Why SPIRIVA HandiHaler

SPIRIVA HandiHaler HandiHaler can help COPD patients breathe better.

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

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

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

Benefits of COPD maintenance treatment

SPIRIVA HandiHaler 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 HandiHaler is right for you.

Long-acting maintenance
treatment with SPIRIVA HandiHaler

  • 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 HandiHaler 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 HandiHaler stories

Over the last decade, millions of people have been prescribed SPIRIVA HandiHaler. We asked real COPD patients about their experiences with SPIRIVA HandiHaler. Read about how Madalene, Mary, and Donna breathe better with SPIRIVA HandiHaler. Then talk to your doctor and see if SPIRIVA HandiHaler 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 HandiHaler, 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 HandiHaler inhaler is what allows the branches to open up and let the air come in. Madalene is "really satisfied" with how SPIRIVA HandiHaler 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 HandiHaler 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 HandiHaler. Since she got a prescription for SPIRIVA HandiHaler 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 HandiHaler. If your breathing suddenly worsens, your face, throat, lips, or tongue swells, you get hives, itching or rash, stop taking SPIRIVA HandiHaler 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 HandiHaler 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 HandiHaler. 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 HandiHaler 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 HandiHaler. 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 HandiHaler 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 information provided on this site is for general information and educational purposes only. You should always consult a doctor for diagnosing and treating a health or fitness problem, and before using any drug product discussed on this site.