Spiriva (tiotropium) is used to treat chronic obstructive pulmonary disease (COPD), including emphysema and chronic bronchitis. Spiriva is more popular than other anticholinergics. There are currently no generic alternatives to Spiriva.
Check our savings tips for co-pay cards, assistance programs, and other ways to reduce your cost. Spiriva is covered by most Medicare and insurance plans.
Tiotropium Side Effects
What should I watch for?
Visit your doctor or health care professional for regular checks on your progress. Tell your doctor if your symptoms do not improve. Do not use more medicine than directed. If your symptoms get worse while you are using this medicine, call your doctor right away.
Do not get the this medicine in your eyes. It can cause irritation, pain, or blurred vision.
You may get dizzy. Do not drive, use machinery, or do anything that needs mental alertness until you know how this medicine affects you. Do not stand or sit up quickly, especially if you are an older patient. This reduces the risk of dizzy or fainting spells.
Clean the inhaler as directed in the patient information sheet that comes with this medicine.
Common and Rare Side Effects
Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.
Check with your doctor immediately if any of the following side effects occur:
Arm, back, or jaw pain
chest pain or discomfort
chest tightness or heaviness
fast or irregular heartbeat
difficulty with swallowing
painful blisters on the trunk of body
puffiness or swelling of the eyelids or around the eyes, face, lips, or tongue
tightness in the chest
unusual tiredness or weakness
fast, pounding, or irregular heartbeat or pulse
large, hive-like swelling on the face, eyelids, lips, tongue, throat, hands, legs, feet, or sex organs
Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:
Acid or sour stomach
bloody or cloudy urine
body aches or pain
difficult, burning, or painful urination
dryness of the throat
frequent urge to urinate
loss of voice
lower back or side pain
pain or tenderness around the eyes and cheekbones
runny or stuffy nose
stomach discomfort, upset, or pain
tender, swollen glands in the neck
burning, crawling, itching, numbness, prickling, "pins and needles", or tingling feelings
difficulty having a bowel movement (stool)
feeling sad or empty
flushed, dry skin
fruit-like breath odor
lack of appetite
loss of interest or pleasure
painful or difficult urination
sore mouth or tongue
sores, ulcers, or white spots on the lips or tongue or inside the mouth
swelling or inflammation of the mouth
unexplained weight loss
Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.
Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.