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Chronic obstructive pulmonary disease (COPD) includes chronic bronchitis, emphysema, or both. It may not seem to affect your daily life now, but COPD is a serious lung disease in which symptoms usually worsen over time.

COPD symptoms include:

Shortness of breath, COPD Symptom
Shortness of breath
Wheezing, COPD Symptom
Wheezing
Coughing, COPD Symptom
Coughing
Fatigue, COPD Symptom
Exhaustion from everyday activities

Flare-ups/exacerbations

COPD can also include flare-ups, which your doctor may call exacerbations. A flare-up is an abrupt worsening of COPD symptoms

You may experience:

  • A need for treatment beyond your normal maintenance medication
  • Symptoms requiring hospitalization

If you think you may be experiencing a flare-up, call your doctor. A flare-up may require immediate medical attention. And if your symptoms are severe, call 911.

SPIRIVA RESPIMAT can help you manage COPD

Adding SPIRIVA RESPIMAT to your treatment plan can help significantly lower your risk of having a flare-up. It can also help even when your COPD symptoms are mild. With steroid-free SPIRIVA RESPIMAT, you can take control of your symptoms to help you breathe better.

Things you can do to improve your overall health

  • Make a plan to quit smoking
  • Identify your COPD triggers
  • Avoid respiratory illnesses and infections
  • Ask about the flu and pneumonia vaccines
Indication

SPIRIVA RESPIMAT, 2.5 mcg, is a long-term, once-daily, prescription maintenance medicine used to control symptoms of chronic obstructive pulmonary disease (COPD) by relaxing your airways and keeping them open. COPD includes chronic bronchitis and emphysema. SPIRIVA RESPIMAT also reduces the likelihood of COPD flare-ups (COPD exacerbations). SPIRIVA RESPIMAT is not a treatment for sudden symptoms of COPD.

Important Safety Information

Do not use SPIRIVA® RESPIMAT® (tiotropium bromide) Inhalation Spray if you are allergic to tiotropium, ipratropium, atropine or similar drugs, or any ingredient in these medicines.

SPIRIVA RESPIMAT is not a rescue medicine and should not be used for treating sudden breathing problems. Your doctor may give you other medicine to use for sudden breathing problems.

SPIRIVA RESPIMAT can cause allergic reactions. Symptoms can include raised red patches on your skin (hives), itching, rash and/or swelling of the lips, tongue, or throat that may cause difficulty in breathing or swallowing. If you have any of these symptoms, stop taking the medicine and seek emergency medical care.

SPIRIVA RESPIMAT can cause your breathing to suddenly get worse (bronchospasm). If this happens, use your rescue inhaler, stop taking SPIRIVA RESPIMAT, and call your doctor right away or seek emergency medical care. 

SPIRIVA RESPIMAT can increase the pressure in your eyes (acute narrow-angle glaucoma), which can cause the following symptoms: eye pain, blurred vision, seeing halos or colored images along with red eyes. If you have any of these symptoms, stop taking your medicine and call your doctor right away.

Dizziness and blurred vision may occur with SPIRIVA RESPIMAT. If you experience these symptoms, use caution when engaging in activities such as driving a car, or operating appliances or other machines.

SPIRIVA RESPIMAT can cause new or worsened urinary retention. Symptoms of blockage in your bladder and/or enlarged prostate may include difficulty passing urine and/or painful urination. If you have any of these symptoms, stop taking your medicine and call your doctor right away.

The most common side effects reported with SPIRIVA RESPIMAT in patients with COPD include sore throat, cough, dry mouth, and sinus infection.

Do not spray SPIRIVA RESPIMAT into your eyes, as this may cause blurring of vision and pupil dilation.

Tell your doctor about all your medical conditions including kidney problems, glaucoma, enlarged prostate, problems passing urine, or blockage in your bladder.

Tell your doctor all the medicines you take, including eye drops. Ask your doctor if you are taking any anticholinergic medicines because taking them together with SPIRIVA RESPIMAT can increase side effects.

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.FDA.gov/medwatch or call 1-800-FDA-1088.

CL-SVR-0038 2.8.2016

Please see full Prescribing Information, and Instructions for Use, for SPIRIVA RESPIMAT.