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Spiriva (Tiotropium) |
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Home » Allergy » Spiriva (Tiotropium) Spiriva is an anticholinergic medication. Spiriva prevents narrowing of the airways. Spiriva is used in the treatment of bronchospasm associated with chronic obstructive pulmonary disease (COPD) such as chronic bronchitis and emphysema. Buy Spiriva (Tiotropium) and other Allergy products online at Medstore. Buy Online at Medstore - Click Here!
About Spiriva (Tiotropium): Product Type: Allergy Brand name: Spiriva Generic name: Tiotropium What is the most important information I should know about Spiriva? Spiriva is not intended for use during acute bronchospastic attacks (sudden occurrence of difficulty breathing). It may not be able to open your airways and allow you to breath. Tiotropium is used to prevent attacks it should not be used as a rescue medication. It is very important that you use the tiotropium inhaler properly so that the medicine gets into the lungs. Talk to your healthcare provider about proper inhaler use. In rare cases Spiriva has been associated with the development of narrow-angle glaucoma an eye disorder. Contact your doctor immediately if you develop symptoms suggestive of narrow-angle glaucoma such as eye pain or discomfort blurred vision visual halos around objects color distortion or redness of the eyes. Do not allow the powder to come into contact with the eyes. This may cause blurring of vision and dilation of the pupils. If contact with the eyes occurs flush with water and seek medical attention if side effects occur. What is Spiriva? Spiriva is an anticholinergic medication. Tiotropium prevents narrowing of the airways. Spiriva is used in the treatment of bronchospasm associated with chronic obstructive pulmonary disease (COPD) such as chronic bronchitis and emphysema. Spiriva may also be used for purposes other than those listed in this medication guide. What should I discuss with my healthcare provider before using Spiriva? Do not use Spiriva without first talking to your doctor if you have: • an allergy to ipratropium (Atrovent Combivent) or atropine; • narrow-angle glaucoma; • kidney disease; • enlargement of the prostate; or • difficulty urinating. You may not be able to use Spiriva or you may require a dosage adjustment or special monitoring during treatment if you have any of the conditions listed above. Spiriva is in the FDA pregnancy category C. This means that it is not known whether it will be harmful to an unborn baby. Do not use Spiriva without first talking to your doctor if you are pregnant or could become pregnant during treatment. It is not known whether tiotropium passes into breast milk. Do not use Spiriva without first talking to your doctor if you are breast-feeding a baby. How should I use Spiriva? Use Spiriva exactly as directed by your doctor. If you do not understand these instructions ask your pharmacist nurse or doctor to explain them to you. Tiotropium capsules are intended for use in the inhaler provided. Do not swallow the capsules. Do not use the inhaler device to administer any medications other than tiotropium. The tiotropium capsules should be stored in the sealed blisters and only removed immediately before use. The drug should be used immediately after the packaging over an individual capsule is opened or else its effectiveness may be reduced. If additional capsules are accidentally exposed to air they should be thrown away and not used. Separate a blister card along the perforated line. Carefully peel back the aluminum foil using the tab until one capsule is fully visible. Peel back the foil only as far as the "STOP" line printed on the foil to prevent exposure of more than one capsule. After using the first capsule the 2 remaining capsules in the blister strip should be used over the next 2 consecutive days. To use the inhaler: • Open the dust cap on the inhaler device by pulling it upwards. Then open the mouthpiece. Insert the capsule in the center chamber. It does not matter which end of the capsule is placed in the chamber. Close the mouthpiece firmly until you hear a click leaving the dust cap open. • Hold the inhaler device with the mouthpiece upwards and press the piercing button completely in one time and release. This makes holes in the capsule and allows the medication to be released when you breathe in through the mouthpiece. • Breathe out fully away from the mouthpiece. Never breathe into the mouthpiece. • Raise the inhaler to your mouth and close your lips tightly around the mouthpiece. Keep your head in an upright position and breathe in slowly and deeply but at a rate sufficient to hear the capsule vibrate. Breathe in until your lungs are full. Hold your breath as long as is comfortable and at the same time take the inhaler out of your mouth. Resume normal breathing. • To ensure you get the full dose breathe out once again place the inhaler back in your mouth and breathe in deeply again. • After completing a dose open the mouthpiece and tip out the used capsule and dispose. Close the mouthpiece and dust cap for storage of the inhaler. Spiriva is usually used once a day. Follow your doctor's instructions. Do not use more of the medication or use it more often than is directed. The tiotropium capsules contain only a small amount of powder and as a result the capsule is only partially filled. After using a dose you may notice that a tiny amount of the powder is left in the capsule. This is normal. It is very important that you use the tiotropium inhaler properly so that the medicine gets into the lungs. Talk to your healthcare provider about proper inhaler use. It is important to use Spiriva regularly to get the most benefit. Spiriva is not intended for use during acute bronchospastic attacks (sudden occurrence of difficulty breathing). It may not be able to open your airways and allow you to breath. Tiotropium is used to prevent attacks it should not be used as a rescue medication. Your doctor may want you to have lung function tests or other medical evaluations during treatment with Spiriva to monitor progress and side effects. Normally during a one-month period of use the inhaler device does not need to be cleaned. However if cleaning is necessary open the dust cap and mouth piece. Open the base by lifting the piercing button. Rinse the entire inhaler with warm water to remove any powder. Do not use cleaning agents or detergents. Tip out any water and air-dry leaving the dust cap mouthpiece and base open. It takes about 24 hours to air dry so if cleaning is needed do it immediately following a dose so it will be ready for the next dose. Do not use the inhaler if it is wet. The outside of the inhaler can be cleaned with a damp not wet tissue. Store Spiriva at room temperature away from moisture and heat. Store the capsules unopened in the blister packaging. Do not store the capsules in the inhaler. What happens if I miss a dose? Use the missed dose as soon as you remember. However if it is almost time for the next regularly scheduled dose skip the missed dose and use the next one as directed. Do not use a double dose of this medication. What happens if I overdose? Seek emergency medical attention if an overdose is suspected. Symptoms of a tiotropium overdose may include altered mental status shaking abdominal pain and constipation. What should I avoid while using Spiriva? Do not allow the powder to come into contact with the eyes. This may cause blurring of vision and dilation of the pupils. If contact with the eyes occurs flush with water and seek medical attention if side effects occur. What are the possible side effects of Spiriva? In rare cases Spiriva has been associated with the development of narrow-angle glaucoma an eye disorder. Contact your doctor immediately if you develop symptoms suggestive of narrow-angle glaucoma such as eye pain or discomfort blurred vision visual halos around objects color distortion or redness of the eyes. If you experience either of the following serious side effects stop using Spiriva and seek emergency medical attention or contact your doctor immediately: • an allergic reaction (difficulty breathing; closing of the throat; swelling of the lips tongue or face; or hives); or • increased difficulty breathing. Other less serious side effects may be more likely to occur. Continue to use Spiriva and talk to your doctor if you experience • dry mouth; • constipation; • difficult or painful urination; or • increased heart rate. Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome. What other drugs will affect Spiriva? Before using Spiriva talk to your doctor if you are taking any of the following medicines: • ipratropium (Atrovent); • albuterol and ipratropium (Combivent DuoNeb); • dicyclomine (Bentyl) • propantheline (Pro-Banthine) • mepenzolate (Cantil) • methscopolamine (Pamine) and • scopolamine (Transderm-Scop). You may not be able to use Spiriva or you may require a dosage adjustment or special monitoring during treatment if you are taking any of the medicines listed above. Drugs other than those listed here may also interact with Spiriva or affect your condition. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines including vitamins minerals and herbal products Generic Spiriva (Tiotropium) Spiriva (Tiotropium) 18mcg 180 caps 18mcg 45 caps 9mcg 10 inhalers 18mcg 60 caps 9mcg 2 inhalers 18mcg 75 caps 9mcg 3 inhalers 18mcg 90 caps 9mcg 4 inhalers 9mcg 5 inhalers Tiotropium Spiriva
View more Allergy Discount Prescription: The following information answers some of the Frequently Asked Questions for Med Store - a leading online pharmacy. Check their website for full details and to order prescription meds online. What is the difference between Brands and Generics? Why do people prefer Generics? Generics are usually priced up to 80 percent less than equivalent brand-name versions. Why? Because brand-name drugs invest large amounts of money to advertise and persuade you to buy their product, Because generic manufacturers spend less on advertising and product development and because generic versions of the same medication create competition and competition can drive prices down (Source: US Food and Drug Administration). Do your generics look exactly the same as brands? Since there is no single standard on how generics should look like, every manufacturer can have different appearance of the same pills. Our generics are manufactured abroad, so they might look different than the ones manufactured in the US. However appearance is not important. What really matters is that our generics have exactly the same chemical composition and ingredients as the brands and as US generics. We only cooperate with big reputable manufacturers, who are approved and licensed by their national FDA. So we do guarantee that what you receive is the correct product, and it will work the same as the brand. How can I make an order? Can I do it by phone? We don’t take orders by phone. According to our security privacy all the credit cards information must be typed by a customer only. That is why all the orders must be made directly via MedStore official website. What forms of payment do you accept? At this moment we accept Visa credit cards and payments via bank account. We don't accept other forms of payments, such as Paypal or Western Union. How do I make a payment via bank transfer? Bank payment is done through a bank/wire transfer. If you choose “Payment via bank transfer”, the system will give you the details of our bank account on the last page of the order form. You need to write down those details. Afterwards, you need to send the payment for the order to our account. You can do this through your online banking system, or with the help of an operator of your bank. So the bank payment is not done on our website. How much do you charge for a doctor's consultation to write a prescription? There is no doctor’s consultation charge! Our doctor reviews orders for free. Why can't I order more than 1 medication at once? To minimize out customer’s costs, we do cooperate with different suppliers, who have different sending options. That is why we may ship orders separate. Important is that if you make several orders within 24 hours, you pay for one delivery only, but in such cases we do not sum up medications costs for your next free delivery. When do I get my order? When the payment is confirmed by the bank, your order status transforms to “Pending”. Once the doctor approves your prescription, your order becomes “Approved”. All the orders are shipped within 1–2 business days. You should allow 5 – 9 days excl. weekends for a Fast shipping (express mail) and 12 – 16 days excl. weekends for a Standard shipping (regular mail). We do not have next day delivery. How can I track the number of my order? The orders sent via Regular Air Mail are not tracked, they have only the reference number, which doesn’t allow to trace the package. The orders sent via Fast Mail Service have tracking numbers and you may trace your shipment steps online from your personal space (you must be logged in). How will the package arrive? Will people be able to tell its contents? All packages are shipped in plain packaging to protect your privacy. And we do not mention any costs on the package as well. How do I get a discount? Once you have ordered with our website and the order status transformed to “Shipped”, you get 20% free bonus pills for all your next orders. What should I do if I don't receive my order on time? This kind of problem is relevant only if the package stocks at the custom house of your country. In this extra situation it is advised to contact MedStore support without delay by our free hot-line 1-800-775-4570 (9 am – 5 pm ET) or via message to MedStore support service. We always care about our consumer’s privacy and would reship the order immediately within 2 business days with no additional payment. I've made an order, but didn't get any confirmation, why is that? We always confirm our customers about their order status changes via email, but some emails could be failed because of the customer’s anti-spam security. In such cases, you need to pass the authorization process via our website and see the status of your order in your private zone. If there is still a problem with confirmation, MedStore support is open for any of your questions. I have placed the order but the processor declined my payment, my credit card works perfect, what is the matter? All the money transactions are made directly through your bank system. If your credit card is not accepted you have to call your bank and ask the reason for this decline. I have made an order but changed my mind; can I get my money back? Yes. You have to contact MedStore support to refund your payment. Can you ship to my country? There are many countries we ship to, so we don't include the list here. Please try to make an order and the system will show you if we ship to your country or not. Will you accept my insurance? We are unable to process a claim directly with your insurance company.
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