Written byDr. Adeline Carol PetersBachelor of Medicine and Bachelor of Surgery (MBBS) — Manipal Academy of Higher Education (MAHE)
Last updated:
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
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
No. Spiriva Respimat 2.5 mcg Inhalation Solution is a non-prescription product and can be ordered without a prescription. It is still dispensed by a registered pharmacist on DoctorOnCall.
Spiriva Respimat 2.5 mcg Inhalation Solution 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.
It is supplied in a pack size of 60 doses. Choose the pack size you need from the options shown on this page before adding the item to your cart.
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.
Use it exactly as stated on the pack label, without changing the amount or how often you use it. If anything on the label is unclear, check with a pharmacist before the first use, and read the Directions for Use section on this page.
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.
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. Keep it in its original pack and do not use it after the expiry date printed on the packaging.
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.
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.
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.
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.
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.
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.
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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.
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IMPORTANT: Unsure? Chat with our pharmacists (Mon - Sat, 9:00am - 6:00pm) before buying.