Spiriva Respimat 2.5 mcg Inhalation Solution

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Dr. Mohd Izzat Amir Bin Awang
Reviewed byDr. Mohd Izzat Amir Bin AwangDoctor of Medicine (MD), University of Mansoura - Manchester
Dr. Adeline Carol Peters
Written byDr. Adeline Carol PetersBachelor of Medicine and Bachelor of Surgery (MBBS) — Manipal Academy of Higher Education (MAHE)

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Overview

Spiriva Respimat 2.5 mcg Inhalation Solution is supplied as a solution, with Tiotropium Bromide, delivering 2.5 micrograms per actuation (puff). It is supplied in a pack size of 60 doses.

No prescription is required for this product, as it is a non-prescription medicine. This page is limited to product, safety and handling information.

If you would like guidance before buying, you can speak to a doctor or pharmacist through an online consultation on DoctorOnCall. Orders are dispensed by a registered pharmacist and delivered to your address.

Directions for Use

This pack contains the complete Respimat inhaler device along with its medicine cartridge, ready for assembly and first use. Follow the step-by-step assembly instructions in the patient information leaflet to insert the cartridge into the inhaler and prime the device before the first dose, as demonstrated by your doctor or pharmacist. Use the inhaler once daily, at around the same time each day, taking the number of puffs prescribed by your doctor. Once this cartridge is used up, a separate refill cartridge can be purchased to reuse the same inhaler device.

Dosage

The usual maintenance dose for COPD and as add-on therapy for asthma is 2 puffs (5 micrograms total, delivered as 2 x 2.5 micrograms) from the Respimat inhaler once daily, taken at the same time each day. Do not take extra doses or use it more often than prescribed, and always follow your doctor’s specific instructions, as dosing may be individualised.

Shelf Life

When stored correctly and unused, this device and its cartridge are generally stable until the expiry date printed on the carton. Once assembled and in use, the cartridge should be discarded after the period stated in the patient information leaflet, generally around 3 months after first use, even if some solution remains, though the inhaler device itself can continue to be reused with a new refill cartridge.

Storage Instructions

Store below 25°C, and do not freeze. Keep the unused device and cartridge in their original packaging until ready for use, and once assembled, keep the inhaler as instructed in the patient leaflet. Keep out of the reach and sight of children.

Side Effects

  • Dry mouth
  • Sore throat
  • Cough
  • Constipation
  • Headache
  • Dizziness
  • Trouble sleeping
  • Blurred vision

Contraindications

  • Known hypersensitivity to tiotropium, ipratropium, atropine, or related anticholinergic medicines
  • Not intended for the initial or acute relief of sudden breathlessness or an asthma/COPD attack
  • Narrow-angle glaucoma, unless a doctor has specifically assessed suitability
  • Significant urinary retention or bladder outflow obstruction, unless a doctor has assessed suitability

Drug / Food Interactions

  • Use with caution alongside other anticholinergic (antimuscarinic) medicines, as effects such as dry mouth, constipation, or urinary retention may be increased
  • Inform your doctor if you are using other inhaled medicines for asthma or COPD, so your overall treatment plan can be coordinated
  • Care is needed in patients with glaucoma, prostate enlargement, or bladder outflow problems, who should be reviewed by a doctor before starting or continuing treatment
  • Inform your doctor or pharmacist of all other medicines you are taking before starting this inhaler

Quick Tips

  • Follow the assembly and priming steps in the patient leaflet carefully before your first dose
  • Take your dose at the same time each day for consistent control of symptoms
  • This medicine is for daily maintenance and does not relieve sudden breathlessness — keep a fast-acting reliever inhaler available if prescribed
  • Avoid spraying into the eyes; if this happens, rinse with water and seek advice if vision changes occur
  • Once the cartridge is finished, reuse the same inhaler device with a separate refill cartridge rather than discarding it
  • Continue regular doctor follow-up to monitor your lung condition and treatment response

Ingredients / Active Ingredients

  • Active ingredient: Tiotropium Bromide, delivering 2.5 micrograms per actuation (puff)
  • Standard pharmaceutical-grade inhalation solution excipients, as listed on the product packaging
  • Supplied with the reusable Respimat inhaler device

Safety Advice

Pregnancy

Limited Data

Limited information is available regarding use during pregnancy. Use only if clearly needed.

Breastfeeding

Not Advisable

Generally not recommended while breastfeeding.

Kidney

Use With Care

Use cautiously. Dose adjustment or monitoring may be required.

Liver

No Data

No adequate data available. Consult a doctor before use.

Alcohol

Not Advisable

It is not advisable to consume alcohol while taking this medicine.

Driving

Not Advisable

It is not advisable to drive if you experience side effects from this medicine.

Relevant Information

Spiriva Respimat is a long-established maintenance treatment for COPD and, in selected cases, for asthma that remains uncontrolled on other inhaled therapy, and it is intended for regular, ongoing use rather than for immediate relief of sudden symptoms. This complete device pack is well suited to patients starting Spiriva Respimat for the first time, as treatment should begin only after a doctor has assessed the patient’s lung condition; regular medical follow-up helps ensure the treatment remains appropriate and effective over time.

Frequently Asked Questions

Product Specifications

BrandBoehringer Ingelheim
ManufacturerBoehringer Ingelheim
ClassificationNon-prescription
Ingredients / Active IngredientsTiotropium
Form60 doses

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Important Medical Information

💊 Recommended Dosage:

The usual maintenance dose for COPD and as add-on therapy for asthma is 2 puffs (5 micrograms total, delivered as 2 x 2.5 micrograms) from the Respimat inhaler once daily, taken at the same time each day. Do not take extra doses or use it more often than prescribed, and always follow your doctor’s specific instructions, as dosing may be individualised.

🛑 Contraindications (Do not use if):
  • Known hypersensitivity to tiotropium, ipratropium, atropine, or related anticholinergic medicines
  • Not intended for the initial or acute relief of sudden breathlessness or an asthma/COPD attack
  • Narrow-angle glaucoma, unless a doctor has specifically assessed suitability
  • Significant urinary retention or bladder outflow obstruction, unless a doctor has assessed suitability
If you are unsure, please chat with us or consult your doctor.
⚠️ Common Side Effects:
  • Dry mouth
  • Sore throat
  • Cough
  • Constipation
  • Headache
  • Dizziness
  • Trouble sleeping
  • Blurred vision
Stop taking this medication immediately and consult your doctor if you experience severe allergic reactions or side effects.
IMPORTANT: Unsure? Chat with our pharmacists (Mon - Sat, 9:00am - 6:00pm) before buying.