Spiriva Respimat - dosage, side effects, action, use

Spiriva Respimat acts as a bronchodilator. It works by relaxing the muscles in the airways and increases the airflow to the lungs. The active ingredient in Spiriva Respimat, tiotropium, belongs to a class of drugs known as anticholinergics. Tiotropium works by blocking a certain natural substance (acetylcholine) that may cause narrowing and swelling of the airways, thus making breathing easier.

Tiotropium doesn't work immediately and should not be used for sudden breathing problems. It should not be used more often than prescribed. It works best and may help prevent breathing problems if it is used regularly.

The Spiriva Respimat inhaler device uses a slow-moving mist to help you inhale the medicine. The device delivers a specific amount of medicine through the mouth and into the lungs with each puff, helping to control symptoms and improve lung function.

Spiriva Respimat is indicated for the management of certain respiratory conditions. Specifically, it is used as a maintenance treatment of bronchospasms associated with chronic obstructive pulmonary disease (COPD), including chronic bronchitis and emphysema. It's also approved for reducing exacerbations in COPD patients.

Besides, Spiriva Respimat is prescribed to control asthma in adults and children aged 6 years and older. It is used when a person's asthma is not well controlled with a long-term asthma control medicine, such as an inhaled corticosteroid.

It's important to note that Spiriva Respimat is not designed to relieve sudden breathing problems and won't replace a rescue inhaler. It is to be used regularly as a long-term treatment and preventive method, not as an immediate solution during an acute bronchospasm attack.

While Spiriva Respimat is a highly effective medication for treating chronic obstructive pulmonary disease, there are certain contraindications that physicians must be aware of before prescribing it. These contraindications are circumstances when it would be inappropriate, and potentially harmful, to use Spiriva Respimat.

First and foremost, Spiriva Respimat should not be used by individuals who have a known hypersensitivity to tiotropium, ipratropium, or any component of the inhaler product. This is because an allergic reaction could occur, potentially leading to anaphylaxis, a severe and life-threatening allergic reaction.

Additionally, Spiriva Respimat is contraindicated in patients with narrow-angle glaucoma. The medication can increase intraocular pressure, potentially worsening this condition. People with urinary retention or uncontrolled kidney diseases are also advised not to use Spiriva Respimat as it can further complicate these conditions.

The following list illustrates specific contraindications for the use of Spiriva Respimat:

• Hypersensitivity to tiotropium or ipratropium
• Narrow-angle glaucoma
• Urinary retention
• Uncontrolled kidney diseases

It's important to note that while these are clear contraindications, every individual is different. Therefore, physicians should thoroughly review their patient's medical history and current health status before prescribing Spiriva Respimat.

Like any medication, Spiriva Respimat, a bronchodilator used to treat chronic obstructive pulmonary disease (COPD), may cause side effects. Not everyone who uses this medication will experience these adverse effects, but they may occur. It is important to be informed about potential side effects in order to monitor any changes in health while using this medication.

Common side effects of Spiriva Respimat include:

• Dry mouth
• Constipation
• Upper respiratory tract infection
• Cough
• Urinary tract infection

If these common side effects persist or become bothersome, it is crucial to contact a healthcare provider.

Serious side effects, though less common, can occur and require immediate medical attention. These include:

• Difficulty urinating
• Blurred vision
• Eye pain or redness
• Rapid heartbeat
• Allergic reactions (rash, itching, swelling of the face, tongue, or throat, severe dizziness, difficulty breathing)

It's essential for patients to seek immediate medical attention if they experience any of these serious side effects. Although this is not a complete list of potential side effects, these are some of the most common or severe. Always consult a healthcare provider for medical advice about side effects.

Spiriva Respimat is typically used once a day, with a recommended dose of two puffs from the Respimat inhaler. It's important to use Spiriva Respimat at the same time every day for the best results. This consistent usage helps maintain a steady level of medication in the body, which can help control symptoms more effectively.

Each puff from the Respimat inhaler delivers 2.5 micrograms of tiotropium, the active ingredient in Spiriva Respimat. Therefore, the total daily dose is 5 micrograms. The medication is supplied as a solution in a cartridge that is loaded into the Respimat inhaler.

Here are the steps to use Spiriva Respimat:

1. Open the cap and turn the base until it clicks (half a turn).
2. Exhale completely.
3. Seal your lips around the mouthpiece.
4. Inhale slowly and deeply.
5. Hold your breath for up to 10 seconds.
6. Exhale slowly.

If you miss a dose, take it as soon as you remember. However, if it's close to the time for your next dose, skip the missed dose and continue with your regular dosing schedule. Do not double doses. If you accidentally take more than your prescribed dose, seek medical attention immediately.

Always follow your doctor's instructions exactly. Do not use more or less medication than prescribed. If you have any questions about the dosage of Spiriva Respimat, consult your healthcare provider.

Spiriva Respimat is used for the long-term, once-daily, maintenance treatment of chronic obstructive pulmonary disease (COPD), including bronchitis, emphysema, or both. It is also indicated for reducing COPD exacerbations. Not intended for the initial treatment of acute episodes of bronchospasm or for asthma treatment.

To use Spiriva Respimat, it is crucial to understand the correct inhalation method. The patient should exhale slowly and deeply, place the mouthpiece in their mouth and close their lips around it. As they begin to breathe in slowly and deeply, they should press the dose release button on the inhaler and continue to breathe in.

After inhaling the medication, it is advised to hold the breath for up to 10 seconds or as long as comfortable. This allows the medication to get into the airways and do its work. The inhaler provides a slow-moving mist that helps the patient inhale the medication.

It is important to clean the mouthpiece, including the metal part inside the mouthpiece, with a clean, damp cloth at least once a week. Regular maintenance of the device ensures its proper functioning and the effectiveness of the drug.

When using Spiriva Respimat, it is important to take certain precautions to ensure safe and effective use. This medication is not recommended for people with certain medical conditions or for those who are allergic to tiotropium, ipratropium, or any components of the inhaler.

Before starting treatment, inform your healthcare provider if you have kidney problems, glaucoma, prostate or bladder issues, or if you have an allergy to milk proteins. This is important because Spiriva Respimat contains lactose, which may cause allergic reactions in sensitive individuals.

During treatment, monitor for any signs of allergic reactions such as rash, itching, difficulty breathing, or swelling of the face, lips, or throat. If you experience any of these symptoms, seek immediate medical attention.

Additionally, Spiriva Respimat may cause dizziness or blurred vision. Avoid driving or operating machinery until you know how this medication affects you. Also, it is crucial to avoid getting the medication in your eyes as it may cause blurring and worsen narrow-angle glaucoma.

It is also essential to be aware that Spiriva Respimat is not intended to relieve sudden breathing problems. Always have a rescue inhaler with you to treat sudden symptoms. If your condition worsens or you have difficulty breathing after using this medication, seek immediate medical help.

Interactions refer to the effect that Spiriva Respimat may have when taken with other medications, and how other medications may impact the effectiveness and side effects of Spiriva Respimat. It is important to inform your healthcare provider of all the medications you are currently taking, including prescription, over-the-counter medicines, vitamins, and herbal supplements.

Whilst being treated with Spiriva Respimat, it is recommended not to take other anticholinergic medicines as it may increase the risk of side effects. These include medicines like ipratropium bromide and tiotropium bromide. If in doubt, always consult your healthcare provider.

Additionally, certain medications taken for allergies or the common cold, such as antihistamines, or medicines for depression or mental illness, may interact with Spiriva Respimat. They could potentially increase the drying effect, leading to increased risk of side effects such as dry mouth or urinary retention.

Some beta-blocker medicines, such as those used for high blood pressure, heart conditions, or glaucoma, may also interact with Spiriva Respimat. These could reduce the effectiveness of Spiriva Respimat or increase the risk of certain side effects such as irregular heartbeat.

Remember that this is not a complete list of possible drug interactions. Always consult with your doctor or pharmacist if you are not sure about a possible drug interaction. This will help ensure safe and effective use of Spiriva Respimat.

When discussing the price of Spiriva Respimat, it’s important to note that the cost can vary based on several factors. These can include the location of the pharmacy, any insurance coverage the patient may have, and the dosage of the medication.

On average, a one-month supply of Spiriva Respimat can range from $400 to $500 without insurance. This might seem steep, but it's important to remember that the price reflects the innovative design of the inhaler and the proven effectiveness of the medication.

Patients with insurance can expect to pay a copay, which can significantly reduce the price. The exact amount will depend on the specific insurance plan, but it can often bring the cost down to a more manageable figure. Some insurance plans may also require prior authorization for this medication, which means the insurance company needs to approve its use before it will be covered.

For those without insurance or who find the copay still too high, there are patient assistance programs available. For example, the manufacturer of Spiriva Respimat, Boehringer Ingelheim, offers a savings card program for eligible patients. This can help to further reduce the cost of the medication.

Finally, it’s important to always consider the cost of medication in the context of its benefits. Spiriva Respimat is a leading treatment for conditions like Chronic Obstructive Pulmonary Disease (COPD) and asthma, and the cost of the medication is often a reflection of its potential to improve and extend life.

When considering substitutes for Spiriva Respimat, it's important to remember that while alternative medications may serve a similar purpose, they may not work in exactly the same way or have the same side effects. Always consult your healthcare provider before making any changes to your medication regimen.

Some potential substitutes for Spiriva Respimat include:

• Atrovent HFA (Ipratropium): A bronchodilator that relaxes muscles in the airways and increases air flow to the lungs. It's used to prevent bronchospasm, or narrowing airways in the lungs, in people with COPD (chronic obstructive pulmonary disease), including bronchitis and emphysema.
• Combivent (Ipratropium/Albuterol): A combination medication that relaxes the muscles around the airways and increases air flow to the lungs. It's used to prevent bronchospasm in people with COPD.
• Brovana (Arformoterol): A long-acting bronchodilator that relaxes muscles in the airways to improve breathing. It's used to prevent bronchospasm in adults with COPD.

It's vital to note that these substitutes can have differing dosages, methods of administration, and potential side effects compared to Spiriva Respimat. Always discuss these factors with your healthcare provider to ensure you're receiving the most appropriate treatment for your condition.