.
- Occasional irritation in the back of the throat may occur if you inhale capsule pieces. This is not harmful.
- Galvin WF, Dunn PJ, Kallstrom TJ. A Patient’s Guide to Aerosol Drug Delivery. American Association for Respiratory Care; 2010.
- Product Information: SPIRIVA(R) HandiHaler(R) oral inhalation capsules, tiotropium bromide oral inhalation capsules. Boehringer Ingelheim Pharmaceuticals, Inc, Ridgefield, CT, 2016.
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The information provided is educational purposes only. It should not be used as a substitute for professional medical advice, diagnosis or treatment.
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