Do I need a prescription to buy Spiriva Respimat 2.5 mcg Inhalation Solution (Refill)?

No. Spiriva Respimat 2.5 mcg Inhalation Solution (Refill) is a non-prescription product and can be ordered without a prescription. It is still dispensed by a registered pharmacist on DoctorOnCall.

What pack sizes does Spiriva Respimat 2.5 mcg Inhalation Solution (Refill) come in?

It is supplied in a pack size of 4ml. Choose the pack size you need from the options shown on this page before adding the item to your cart.

Why is there no information here about what Spiriva Respimat 2.5 mcg Inhalation Solution (Refill) is for?

This page is limited to product, safety and handling information in line with Malaysian rules on medicine information. If you want advice on whether this product suits you, book an online consultation with a doctor or pharmacist on DoctorOnCall.

How should I use Spiriva Respimat 2.5 mcg Inhalation Solution (Refill)?

Follow the instructions printed on the label and in the leaflet supplied with the pack, and do not exceed the stated amount or duration. Handling steps are set out in the Directions for Use section on this page.

Can I speak to a doctor or pharmacist about Spiriva Respimat 2.5 mcg Inhalation Solution (Refill) before I buy it?

Yes. DoctorOnCall offers online consultations with licensed doctors and registered pharmacists, so you can ask about this product, your existing medicines, or anything on the label before you place an order.

What should I do if I notice side effects after using Spiriva Respimat 2.5 mcg Inhalation Solution (Refill)?

Stop using the product and speak to a doctor or pharmacist about any reaction that concerns you. Seek medical care immediately for signs of a severe reaction such as difficulty breathing, swelling of the face, lips or throat, or a widespread rash. Reported reactions are listed in the Side Effects section on this page.

How long will delivery take?

Within Malaysia, standard delivery takes 3 to 5 working days. Same-day delivery is available in the Klang Valley for orders placed before 12pm; orders placed after 12pm arrive by the end of the next day. Orders to Singapore are sent as international deliveries and take 5 to 9 working days. A lump-sum shipping and handling fee applies to every overseas delivery and is shown at checkout.

What payment methods can I use?

Customers in Malaysia can pay by FPX online banking, credit or debit card (Visa and Mastercard), and supported e-wallets including Touch ‘n Go eWallet, GrabPay and ShopeePay. FPX and local e-wallets are tied to Malaysian bank and wallet accounts, so if your delivery address is in Singapore, use the payment options displayed at checkout for that address rather than assuming the same list applies.

Can Spiriva Respimat 2.5 mcg Inhalation Solution (Refill) be delivered to Singapore?

Yes. DoctorOnCall ships to Singapore as an international order dispatched from Malaysia, arriving in 5 to 9 working days with a lump-sum shipping and handling fee. Singapore’s Health Sciences Authority (HSA) allows personal imports of up to three months’ supply of a medicine for your own use or an immediate family member’s, as long as it contains no controlled drugs, psychotropic substances or prohibited items. Keep the product in its original labelled packaging and keep a copy of your prescription or doctor’s letter with it. Quantities above three months’ supply, and medicines containing controlled substances, require prior HSA approval.

Is Spiriva Respimat 2.5 mcg Inhalation Solution (Refill) registered with the authorities?

Products listed on DoctorOnCall are registered with Malaysia’s Ministry of Health for supply in Malaysia, and each pack carries its MAL registration number. An order delivered to Singapore arrives as a personal import of a Malaysia-registered product; HSA product registration is not required for personal-use quantities, but it is also not the same as a product registered for sale in Singapore. If you need a locally registered Singapore product, buy it from a pharmacy in Singapore.

Who do I contact if there is a problem with my order?

DoctorOnCall’s customer care team handles order, delivery and product queries through the contact channels on the site, including WhatsApp and the online help centre. For deliveries to Singapore, allow more time before chasing an order than you would for a local Malaysian delivery, as the parcel passes through customs clearance and tracking updates can appear later in the journey.

Spiriva Respimat 2.5mcg Refill - Tiotropium COPD Inhaler Malaysia | DoctorOnCall

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Spiriva Respimat 2.5 mcg Inhalation Solution (Refill)

Q: What does Spiriva Respimat 2.5 mcg Inhalation Solution (Refill) contain?

Spiriva Respimat 2.5 mcg Inhalation Solution (Refill) is a solution containing Tiotropium Bromide, delivering 2.5 micrograms per actuation (puff). The full ingredient list is shown in the Composition or Ingredients section on this page and on the product packaging.

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Reviewed byDr. Mohd Izzat Amir Bin AwangDoctor of Medicine (MD), University of Mansoura - Manchester

Written byDr. Adeline Carol PetersBachelor of Medicine and Bachelor of Surgery (MBBS) — Manipal Academy of Higher Education (MAHE)

Last updated: October 18, 2026

Overview

Spiriva Respimat 2.5 mcg Inhalation Solution (Refill) is supplied as a solution, with Tiotropium Bromide, delivering 2.5 micrograms per actuation (puff). It is supplied in a pack size of 4ml.

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 only the medicine cartridge for refilling an existing Respimat inhaler device — it does not include a new inhaler unit. Insert the cartridge into your existing Respimat inhaler according to the device’s instructions, or as demonstrated by your doctor or pharmacist, then prime the device before first use of the new cartridge as directed in the patient information leaflet. Use the inhaler once daily, at around the same time each day, taking the number of puffs prescribed by your doctor.

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 unopened, this refill cartridge is generally stable until the expiry date printed on the carton. Once inserted into the inhaler 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.

Storage Instructions

Store below 25°C, and do not freeze. Keep the cartridge in its original packaging until ready for use, and once inserted into the Respimat inhaler, keep the device 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 refill

Quick Tips

This is a refill cartridge for an existing Respimat inhaler, not a new device — insert it into your current inhaler as instructed
Prime the inhaler as directed after inserting a new cartridge, before taking your first dose from it
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
Continue regular doctor follow-up to monitor your lung condition and treatment response

Ingredients / Active Ingredients

Tiotropium

Active ingredient: Tiotropium Bromide, delivering 2.5 micrograms per actuation (puff)
Standard pharmaceutical-grade inhalation solution excipients, as listed on the product packaging

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. As a prescription medicine, treatment should begin only after a doctor has assessed the patient’s lung condition, and this refill is intended for patients already established on Spiriva Respimat with an existing, compatible inhaler device; regular medical follow-up helps ensure the treatment remains appropriate and effective over time.