MY BIG PHARMACY NIG LTD IS THE FOREMOST SUPPLIER OF SPIRIVA IN NIGERIA.

Spiriva

What is Spiriva?
Spiriva is a bronchodilator that relaxes muscles in the airways and increases air flow to the lungs.
Spiriva is used to prevent bronchospasm (narrowing of the airways in the lungs) in adults with COPD (chronic obstructive pulmonary disease), including bronchitis and emphysema.
Spiriva Respimat is also used to prevent asthma attacks in adults and children who are at least 6 years old.
Spiriva HandiHaler is not for use in children.
Warnings
A Spiriva capsule is for use only in the HandiHaler device. Do not take the capsule by mouth. Use only one capsule at a time.
Spiriva Respimat Inhalation Spray is supplied in a carton containing one aluminum cartridge and one Respimat inhaler device. The Spiriva Respimat cartridge is only intended for use with the Respimat inhaler device and should not be interchanged with any other Respimat device delivered product. The Respimat inhaler device is a cylindrical shaped plastic inhalation device with a gray colored body and a clear base. The clear base is removed to insert the cartridge. The inhaler contains a dose indicator.
Before using this medicine, tell your doctor if you have narrow-angle glaucoma, or an enlarged prostate or bladder obstruction.
Spiriva is used to prevent bronchospasm attacks. Do not use this medication to treat a bronchospasm attack that has already begun. It will not work fast enough to reverse your symptoms. Use only a fast-acting inhalation medication to treat an attack.

Related/similar drugs
Symbicort, Ventolin HFA, Ventolin, Breo Ellipta, Xopenex, Anoro Ellipta
Before taking this medicine
You should not use Spiriva if you are allergic to tiotropium or ipratropium (Atrovent, Combivent, DuoNeb).
To make sure this medicine is safe for you, tell your doctor if you have ever had:

narrow-angle glaucoma;
kidney disease;
a milk allergy; or
an enlarged prostate or urination problems.

Tell your doctor if you are pregnant. It is not known whether tiotropium will harm an unborn baby. However, having uncontrolled asthma during pregnancy may cause premature birth, a low birth weight baby, or complications such as eclampsia (dangerously high blood pressure that can lead to medical problems in both mother and baby). The benefit of treating asthma may outweigh any risks to the baby.
It may not be safe to breast-feed while using this medicine. Ask your doctor about any risk.
Spiriva Respimat is not approved for use by anyone younger than 6 years old.
What happens if I miss a dose?
Use the medicine as soon as you can, but skip the missed dose if it is almost time for your next dose. Do not use two doses at one time.
Do not use more than two times in a 24-hour period.
Get your prescription refilled before you run out of medicine completely.
What happens if I overdose?
Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.
Overdose symptoms may include dry mouth, eye redness, constipation, stomach pain, and confusion or drowsiness.
What should I avoid while using Spiriva?
Avoid getting the powder from a Spiriva capsule in your eyes. If this does happen, call your doctor.
Avoid driving or hazardous activity until you know how this medicine will affect you. Your reactions could be impaired.
Spiriva side effects
Get emergency medical help if you have signs of an allergic reaction to Spiriva: hives, itching; difficult breathing; swelling of your face, lips, tongue, or throat.
Call your doctor at once if you have:

wheezing, or other breathing problems after using this medicine;
sores or white patches on your mouth, lips, or tongue;
pain or burning when you urinate; or
little or no urinating.

Common Spiriva side effects may include:

dry mouth;
blurred vision;
constipation,
upset stomach;
chest pain, fast heart rate; or
cold symptoms such as stuffy or runny nose, sinus pain, sore throat.

What other drugs will affect Spiriva?
Tell your doctor about all your other medicines, especially:

medicine to treat depression, anxiety, mood disorders, or mental illness;
cold or allergy medicine (Benadryl and others);
medicine to treat Parkinson’s disease;
medicine to treat stomach problems, motion sickness, or irritable bowel syndrome;
medicine to treat overactive bladder; or
bronchodilator asthma medication.

 
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