{"id":23510,"date":"2022-08-02T07:08:23","date_gmt":"2022-08-02T07:08:23","guid":{"rendered":"https:\/\/zeepedia.com\/?p=23510"},"modified":"2022-08-03T07:37:20","modified_gmt":"2022-08-03T07:37:20","slug":"spiriva-respimat","status":"publish","type":"post","link":"https:\/\/zeepedia.com\/medical\/medicines\/spiriva-respimat\/","title":{"rendered":"Spiriva Respimat &#8211; Tiotropium uses, dose and side effects"},"content":{"rendered":"\n<p>2.5 micrograms per puff, inhalation liquid, solution<br><a href=\"https:\/\/zeepedia.com\/medical\/medicines\/tiogiva\/\">tiotropium<\/a><a><\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What Spiriva Respimat is and what it is used for<\/h2>\n\n\n\n<p>Spiriva Respimat helps people with chronic\u00a0obstructive pulmonary disease\u00a0(COPD) or\u00a0asthma\u00a0to breathe easier.\u00a0COPD is a long-term lung disease that can cause shortness of breath and cough.\u00a0The diagnosis of COPD is also associated with long-term\u00a0bronchial catarrh\u00a0(\u00a0chronic\u00a0bronchitis\u00a0) and enlarged lung sacs (\u00a0emphysema\u00a0).\u00a0Asthma\u00a0is a long-term disease in which\u00a0inflammation\u00a0of the airways and narrow airways are typical of the disease.\u00a0Because COPD and\u00a0asthma\u00a0are long-term illnesses, you should use Spiriva Respimat every day, not just when you have breathing problems or other symptoms.\u00a0If you use Spiriva Respimat to treat\u00a0asthma, you should use it together with a so-called inhaled\u00a0corticosteroid\u00a0and long-acting beta-2\u00a0agonist.<\/p>\n\n\n\n<p>Spiriva Respimat is a long-acting bronchodilator medicine that helps open your airways and makes it easier to get air in and out of the lungs.\u00a0Regular use of Spiriva Respimat can also help when you get a period of breathlessness due to\u00a0your disease and helps you reduce the disease&#8217;s impact on your daily life.\u00a0Daily use of Spiriva Respimat will also help prevent sudden, short-term worsening of COPD symptoms, which can last for several days.<\/p>\n\n\n\n<p>For the correct\u00a0dosage\u00a0of Spiriva Respimat, see section 3, How to use Spiriva Respimat, and the instructions for use on the back of the leaflet.<br><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What you need to know before you use Spiriva Respimat<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Do not use Spiriva Respimat<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>if you are allergic (hypersensitive) to tiotropium or any of the other ingredients of this medicine (listed in section 6).<\/li><li>if you are allergic (hypersensitive) to atropine or similar substances, eg ipratropium or tiotropium.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Warnings and precautions<\/h2>\n\n\n\n<p>Talk to your doctor or pharmacist before using Spiriva Respimat.<\/p>\n\n\n\n<p>Talk to your doctor if you have\u00a0narrow-angle\u00a0glaucoma, prostate problems, or difficulty emptying the bladder.<\/p>\n\n\n\n<p>Consult your doctor if you have kidney problems.<\/p>\n\n\n\n<p>When using Spiriva Respimat, be careful not to get the inhalation liquid in the eyes.\u00a0This can cause pain or discomfort in the eyes, blurred vision, and visual phenomena associated with red eyes (ie\u00a0narrow-angle glaucoma\u00a0).\u00a0Symptoms from the eyes may be accompanied by headache, nausea, or vomiting.\u00a0Clean the eyes with lukewarm water and stop using tiotropium bromide and contact your doctor immediately for advice.<\/p>\n\n\n\n<p>If breathing becomes difficult or you develop a rash, swelling, or\u00a0itching\u00a0immediately after\u00a0inhalation, stop using Spiriva Respimat and contact a doctor immediately.<\/p>\n\n\n\n<p>Dry mouth, observed during treatment with anticholinergic drugs, can lead to\u00a0dental caries\u00a0during long-term treatment.\u00a0Therefore, be careful with oral hygiene.<\/p>\n\n\n\n<p>Spiriva Respimat is intended for the maintenance treatment of your COPD disease or your\u00a0asthma.\u00a0Do not use this medicine to treat sudden attacks of shortness of breath or wheezing or wheezing.\u00a0Your doctor should have given you another inhaled medicine (&#8220;emergency medicine&#8221;) to relieve acute symptoms.\u00a0Follow the instructions your doctor has given you.<\/p>\n\n\n\n<p>If you have been prescribed Spiriva Respimat for your\u00a0asthma, you should use it together with an inhaled\u00a0corticosteroid\u00a0and long-acting beta-2\u00a0agonist.\u00a0Continue to use the inhaled\u00a0corticosteroid\u00a0as prescribed by your doctor, even if you feel better.<\/p>\n\n\n\n<p>If you have had a heart attack in the last 6 months or suffered from unstable or life-threatening heart rhythm disturbances or severe\u00a0heart failure\u00a0in the last year, tell your doctor.\u00a0It is important to decide whether Spiriva Respimat is the right medicine for you.<\/p>\n\n\n\n<p>Do not use Spiriva Respimat more often than once a day.<\/p>\n\n\n\n<p>If breathing worsens, contact a doctor.<\/p>\n\n\n\n<p>Tell your doctor if you have\u00a0cystic fibrosis\u00a0because Spiriva Respimat may worsen your symptoms of\u00a0cystic fibrosis.<br><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Children and young people<\/h2>\n\n\n\n<p>Spiriva Respimat is not recommended for children under 6 years of age.<br><a><\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Other medicines and Spiriva Respimat<\/h2>\n\n\n\n<p>Tell your doctor or pharmacist if you are using, have recently used, or might be using any other medicines, including non-prescription medicines.<\/p>\n\n\n\n<p>Tell the doctor or pharmacist if you are using\/have used similar anticholinergic medicines for your lung disease, eg ipratropium or tiotropium.<\/p>\n\n\n\n<p>No specific\u00a0side effects\u00a0have been reported when Spiriva Respimat has been used together with other medicines used in the treatment of COPD, such as bronchodilators for\u00a0inhalation\u00a0(eg\u00a0salbutamol\u00a0), methylxanthines (eg theophylline),\u00a0antihistamines, expectorants (eg ambroxol). , leukotriene receptor antagonists (eg montelukast), chromones, anti-\u00a0IgE\u00a0treatment (eg omalizumab), and\/or inhaled or oral\u00a0steroids\u00a0(eg budesonide,\u00a0prednisolone\u00a0).<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Pregnancy and breastfeeding<\/h2>\n\n\n\n<p>If you are pregnant or breastfeeding, think you may be pregnant, or are planning to have a baby, consult your doctor before using this medicine.<\/p>\n\n\n\n<p>You should only use this medicine if your doctor has specifically recommended it.<a><\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Driving ability and use of machinery<\/h2>\n\n\n\n<p>No studies have been carried out regarding the impact on driving and handling machinery.&nbsp;If dizziness or blurred vision occurs, it may affect the ability to drive or use machines.<\/p>\n\n\n\n<p>You are responsible for assessing whether you are fit to drive a motor vehicle or perform work that requires increased vigilance.\u00a0One of the factors that can affect your ability in these respects is the use of drugs due to their effects and\/or\u00a0side effects.\u00a0Description of these effects and\u00a0side effects\u00a0can be found in other sections.\u00a0Read all the information in this leaflet for guidance.\u00a0Discuss with your doctor or pharmacist if you are unsure.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Spiriva Respimat contains benzalkonium chloride<\/h2>\n\n\n\n<p>This medicine contains 0.0011 mg benzalkonium chloride per puff.\u00a0Benzalkonium chloride can cause wheezing and difficulty breathing (bronchial spasm), especially if you have\u00a0asthma.<br><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">How to use Spiriva Respimat<\/h2>\n\n\n\n<p>Always use this medicine as directed by your doctor or pharmacist.&nbsp;Ask your doctor or pharmacist if you are unsure.<\/p>\n\n\n\n<p>Spiriva Respimat is intended for\u00a0inhalation\u00a0only.<\/p>\n\n\n\n<p>The recommended\u00a0dose\u00a0for patients 6 years of age and older are:<\/p>\n\n\n\n<p>Spiriva Respimat is effective for 24 hours and therefore only needs to be used&nbsp;<strong>ONCE PER DAY,<\/strong>&nbsp;if possible at the same time.&nbsp;For each use, take TWO PUFFS.<\/p>\n\n\n\n<p>As COPD and\u00a0asthma\u00a0are long-term diseases, Spiriva Respimat should be used every day and not only for breathing problems.\u00a0Do not use more than the recommended\u00a0dose.<\/p>\n\n\n\n<p>Spiriva Respimat is not recommended for children under 6 years of age because there is no data regarding efficacy and safety.<\/p>\n\n\n\n<p>Make sure you know how to use the Spiriva Respimat inhaler correctly.&nbsp;The instructions for use for Spiriva Respimat can be found on the other side of this leaflet.<a><\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you have used too much Spiriva Respimat&nbsp;<\/h2>\n\n\n\n<p>If you use more than 2 puffs of Spiriva Respimat in a day, you should contact your doctor immediately.\u00a0You may be at higher risk of\u00a0side effects\u00a0such as\u00a0dry mouth, constipation, difficulty emptying the bladder, increased heart palpitations, and blurred vision.<\/p>\n\n\n\n<p>If you have ingested too much medicine or if, for example,\u00a0a child accidentally ingested the medicine, contact a doctor or hospital for an assessment of the risk and advice.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you forget to use Spiriva Respimat<\/h2>\n\n\n\n<p>If you forget to take a\u00a0dose\u00a0(TWO PUFFS ONCE A DAY), take one\u00a0dose\u00a0as soon as you remember, but do not take two\u00a0doses\u00a0at the same time or on the same day.\u00a0Take the next\u00a0dose\u00a0as usual.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you stop using Spiriva Respimat<\/h2>\n\n\n\n<p>Before you stop using Spiriva Respimat, talk to your doctor or pharmacist.&nbsp;If you stop using Spiriva Respimat, the symptoms of COPD or&nbsp;asthma&nbsp;may worsen.<\/p>\n\n\n\n<p>If you have any further questions about this medicine, ask your doctor or pharmacist.<a><\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Possible side effects<\/h2>\n\n\n\n<p>Like all medicines, this medicine can cause\u00a0side effects, although not everybody gets them.<\/p>\n\n\n\n<p>Side effects&nbsp;are evaluated based on the following frequencies:<\/p>\n\n\n\n<p><em>Common<\/em>: may affect up to 1 in 10 users<\/p>\n\n\n\n<p><em>Uncommon:<\/em>&nbsp;may affect up to 1 in 100 users<\/p>\n\n\n\n<p><em>Rare:<\/em>&nbsp;may affect up to 1 in 1,000 users<\/p>\n\n\n\n<p><em>Has been reported:<\/em>\u00a0occurs in an unknown number of users<\/p>\n\n\n\n<p>The side effects\u00a0described below have been reported by people using the medicine and are listed by frequency as either common, uncommon, rare or reported.<\/p>\n\n\n\n<figure class=\"wp-block-table\"><table><thead><tr><td><strong>Side effect<\/strong><\/td><td><strong>Frequency when used against COPD<\/strong><\/td><td><strong>Frequency when used against&nbsp;asthma<\/strong><\/td><\/tr><\/thead><tbody><tr><td>Dry mouth<\/td><td>Usual<\/td><td>Less common<\/td><\/tr><tr><td>Hoarseness (&nbsp;dysphonia&nbsp;)<\/td><td>Less common<\/td><td>Less common<\/td><\/tr><tr><td>Cough<\/td><td>Less common<\/td><td>Less common<\/td><\/tr><tr><td>Headache<\/td><td>Less common<\/td><td>Less common<\/td><\/tr><tr><td>Inflammation&nbsp;of the throat (&nbsp;pharyngitis&nbsp;)<\/td><td>Less common<\/td><td>Less common<\/td><\/tr><tr><td>Pain when emptying the bladder (&nbsp;dysuria&nbsp;)<\/td><td>Less common<\/td><td>Has been reported<\/td><\/tr><tr><td>Dizziness<\/td><td>Less common<\/td><td>Less common<\/td><\/tr><tr><td>Fungal infection of the mouth and throat (&nbsp;oropharyngeal&nbsp;candidiasis)<\/td><td>Less common<\/td><td>Less common<\/td><\/tr><tr><td>Difficulty emptying the bladder (&nbsp;urinary retention&nbsp;)<\/td><td>Less common<\/td><td>Has been reported<\/td><\/tr><tr><td>Constipation<\/td><td>Less common<\/td><td>Rare<\/td><\/tr><tr><td>Rash<\/td><td>Less common<\/td><td>Less common<\/td><\/tr><tr><td>Itching&nbsp;(&nbsp;pruritus&nbsp;)<\/td><td>Less common<\/td><td>Rare<\/td><\/tr><tr><td>Increased measured pressure in the eye (&nbsp;intraocular pressure&nbsp;)<\/td><td>Rare<\/td><td>Has been reported<\/td><\/tr><tr><td>Severe allergic reactions causing swelling of the face and throat (&nbsp;angioneurotic edema&nbsp;)<\/td><td>Rare<\/td><td>Rare<\/td><\/tr><tr><td>Insomnia<\/td><td>Rare<\/td><td>Less common<\/td><\/tr><tr><td>Irregular heartbeats (atrial fibrillation,&nbsp;supraventricular&nbsp;tachycardia&nbsp;)<\/td><td>Rare<\/td><td>Has been reported<\/td><\/tr><tr><td>A heartbeat that can be felt (\u00a0palpitation\u00a0er)<\/td><td>Rare<\/td><td>Less common<\/td><\/tr><tr><td>Epistaxis (&nbsp;epistaxis&nbsp;)<\/td><td>Rare<\/td><td>Rare<\/td><\/tr><tr><td>Inflammation&nbsp;of the tongue<\/td><td>Rare<\/td><td>Has been reported<\/td><\/tr><tr><td>Faster heartbeat (&nbsp;tachycardia&nbsp;)<\/td><td>Rare<\/td><td>Has been reported<\/td><\/tr><tr><td>Pressure on the chest, associated with coughing, wheezing or wheezing or shortness of breath immediately after&nbsp;inhalation&nbsp;(&nbsp;bronchospasm&nbsp;)<\/td><td>Rare<\/td><td>Less common<\/td><\/tr><tr><td>Difficulty swallowing (&nbsp;dysphagia&nbsp;)<\/td><td>Rare<\/td><td>Has been reported<\/td><\/tr><tr><td>Visual phenomena such as rings of light or colored images associated with red eyes (&nbsp;glaucoma&nbsp;)<\/td><td>Rare<\/td><td>Has been reported<\/td><\/tr><tr><td>Blurred vision<\/td><td>Rare<\/td><td>Has been reported<\/td><\/tr><tr><td>Inflammation&nbsp;of the larynx (&nbsp;laryngitis&nbsp;)<\/td><td>Rare<\/td><td>Has been reported<\/td><\/tr><tr><td>Caries&nbsp;in the teeth<\/td><td>Rare<\/td><td>Has been reported<\/td><\/tr><tr><td>Inflammation&nbsp;of the gums<\/td><td>Rare<\/td><td>Rare<\/td><\/tr><tr><td>Hives (&nbsp;urticaria&nbsp;)<\/td><td>Rare<\/td><td>Rare<\/td><\/tr><tr><td>Infection&nbsp;or sores in the skin<\/td><td>Rare<\/td><td>Has been reported<\/td><\/tr><tr><td>Dry skin<\/td><td>Rare<\/td><td>Has been reported<\/td><\/tr><tr><td>Infection&nbsp;in the urinary tract<\/td><td>Rare<\/td><td>Rare<\/td><\/tr><tr><td>Heartburn (&nbsp;gastroesophageal&nbsp;reflux)<\/td><td>Rare<\/td><td>Has been reported<\/td><\/tr><tr><td>Hypersensitivity, including immediate reactions<\/td><td>Has been reported<\/td><td>Rare<\/td><\/tr><tr><td>Inflammation&nbsp;of the oral mucosa<\/td><td>Has been reported<\/td><td>Rare<\/td><\/tr><tr><td>Loss of body fluids (&nbsp;dehydration&nbsp;)<\/td><td>Has been reported<\/td><td>Has been reported<\/td><\/tr><tr><td>Inflammation&nbsp;of the sinuses<\/td><td>Has been reported<\/td><td>Has been reported<\/td><\/tr><tr><td>Blockage in the intestines or failure to have bowel movements (intestinal obstruction incl. bowel obstruction)<\/td><td>Has been reported<\/td><td>Has been reported<\/td><\/tr><tr><td>Nausea<\/td><td>Has been reported<\/td><td>Has been reported<\/td><\/tr><tr><td>Severe&nbsp;allergic reaction&nbsp;(&nbsp;anaphylactic reaction&nbsp;)<\/td><td>Has been reported<\/td><td>Has been reported<\/td><\/tr><tr><td>Swollen joints<\/td><td>Has been reported<\/td><td>Has been reported<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p>Immediate\u00a0hypersensitivity reactions\u00a0such as skin rash,\u00a0hives\u00a0(\u00a0urticaria\u00a0), swelling of the mouth and face or sudden difficulty in breathing (\u00a0angioneurotic edema), or other\u00a0hypersensitivity reactions\u00a0(such as a sudden drop in blood pressure or dizziness) may occur as a single reaction or as part of a severe\u00a0allergic reaction\u00a0(\u00a0anaphylactic reaction\u00a0) after administration of Spiriva Respimat.<\/p>\n\n\n\n<p>In addition, as with other inhaled medicines, some patients may experience unexpected pressure in the chest, coughing, wheezing, or shortness of breath immediately after\u00a0inhalation.<\/p>\n\n\n\n<p>If any of these occur, contact your doctor immediately.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">How to store Spiriva Respimat<\/h2>\n\n\n\n<p>Keep this medicine out of the sight and reach of children.<\/p>\n\n\n\n<p>Use before the expiry date which is stated on the label and carton after EXP.&nbsp;The expiration date is the last day of the specified month.<\/p>\n\n\n\n<p>Do not freeze.<\/p>\n\n\n\n<p>Sustainability:<\/p>\n\n\n\n<p>Replace the medication container no later than three months after insertion.<\/p>\n\n\n\n<p>Do not use the same Respimat reusable&nbsp;inhaler&nbsp;for more than one year.<\/p>\n\n\n\n<p>Recommended use: up to 6 containers per\u00a0inhaler.<\/p>\n\n\n\n<p>Note: Respimat reusable&nbsp;inhaler&nbsp;has been tested with 540 puffs (corresponding to 9 containers) with maintained function.<\/p>\n\n\n\n<p>Medicines must not be thrown into the drain or among the household waste.\u00a0Ask the pharmacist how to dispose of medicines that are no longer used.\u00a0These measures will help to protect the environment.112<\/p>\n\n\n\n<p>Contents of the packaging and other information<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Contents declaration<\/h2>\n\n\n\n<p>The active substance is tiotropium.&nbsp;The delivered&nbsp;dose&nbsp;is 2.5 micrograms of tiotropium per puff (2 puffs give one medicinal dose) and corresponds to 3.124 micrograms of tiotropium bromide monohydrate.&nbsp;The delivered&nbsp;dose&nbsp;is the&nbsp;dose&nbsp;available to the patient after passing through the nozzle.<\/p>\n\n\n\n<p>Other ingredients are benzalkonium chloride, disodium edetate, purified water, and 3.6%\u00a0hydrochloric acid\u00a0(for\u00a0pH\u00a0adjustment).<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Appearance and package sizes of the medicine<\/h2>\n\n\n\n<p>Spiriva Respimat 2.5 micrograms per puff consist of a medicinal container with inhalation solution and a Respimat\u00a0inhaler.\u00a0The container must be inserted into the inhaler before first use.<\/p>\n\n\n\n<p>1-pack: 1 Respimat reusable&nbsp;inhaler&nbsp;and 1 medication container, containing 60 puffs (30 medication doses)<\/p>\n\n\n\n<p>3-pack: 1 Respimat reusable&nbsp;inhaler&nbsp;and 3 medication containers, each containing 60 puffs (30 medication doses)<\/p>\n\n\n\n<p>1-pack refill: 1 medication container containing 60 puffs (30 medication doses)<\/p>\n\n\n\n<p>3-pack refill: 3 medication containers containing 60 puffs (30 medication doses) each<\/p>\n\n\n\n<p>Not all pack sizes may be marketed.<br><a><\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Marketing authorization holder and manufacturer<\/h2>\n\n\n\n<p><strong>Marketing Authorisation Holder:<\/strong><\/p>\n\n\n\n<p>Boehringer Ingelheim International GmbH<\/p>\n\n\n\n<p>Binger Stra\u00dfe 173<\/p>\n\n\n\n<p>D-55216 Ingelheim am Rhein<\/p>\n\n\n\n<p>Germany<\/p>\n\n\n\n<p><strong>Manufacturer:<\/strong><\/p>\n\n\n\n<p>Boehringer Ingelheim Pharma GmbH &amp; Co.&nbsp;KG<\/p>\n\n\n\n<p>Binger Stra\u00dfe 173<\/p>\n\n\n\n<p>D-55216 Ingelheim am Rhein<\/p>\n\n\n\n<p>Germany<\/p>\n\n\n\n<p>or<\/p>\n\n\n\n<p>Boehringer Ingelheim Espa\u00f1a, SA<\/p>\n\n\n\n<p>c\/ Prat de la Riba, 50<\/p>\n\n\n\n<p>08174 Sant Cugat del Vall\u00e8s (Barcelona)<\/p>\n\n\n\n<p>Spain<\/p>\n\n\n\n<p>or<\/p>\n\n\n\n<p>Boehringer Ingelheim France<\/p>\n\n\n\n<p>100-104 Avenue de France<\/p>\n\n\n\n<p>75013 Paris<\/p>\n\n\n\n<p>France<\/p>\n\n\n\n<p><strong>Information provided by:<\/strong><\/p>\n\n\n\n<p>Boehringer Ingelheim AB<\/p>\n\n\n\n<p>Box 92008<\/p>\n\n\n\n<p>120 06 Stockholm<\/p>\n\n\n\n<p>Phone: 08 &#8211; 721 21 00<\/p>\n\n\n\n<p>Email: info.sto@boehringer-ingelheim.com<\/p>\n\n\n\n<p><strong>This medicine is approved in the European Economic Area under the names:<\/strong><\/p>\n\n\n\n<p><strong>Austria&nbsp;<\/strong><strong>, Liechtenstein:<\/strong>&nbsp;Spiriva Respimat 2.5 Micrograms &#8211; L\u00f6sung zur&nbsp;Inhalation<\/p>\n\n\n\n<p><strong>Belgium, Luxembourg:<\/strong>&nbsp;Spiriva Respimat 2.5 microgrammes, solution \u00e0 inhaler<\/p>\n\n\n\n<p><strong>Bulgaria&nbsp;<\/strong><strong>:<\/strong>&nbsp;\u0421\u043f\u0438\u0440\u0438\u0432\u0430 \u0420\u0435\u0441\u043f\u0438\u043c\u0430\u0442 2.5 \u043c\u0438\u043a\u0440\u043e\u0433\u0440\u0430\u043c\u0430, \u0445\u043e\u0440\u043e\u0448\u043e \u0437\u0430 \u0438\u043d\u0445\u0430\u043b\u0430\u0446\u0438\u044f<\/p>\n\n\n\n<p><strong>Cyprus&nbsp;<\/strong><strong>,&nbsp;<\/strong><strong>Greece&nbsp;<\/strong><strong>:<\/strong>&nbsp;Spiriva Respimat 2.5 \u03bc\u03b9\u03ba\u03c1\u03bf\u03b3\u03c1\u03b1\u03bc\u03bc\u03ac\u03c1\u03b9\u03b1, \u03b5\u03b9\u03c3\u03c0\u03bd\u03b5\u03cc\u03bc\u03b5\u03bd\u03bf \u03c0\u03c1\u03bf\u03c6\u03bf\u03c1\u03af\u03b1&nbsp;<\/p>\n\n\n\n<p><strong>Czech Republic:<\/strong>\u00a0Spiriva Respimat<\/p>\n\n\n\n<p><strong>Denmark:<\/strong>\u00a0Spiriva Respimat Inhalation liquid, solution 2.5 micrograms<\/p>\n\n\n\n<p><strong>Estonia&nbsp;<\/strong><strong>:<\/strong>&nbsp;SPIRIVA RESPIMAT inhalatsionilahus 2.5\u00b5g\/annuses<\/p>\n\n\n\n<p><strong>Finland:<\/strong>\u00a0SPIRIVA RESPIMAT 2.5 microg inhalation ester, limos<\/p>\n\n\n\n<p><strong>France&nbsp;<\/strong><strong>:<\/strong>&nbsp;Spiriva Respimat 2.5 microgrammes\/dose, solution pour&nbsp;inhalation<\/p>\n\n\n\n<p><strong>Germany&nbsp;<\/strong><strong>:<\/strong>&nbsp;Spiriva Respimat 2.5 Microgram L\u00f6sung zur&nbsp;Inhalation<\/p>\n\n\n\n<p><strong>Hungary&nbsp;<\/strong><strong>:<\/strong>&nbsp;Spiriva Respimat 2.5 micrograms inhal\u00e1ci\u00f3s oldat<\/p>\n\n\n\n<p><strong>Iceland:<\/strong>\u00a0Spiriva Respimat 2.5 micrograms\/dose<\/p>\n\n\n\n<p><strong>Ireland, Malta,<\/strong><\/p>\n\n\n\n<p><strong>UK (Northern Ireland):<\/strong>&nbsp;Spiriva Respimat 2.5 microgram,&nbsp;inhalation&nbsp;solution<\/p>\n\n\n\n<p><strong>Italy&nbsp;<\/strong><strong>:<\/strong>&nbsp;Spiriva Respimat 2.5 mcg soluzione per inalazione<\/p>\n\n\n\n<p><strong>Latvia<\/strong>:\u00a0Spiriva Respimat 2.5 micrograms sh\u0137idums inhalation<\/p>\n\n\n\n<p><strong>Lithuania<\/strong>:\u00a0Spiriva Respimat 2.5 micrograms\/i\u0161pur\u0161kime \u012fkvepiamasis tirpalas<\/p>\n\n\n\n<p><strong>The Netherlands&nbsp;<\/strong><strong>:<\/strong>&nbsp;Spiriva Respimat 2.5 microgram, inhalatie oplossing<\/p>\n\n\n\n<p><strong>Norway:<\/strong>\u00a0Spiriva Respimat 2.5 micrograms inhalation solution, solution<\/p>\n\n\n\n<p><strong>Poland&nbsp;<\/strong><strong>:<\/strong>&nbsp;Spiriva Respimat 2.5 micrograms\/dawk\u0119 odmierzon\u0105, roztw\u00f3r do inhalacji<\/p>\n\n\n\n<p><strong>Portugal&nbsp;<\/strong><strong>:<\/strong>&nbsp;Spiriva Respimat 2.5 mg\/dose, Solu\u00e7\u00e3o para inhal\u00e7\u00e3o por nebuliza\u00e3o<\/p>\n\n\n\n<p><strong>Romania<\/strong>:\u00a0SPIRIVA RESPIMAT 2.5 micrograms s\u00f5lu de inhalant<\/p>\n\n\n\n<p><strong>Slovakia&nbsp;<\/strong><strong>:<\/strong>&nbsp;Spiriva Respimat sol ihl 2.5 \u00b5g\/1 dose<\/p>\n\n\n\n<p><strong>Slovenia&nbsp;<\/strong><strong>:<\/strong>&nbsp;Spiriva Respimat 2.5 micrograms razpotina za inhaliranje<\/p>\n\n\n\n<p><strong>Spain:<\/strong>\u00a0Spiriva Respimat 2.5 microgramos, soluci\u00f3n para inhalaci\u00f3n<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Spiriva Respimat helps people with chronic\u00a0obstructive pulmonary disease\u00a0(COPD) or\u00a0asthma\u00a0to breathe easier.\u00a0COPD is a long-term lung disease that can cause shortness of breath and cough.\u00a0The diagnosis of COPD is also associated with long-term\u00a0bronchial catarrh\u00a0(\u00a0chronic\u00a0bronchitis\u00a0) and enlarged lung sacs (\u00a0emphysema\u00a0).\u00a0Asthma\u00a0is a long-term disease in which\u00a0inflammation\u00a0of the airways and narrow airways are typical of the disease.\u00a0Because COPD and\u00a0asthma\u00a0are long-term illnesses, you should use Spiriva Respimat every day, not just when you have breathing problems or other symptoms.\u00a0If you use Spiriva Respimat to treat\u00a0asthma, you should use it together with a so-called inhaled\u00a0corticosteroid\u00a0and long-acting beta-2\u00a0agonist\u00a0.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"cybocfi_hide_featured_image":"","footnotes":""},"categories":[2200,18530],"tags":[24654,24544,24652,24653,8517,8519,24655,8518,24656,8520],"class_list":["post-23510","post","type-post","status-publish","format-standard","hentry","category-medicines","category-s","tag-benefits-of-spiriva-respimat","tag-benefits-of-tiotropium","tag-spiriva-respimat","tag-spiriva-respimat-side-effects","tag-tiotropium","tag-tiotropium-side-effects","tag-what-is-spiriva-respimat","tag-what-is-tiotropium","tag-what-spiriva-respimat-is-used-for","tag-what-tiotropium-is-used-for"],"_links":{"self":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/23510","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/comments?post=23510"}],"version-history":[{"count":4,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/23510\/revisions"}],"predecessor-version":[{"id":23568,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/23510\/revisions\/23568"}],"wp:attachment":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/media?parent=23510"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/categories?post=23510"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/tags?post=23510"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}