Spiriva Respimat 2.5 mcg Inhalation Solution

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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

Frequently Asked Questions

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

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.

What does Spiriva Respimat 2.5 mcg Inhalation Solution contain?

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.

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

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.

Why is there no information here about what Spiriva Respimat 2.5 mcg Inhalation Solution 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?

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.

Can I speak to a doctor or pharmacist about Spiriva Respimat 2.5 mcg Inhalation Solution 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.

How should I store Spiriva Respimat 2.5 mcg Inhalation Solution?

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.

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

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 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 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.

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.

Medical Review

Written by:

Dr. Chong Zhan Pong

Doctor of Medicine (MD), International Medical University (IMU)

Reviewed by:

Dr. Mohd Izzat Amir Bin Awang

Doctor of Medicine (MD), University of Mansoura - Manchester

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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.