Flare-ups/exacerbations

SPIRIVA RESPIMAT can help reduce the risk of flare-ups—and it’s steroid-free

Chronic Obstructive Pulmonary Disease (COPD) is a serious lung disease that usually causes breathing to get worse over time. COPD includes chronic bronchitis, emphysema, or both. COPD can also include flare-ups, which your doctor may call exacerbations.

A COPD flare-up is an abrupt worsening of any of these symptoms:

Shortness of breath
Shortness of breath
Coughing
Coughing
Mucus
Increased mucus when you cough
Fatigue
Extreme tiredness or fatigue

With a flare-up, you may experience:

  • A need for treatment beyond your normal maintenance medication
  • Symptoms requiring hospitalization

If you think you may be experiencing a flare-up, call your doctor. A flare-up may require immediate medical attention. And if your symptoms are severe, call 911.

SPIRIVA RESPIMAT can help significantly lower your risk of having a flare-up and can help you breathe better.

In addition to adding SPIRIVA RESPIMAT to your treatment plan, there are things you can do to improve your overall health: if you smoke, quit, and try to identify your COPD triggers. Do everything you can to avoid respiratory illnesses or infections—talk to your doctor about the flu shot, pneumonia vaccine, and other things you can do and how you can breathe better with SPIRIVA RESPIMAT.

Eligible patients may pay as little as $0* for SPIRIVA RESPIMAT

Eligible patients may pay as little as $0* for SPIRIVA RESPIMAT

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Track your COPD symptoms to see if SPIRIVA RESPIMAT could benefit you

Track your COPD symptoms to see if SPIRIVA RESPIMAT could benefit you

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IMPORTANT SAFETY INFORMATION for SPIRIVA RESPIMAT (tiotropium bromide) Inhalation Spray and SPIRIVA HANDIHALER (tiotropium bromide inhalation powder)

Do not use SPIRIVA RESPIMAT or SPIRIVA HANDIHALER if you are allergic to tiotropium, ipratropium, atropine or similar drugs, or any ingredient in these medicines.

SPIRIVA RESPIMAT or SPIRIVA HANDIHALER are not rescue medicines 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 or SPIRIVA HANDIHALER 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.

INDICATIONS for SPIRIVA RESPIMAT and SPIRIVA HANDIHALER

SPIRIVA RESPIMAT, 2.5 mcg, and SPIRIVA HANDIHALER are long-term, once-daily, prescription maintenance medicines used to control symptoms of chronic obstructive pulmonary disease (COPD) by relaxing your airways and keeping them open. COPD includes chronic bronchitis and emphysema. SPIRIVA RESPIMAT and SPIRIVA HANDIHALER also reduce the likelihood of flare-ups (COPD exacerbations).

SPIRIVA is not a treatment for sudden symptoms of COPD.

Before using SPIRIVA HANDIHALER, tell your doctor if you have a severe allergy to milk proteins.

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

SPIRIVA RESPIMAT or SPIRIVA HANDIHALER 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 or SPIRIVA HANDIHALER. If you experience these symptoms, use caution when engaging in activities such as driving a car, or operating appliances or other machines.

SPIRIVA RESPIMAT or SPIRIVA HANDIHALER 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 reported with SPIRIVA RESPIMAT in patients with COPD include sore throat, cough, dry mouth, and sinus infection.

The most common side effects reported with SPIRIVA HANDIHALER in patients with COPD include upper respiratory tract infection, dry mouth, sinus infection, sore throat, non-specific chest pain, urinary tract infection, indigestion, runny nose, constipation, increased heart rate, and blurred vision.

Do not swallow SPIRIVA capsules. The contents of the capsule should only be inhaled through your mouth using the HANDIHALER device.

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 can increase side effects. Do not use SPIRIVA RESPIMAT and SPIRIVA HANDIHALER together.

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.

Read the step-by-step patient Instructions for Use for SPIRIVA RESPIMAT before you use your inhaler.

CL-SVR-0040 2.8.2016

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