SPIRIVA can help COPD patients breathe better.

When taken every day for COPD, a single dose of SPIRIVA can help open airways for up to 24 hours.

  • SPIRIVA works over time to open your airways and keep them open for up to 24 hours—helping to improve lung function
  • SPIRIVA can help reduce your risk of COPD flare-ups, also called exacerbations
  • SPIRIVA can't replace your rescue inhaler, but in three out of four clinical trials, patients on SPIRIVA reported using their rescue inhalers less often
  • SPIRIVA is steroid-free
  • SPIRIVA offers a low co-pay cost for many patients with commercial and Medicare insurance plans

Talk to your doctor and see if SPIRIVA is right for you.

Benefits of COPD maintenance treatment

SPIRIVA can't replace your rescue inhaler, but it can help you breathe better—and it may mean using your rescue inhaler less often. If you find yourself using a rescue inhaler more often than usual, you should consider a maintenance treatment. Talk to your doctor to see if steroid-free SPIRIVA is right for you.

Long-acting maintenance
treatment with SPIRIVA

  • Can help you breathe better when taken every day
  • Works for up to 24 hours with just one daily dose
  • Helps reduce your risk of flare-ups (also called exacerbations)
  • SPIRIVA is not a rescue inhaler and should not be used for sudden breathing problems

Rescue treatment

  • Taken at times when you experience worsening symptoms
  • Lasts only 4-6 hours after a single dose
  • Helps relax your airways so you can catch your breath quickly

Real SPIRIVA stories

Over the last decade, millions of people have been prescribed SPIRIVA. We asked real COPD patients about their experiences with SPIRIVA. Read about how Madalene, Mary, and Donna breathe better with SPIRIVA. Then talk to your doctor and see if SPIRIVA is right for you.

Madalene's Story

"If you can't breathe, you can't do anything."

Madalene went to her pulmonologist when coughing spells started waking her up at night. The doctor diagnosed COPD and suggested SPIRIVA, but Madalene didn't think it was necessary yet. When her condition didn't improve, a discussion with a nurse made her change her mind. The nurse told Madalene to think of her lungs as a tree, and that using the SPIRIVA inhaler is what allows the branches to open up and let the air come in. Madalene is "really satisfied" with how SPIRIVA makes her feel, and she said she started feeling better after just a few days of starting the medication.

Mary's Story

"I regret not starting SPIRIVA right away."

Mary realized her breathing trouble was a problem when she couldn't keep up with her grandson playing basketball. Even after being diagnosed with COPD, she was hesitant to start treatment. But when she woke up with tightness in her chest and couldn't catch her breath, she thought it was time for something to change. Now that SPIRIVA is a part of Mary's daily routine, she feels like she can breathe again.

Donna's Story

"I take it in the morning before anything else, and I feel opened."

Donna had trouble breathing for about a year before she was diagnosed with emphysema related to COPD. After that, she said it took about two more years to find all the right answers. It was a television commercial that inspired Donna to ask her doctor about SPIRIVA. Since she got a prescription for SPIRIVA and began daily treatment, Donna says she's "in a much better place."


Do not use Spiriva® HandiHaler® (tiotropium bromide inhalation powder) if you are allergic to tiotropium or ipratropium (e.g., Atrovent®) or any of the ingredients in SPIRIVA. If your breathing suddenly worsens, your face, throat, lips, or tongue swells, you get hives, itching or rash, stop taking SPIRIVA and seek immediate medical help.

SPIRIVA HandiHaler is not a rescue medicine and should not be used for treating sudden breathing problems.

Do not swallow SPIRIVA capsules. The contents of the capsule should only be inhaled through your mouth using the HandiHaler device.

If you have vision changes or eye pain or if you have difficulty passing urine or painful urination, stop taking SPIRIVA and call your doctor right away.

Tell your doctor if you have glaucoma, problems passing urine or an enlarged prostate, as these may worsen with SPIRIVA. Tell your doctor if you have kidney problems or are allergic to milk proteins. Ask your doctor if you are not sure. Also discuss with your doctor all the medicines you take, including eye drops.

The most common side effect with SPIRIVA is dry mouth. Others include constipation and trouble passing urine. For a complete list of reported side effects, ask your doctor or pharmacist.

Do not let the powder from the SPIRIVA capsule get into your eyes.

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

Read the Patient Information and the step-by-step Instructions for Use for SPIRIVA before you use your inhaler.


Spiriva® HandiHaler® (tiotropium bromide inhalation powder) is a prescription medicine used once each day (a maintenance medicine) to control symptoms of chronic obstructive pulmonary disease (COPD) by relaxing your airways and keeping them open. COPD includes chronic bronchitis, emphysema, or both.

SPIRIVA HandiHaler also reduces the likelihood of flare-ups and worsening of COPD symptoms (COPD exacerbations).

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.

Please see full Prescribing Information, including Patient Information and Instructions for Use.


The tips contained on this site convey general information and are not intended to be, nor should they be used as, a replacement for the advice of a licensed physician. Your doctor knows your specific condition. As with all things medical, you should talk to your doctor before you start any treatment, exercise, diet, or other lifestyle change.