How to use SPIRIVA RESPIMAT
2 puffs, 1 time each day can help improve your breathing for a full 24 hours

It may take up to 4 to 8 weeks of treatment with SPIRIVA RESPIMAT for your breathing to improve.
Once you've prepared your SPIRIVA RESPIMAT inhaler for use, you can feel confident it's helping deliver the medicine your doctor prescribed. To get all the benefits of treatment, it's important to learn how to prepare and use the SPIRIVA RESPIMAT inhaler. Here are 3 ways to get started:

1. 

Download the Quick Start Guide

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Download the Quick Start Guide

An easy, step-by-step guide on how to prepare and use the RESPIMAT inhaler.

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2. 

Watch how to use the RESPIMAT inhaler

Click on the video below to see how to use the RESPIMAT inhaler

3. 

When you pick up your medication, ask your pharmacist to demonstrate preparing and using your inhaler

SPIRIVA RESPIMAT must be prepared before first use. Please see full Instructions for Use. SPIRIVA RESPIMAT is not for sudden symptoms. You should always carry a rescue inhaler. Children should use SPIRIVA RESPIMAT with the help of an adult, as instructed by their doctor.

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IMPORTANT SAFETY INFORMATION

Do not use SPIRIVA® RESPIMAT® (tiotropium bromide) Inhalation Spray if you are allergic to tiotropium, ipratropium, atropine or similar drugs, or any ingredient in this medicine.

INDICATION

SPIRIVA® RESPIMAT®, 1.25 mcg, is a long-term, once-daily, prescription maintenance treatment of asthma for people 6 years and older. SPIRIVA RESPIMAT is not a treatment for sudden asthma symptoms.

SPIRIVA RESPIMAT is not a rescue medicine and should not be used for treating sudden breathing problems. Your doctor may give you other medicine to use for sudden breathing problems.

SPIRIVA RESPIMAT can cause allergic reactions. Symptoms can include raised red patches on your skin (hives), itching, rash and/or swelling of the lips, tongue, or throat that may cause difficulty in breathing or swallowing. If you have any of these symptoms, stop taking the medicine and seek emergency medical care.

SPIRIVA RESPIMAT can cause your breathing to suddenly get worse (bronchospasm). If this happens, use your rescue inhaler, stop taking SPIRIVA RESPIMAT, and call your doctor right away or seek emergency medical care.

SPIRIVA RESPIMAT can increase the pressure in your eyes (acute narrow-angle glaucoma), which can cause the following symptoms: eye pain, blurred vision, seeing halos or colored images along with red eyes. If you have any of these symptoms, stop taking your medicine and call your doctor right away.

Dizziness and blurred vision may occur with SPIRIVA RESPIMAT. If you experience these symptoms, use caution when engaging in activities such as driving a car, or operating appliances or machinery.

SPIRIVA RESPIMAT can cause new or worsened urinary retention. Symptoms of blockage in your bladder and/or enlarged prostate may include difficulty passing urine and/or painful urination. If you have any of these symptoms, stop taking your medicine and call your doctor right away.

The most common side effects with SPIRIVA RESPIMAT in adult patients with asthma were sore throat, headache, bronchitis, and sinus infection. The side effect profile for adolescent and pediatric patients was comparable to that observed in adult patients with asthma.

Do not spray SPIRIVA RESPIMAT into your eyes, as this may cause blurring of vision and pupil dilation.

Tell your doctor about all your medical conditions including kidney problems, glaucoma, enlarged prostate, problems passing urine, or blockage in your bladder.

Tell your doctor all the medicines you take, including eye drops. Ask your doctor if you are taking any anticholinergic medicines because taking them together with SPIRIVA RESPIMAT can increase side effects.

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.FDA.gov/medwatch or call 1-800-FDA-108‍8.

CL-SVRA-0048 2.15.2017

Please see full Prescribing Information, including Instructions for Use, for SPIRIVA RESPIMAT.