Buy Spiriva
spiriva
$50.99
- Active ingredient: Tiotropium Bromide
- Category: Allergy & Asthma
- Delivery time: Airmail (14-21 days) | EMS trackable (5-9 days)
- Prescription: Included
- Availability: In Stock
Spiriva (Tiotropium) 9mcg inhaler is available to order from our Singapore pharmacy with reliable delivery. This long-acting anticholinergic works by relaxing airways muscles to keep bronchial tubes open and improve breathing for 24 hours. Its targeted bronchodilating action helps reduce COPD symptoms like shortness of breath, coughing, and wheezing. It is an ideal solution for adults with chronic obstructive pulmonary disease who seek long-term maintenance therapy for better lung function and quality of life.
Table of contents
- Spiriva (Tiotropium Bromide) Buyer and Patient Handbook in Singapore
- What is Spiriva?
- Who Should Use Spiriva?
- How Does It Work?
- Why Choose Spiriva?
- Dosage, Administration, Lifestyle and Dietary Recommendations
- Recommended Dosage
- How to Take
- Missed Dose
- Overdose
- Special Populations
- Lifestyle & Diet
- Precautions and Warnings
- Drug Interactions
- Potential Side Effects
- Common Side Effects
- Less Common Side Effects
- Serious Side Effects
- Who Should Avoid This Medication?
- Storage Instructions
- Spiriva Alternatives
- Frequently Asked Questions
- How long does it take for Spiriva to start working?
- Can I use Spiriva with my rescue inhaler?
- Is it safe to use Spiriva while drinking alcohol?
- What should I do if I experience a dry mouth?
- Can I switch from a branded inhaler to a generic version?
- Does Spiriva protect against infections like pneumonia?
- How often should I replace the inhaler canister?
- Is Spiriva suitable for children?
- Glossary
- Disclaimer
- How to purchase Spiriva on our Online Drugstore
- Reviews
- Write your review
Spiriva (Tiotropium Bromide) Buyer and Patient Handbook in Singapore
What is Spiriva?
Spiriva is a long-acting bronchodilator inhaler used to manage chronic obstructive pulmonary disease (COPD) and Asthma. It belongs to the anticholinergic class, specifically a long-acting muscarinic antagonist (LAMA). The medication is approved by the Health Sciences Authority (HSA) of Singapore and is available as a metered-dose inhaler (MDI) delivering 9 µg of tiotropium bromide per puff.
Who Should Use Spiriva?
- Adults with diagnosed COPD (including chronic Bronchitis and emphysema)
- Adults with asthma that is not adequately controlled by short-acting relievers
- Patients who require once-daily maintenance therapy to improve lung function
How Does It Work?
Spiriva blocks muscarinic receptors in the airway smooth muscle, preventing acetylcholine-induced constriction. This “relaxes the airway,” much like loosening a tightened hose, allowing air to flow more freely during breathing. Because it works on a different pathway than beta-agonists, it complements other inhalers and has a low risk of causing tachycardia. Abuse potential is negligible, but it should be used only as prescribed for respiratory conditions.
Why Choose Spiriva?
- Consistent 24-hour bronchodilation reduces daily symptom fluctuations.
- The inhaler’s breath-actuated design ensures dose delivery even during mild coughing.
- A branded version is widely trusted, while generic equivalents (tiotropium bromide inhalers) offer comparable efficacy at lower cost.
- Off-label uses (e.g., experimental COPD phenotypes) should be discussed with a healthcare professional.
Dosage, Administration, Lifestyle and Dietary Recommendations
Recommended Dosage
- One inhalation (9 µg) once daily, preferably at the same time each day.
How to Take
- Remove the cap and shake the inhaler gently.
- Exhale fully, then place the mouthpiece between your teeth and close your lips around it.
- Press the canister firmly while breathing in slowly and deeply.
- Hold your breath for about 10 seconds, then exhale slowly.
- Replace the cap securely.
Missed Dose
If you miss a dose, take it as soon as you remember provided it is at least 6 hours before the next scheduled dose. If it is closer to the next dose, skip the missed one and continue with your regular schedule. Do not double-dose.
Overdose
In the unlikely event of inhaling more than the prescribed amount, seek immediate medical attention. Symptoms may include severe dry mouth, blurred vision, or rapid heart rate.
Special Populations
- Elderly: No dosage adjustment needed, but monitor inhaler technique.
- Renal impairment: Use with caution; mild to moderate impairment does not require change, severe impairment warrants specialist review.
- Pregnancy & breastfeeding: Category B2 (local data limited). Discuss risks with a healthcare provider.
Lifestyle & Diet
- Avoid grapefruit juice within 2 hours of inhalation, as it may alter drug metabolism.
- Continue regular exercise; Spiriva improves airflow, making activity easier.
- Do not smoke while using the inhaler, as tobacco can counteract its benefits.
Precautions and Warnings
- Do not use Spiriva for acute bronchospasm relief; keep a short-acting reliever on hand.
- Monitor for signs of urinary retention, especially in men with prostate enlargement.
- Report persistent dry mouth, visual disturbances, or heart palpitations promptly.
Drug Interactions
| Drug Class | Interaction Risk | Recommended Action |
|---|---|---|
| Anticholinergic agents (e.g., oxybutynin) | Additive anticholinergic effects | Observe for urinary retention, dry mouth |
| Potassium-sparing diuretics (e.g., spironolactone) | May increase serum potassium | Monitor electrolytes |
| Beta-agonists (e.g., salbutamol) | No major interaction | Can be used concomitantly for symptom relief |
Potential Side Effects
Common Side Effects
- Dry mouth
- Hoarseness or throat irritation
- Cough
Less Common Side Effects
- Nasal congestion
- Upper respiratory infection
- Dyspepsia
Serious Side Effects
- Severe allergic reaction (rash, swelling, difficulty breathing) - seek emergency care
- Persistent urinary retention - consult a clinician
- Rapid heart rate or irregular heartbeat - seek medical advice
Who Should Avoid This Medication?
- Patients with known hypersensitivity to tiotropium bromide or any inhaler excipients
- Individuals experiencing acute bronchospasm (requires rescue inhaler)
- Those with narrow-angle Glaucoma (risk of increased intra-ocular pressure)
Storage Instructions
- Keep the inhaler at room temperature (15-30 °C); avoid extreme heat or cold.
- Store away from direct sunlight and moisture.
- Keep the cap on when not in use to protect the mouthpiece.
- Do not refrigerate or freeze.
Spiriva Alternatives
| Name | Class | Key Difference |
|---|---|---|
| Tiotropium (generic) | LAMA | Lower cost, identical dose |
| Aclidinium bromide | LAMA | Different dosing frequency (twice daily) |
| Umeclidinium | LAMA | Once-daily inhaler with different device |
Frequently Asked Questions
How long does it take for Spiriva to start working?
Spiriva begins to relax the airways within 30 minutes, with maximum effect reached after 3 hours and lasting up to 24 hours.
Can I use Spiriva with my rescue inhaler?
Yes. Spiriva is a maintenance medication; you should still keep a short-acting bronchodilator (e.g., Salbutamol) for sudden breathlessness.
Is it safe to use Spiriva while drinking alcohol?
Moderate alcohol intake does not interfere with Spiriva’s action, but excessive drinking may worsen breathing problems, so limit consumption.
What should I do if I experience a dry mouth?
Sip water frequently, use a sugar-free lozenge, or discuss a saliva substitute with your healthcare professional.
Can I switch from a branded inhaler to a generic version?
Both contain the same active ingredient and dose; switching is clinically acceptable, but ensure you receive proper inhaler technique training.
Does Spiriva protect against infections like pneumonia?
Spiriva improves airflow but does not prevent respiratory infections. Vaccinations and good hygiene remain important.
How often should I replace the inhaler canister?
Each canister contains 30 doses. Replace it when the dose counter reaches **** or if you notice a reduced spray.
Is Spiriva suitable for children?
Spiriva is approved for adults and some pediatric patients with COPD; use in children under 18 years should be guided by a specialist.
Glossary
- LAMA (Long-Acting Muscarinic Antagonist): A drug class that blocks airway constriction for at least 24 hours.
- Bronchodilator: A medication that widens the airways to improve breathing.
- Metered-Dose Inhaler (MDI): A device that releases a specific amount of medication with each puff.
Disclaimer
The information provided here is for general educational purposes and reflects current knowledge about the medication. It does not replace professional medical advice. Off-label use should be discussed with a qualified healthcare provider. Our service offers information on medication availability and ordering through licensed pharmacies in Singapore; it does not prescribe or dispense medication. Always consult a healthcare professional before starting, stopping, or changing any treatment.
How to purchase Spiriva on our Online Drugstore
To purchase Spiriva | Tiotropium Bromide on our website, just select the required dosage and quantity of pills above. The price of your choice will appear automatically. Next, add the chosen amount to your cart by clicking the Add to Cart button. You can either continue shopping for more pills or head to the checkout. At the Checkout, finalize your purchase through our secure payment gateway.
Spiriva / Tiotropium-bromide inhalers are made using high-quality generic ingredients and are subject to strict quality control in line with WHO and Health Sciences Authority (HSA) standards. However, please note that Spiriva inhalers are dispatched from outside Singapore due to prescriptions issued overseas.
Disclaimer: The content on this website is provided solely for informational purposes and is not intended to replace professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider with any questions or concerns regarding your health, and never disregard or delay seeking professional advice based on the information presented here. Use of this website does not create a doctor-patient relationship, and in the event of a medical emergency, please contact your local emergency services immediately. Our website assumes no responsibility or liability for any errors or omissions in the content provided.
Reviews
Just started using the HandiHaler device, it feels a bit weird making sure you get all the powder. The breathing relief is noticeable by day three, less wheezing during the morning walks, which is great. But oh my god, the dry mouth. It's like sandpaper, even if I swish water immediately after. The trick I read online about avoiding caffeine for an hour after seems to help slightly with the jitters, but the cotton mouth is brutal. Hoping that calms down soon.
Been on Spiriva 9mcg for about 18 months for my COPD maintenance. It works reliably. I take it first thing after brushing my teeth. Important tip: If you don't vigorously rinse your mouth and gargle after taking it, you WILL get thrush, every single time. Learned that the hard way. The effect isn't immediate, it's a slow build-up of better capacity. Costs a bomb here in Manila, but keeping the lungs open is non-negotiable. Only side effect now is a vague urinary retention feeling sometimes.
My pulmonologist switched me to this from the shorter-acting stuff. It does provide steady 24-hour relief, which is the main pro. The biggest issue? Headaches. Not immediately, but usually by mid-afternoon, right behind my eyes. I combat this by making sure I drink a whole glass of water immediately after inhaling, and not taking my Vitamin C at the same time I take the inhaler. It's an annoying compromise, but the freedom from constant tightness is worth the daily pill grind.
I use this specifically for refractory severe asthma, not typical COPD. It helps reduce the need for my emergency rescue inhaler significantly, maybe down from 5 times a week to 1 or 2. This stuff is powerful, but you feel it. My heart rate feels elevated for an hour or so after dosing, even though the literature says it shouldn't be a problem. My "user hack" is to take it right before a light meditation session-it forces calm instead of letting the initial jitters take over.
The positive: I can lift heavier again without instantly gasping. Spiriva has noticeably improved my stamina at the gym. The negative: Constipation, bad. It started six weeks in and didn't let up. Everything felt slowed down, including my gut. Needed to start taking a heavy magnesium supplement every night, which finally helped manage that anticholinergic effect. It's effective for breathing, maybe too effective at drying up everything else. Be ready for the plumbing issues.
New user, only two weeks in. I feel like it helps my breathing during the day, but I wake up feeling congested and my chest is tight again. Is that normal? The dryness doesn't bother me as much as the metallic taste it leaves behind. Tried rinsing, brushing, everything. It lingers. I read someone suggested dissolving the capsule in warm water outside the inhaler, just to rinse with it, which sounds nuts, but I might try it just to get rid of the chemical taste.
Been using the Respimat version for about three years now. It's much easier than the capsule device. Works fantastically for keeping the small airways open, but I noticed a definite decline in my visual acuity-things look fuzzier, especially reading small print. It's a known side effect, and my doc shrugged. So, less wheezing, but need stronger reading glasses. The tip is to make sure you hold your breath for a full ten seconds after the mist, you maximize the impact and reduce the amount settling in your throat.
This 9mcg dose is great for my baseline maintenance, but it does make me feel spaced out sometimes, like low-level brain fog. It doesn't fix everything, definitely still need my rescue inhaler during heavy haze season, but those days are fewer now. A pro-tip for getting the dosage right from the capsule: make sure you puncture it twice fully. If you only puncture it once, you don't get all the powder and the relief is significantly diminished for the day. Consistency is everything with this drug.