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4RX Store > Medication List > Respiratory drugs > Order Tiotropium Bromide online

Respiratory Medication (Tiotropium Bromide)

Generic name:
Tiotropium Bromide
Brand name:
Tiotropium with Rotahaler
Buy Spiriva to treat bronchospasms. The first thing that we need to mention is that you need to use this capsule only in the Spiriva HandiHaler device, and that is the only proper way of treating COPD and similar breathing disorders. It is definitely not a good idea to take a capsule by mouth. If you are not sure whether or not Spiriva is the right solution for you, make sure that you are not suffering from narrow angle glaucoma, kidney diseases, or that you are not allergic to milk. Pregnant women shouldn’t start using Spiriva HandiHaler device no matter what.
Cipla - Caring for life
Cipla - Caring for life
Tiotropium Bromide (Generic Tiotropium with Rotahaler)
Actual product may differ in
appearance from image shown.

Order Generic Tiotropium with Rotahaler Buy Tiotropium Bromide 18mcg


Quantity (max. 2)   Package   Price, USD   You save








  1 inhalers
$98.90 ($124.35)








  2 inhalers
$192.88 ($236.74)








  3 inhalers
$276.98 ($335.64)








Price: $
Buy now

  Generic Medication guide:

Who should order Spiriva and when?

The first thing that we need to mention in this medication guide is that Spiriva HandiHaler is a device which helps you breathe easier than ever, especially if you are dealing with bronchospasms or COPD – chronic obstructive pulmonary disease. In these cases, all you need to do is start using this device and buy Spiriva. The main purpose for taking this medicine is to prevent bronchospasms and COPD, and what this means is that you will be able to win the battle against narrowing your airways and at the same time you are going to take care of your lungs as well.

Short drug info
Trade names Spiriva, Braltus
Pregnancy category AU: B1
Routes of administration Inhalation by mouth
Legal status

AU: S4 (Prescription only)

UK: POM (Prescription only)

US: Rx-only

Bioavailability 19.5% (inhalation)
Metabolism Liver 25% (CYP2D6, CYP3A4)
Elimination half-life 5–6 days
Metabolism Liver (CYP3A4, aldo-keto reductase)
Elimination half-life 24 hours
Excretion Kidney

Where can I buy Spiriva HandiHaler?

There are several places where you can order Spiriva and if you don’t want to leave your house, it is a good solution as well since you can do it on the internet in some of the most popular drugstores online. After comparing prices, you can simply click on the Buy button and you are one click away from getting this device. The other reason why people insist on purchasing it online is because they don’t want anyone to know what they have bought. When it comes to delivering it to the home address, the delivery guy is not even going to know what you have just bought, which is always a good option.

What are some of the basic information about Spiriva?

The most crucial fact that you need to be aware of is that the only proper way of using it is within the Spiriva HandiHaler device, and it is definitely not a good idea to place the capsule in your mouth since that may cause some of the side effects. Using more than one capsule at a time is not necessary and not recommended. If you are dealing with the following diseases or disorders – taking Spiriva is not a good idea: bladder obstruction, enlarged prostate issues, narrow angle glaucoma.

Preventing bronchospasm attacks is the main purpose of the Spiriva HandiHaler device and that is what you need to keep in mind all the time. Taking it when the attacks begin is not that useful since you will not be happy with the results, that is for sure. This medicine is not going to work that quickly and that is what you need to remember. Taking extra doses and more medicine than you actually need is not helpful, and the same applies for taking the medicine longer than you need.

What should I know before I order Spiriva?

Like with other similar medicines, the first thing that you need to pay attention to is not to start taking Spiriva if you are not eligible and what that means in this case is that you are not suffering from diseases like kidney diseases, narrow angle glaucoma, enlarged prostate, urination problems or – if you allergic to milk. Pay attention to this last part. If you are a pregnant woman or if you plan to become one, make sure you read this carefully – Taking Spiriva and using the HandiHaler device need to wait until after the birth of your child since it is still not known whether or not this medicine is going to affect the unborn baby.

It is possible that tiotropium, which is the main ingredient of Spiriva, is going to pass into breast milk, and chances are that it is going to harm a nursing baby as well. Your doctor needs to know about your medical condition, and if going to the doctor’s office is not something that you had in mind, then you need to pay attention to these factors yourself.

Incidence of Spiriva (Tiotropium Bromide) adverse reactions compared to placebo

Adverse Reaction
SPIRIVA (Tiotropium Bromide)
(number of users = 550)
(number of users = 371)
Chest Pain (non-specific)
Dry Mouth
Abdominal pain
Muscle pain
Fungal infection
Upper Respiratory Tract Infection
Urinary Tract Infection

What is the proper way of using the Spiriva HandiHaler?

Taking more medicine than your body can handle is simply not necessary and that is the first thing that you shouldn’t do. This is one of the mistakes that some people tend to make all the time since they are convinced that they are going to feel better. Buy Spiriva if you want to prevent bronchospasm attacks and on matter what you do, you need to follow the rules and instructions on the label. If the attack has already begun, forget about taking this medicine since it will not work that fast and that effectively as you might expect it to.

Taking the capsule by your mouth is not a good idea and the only proper way of taking it is within the HandiHaler device. Using more than one capsule is not going to help you and that is why there is no need for that. If you notice that you are going to run out of the medicine, you need to order Spiriva as soon as possible and make sure that you always have enough. Testing your lungs is always a good idea in order to make sure that the results are good and that you are happy with the treatment. Don’t forget to keep the capsule in the blister pack until you use it.

Are other drugs going to affect Spiriva?

Yes, but there is nothing to worry about. No matter which medicine you are taking at the moment, you can still buy Spiriva and start using it. The only thing that you need to do before that happens is to stop taking the drugs that you are already taking. Some of the medicines from the list are: Cogentin, Donnatal, Elixophyllin, Ditropan, Detrol, Vesicare, Urispas, Enables, etc. Remember that there are more drugs which can affect Spiriva but which are not on this list.

In order to make sure that you are taking the medicine properly, stop taking all other drugs and take a break which needs to be at least two weeks long before you order Spiriva. The bottom line is that this medicine is among the best ones that are going to help you treat all the breathing problems that you might have, as long as you are taking it according to the rules and the prescription.

Free prescription
Our doctor prescribes online for free, and there is no doctor’s consultation fee.

Discrete packaging
All orders arrive in discrete unmarked parcels. We leave the shipment description blank.

For more answers see the FAQ section


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