What is Tiotropium inhaler?

Category: Prescription Drugs

Most popular types: Spiriva HandiHaler Spiriva Respimat Spiriva Show all

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A bronchodilator used to prevent wheezing, shortness of breath, and difficulty breathing in patients with chronic obstructive pulmonary disease (COPD) such as chronic bronchitis and emphysema. It is delivered as an oral inhalant once daily.

Reported purpose & perceived effectiveness
Purpose Patients Evaluations Perceived Effectiveness
Chronic obstructive pulmonary disease 144 69
Asthma 50 19
Emphysema 20 17
Shortness of breath (dyspnea) 4 2
Breathing difficulty with activity 3 1

Show all 26 reasons taken


  • Major
  • Moderate
  • Slight
  • None
  • Can't tell

Side effects

Side effects as an overall problem

Side effects as an overall problem
Severity Evaluations Percentage
Severe 5
Moderate 6
Mild 8
None 78

Commonly reported side effects and conditions associated with Tiotropium inhaler

Side effect Patients Percentage
Dry mouth 5
Acid reflux 1
Asthma 1
Bladder irritability 1
Blurry vision 1
Chest tightness 1

Show all 23 reported side effects

Dosages

Based on patients currently taking Tiotropium inhaler

Dosage Patients Percentage
2.5 mcg daily 6
0.018 mg daily 4
5 mcg daily 4
18 mcg daily 4
1.25 mcg daily 2
2 mcg daily 2
0.036 mg twice daily 1
2 daily 1
10 mcg daily 1
0.018mg as needed 1

Why patients stopped taking Tiotropium inhaler

Multiple reasons could be selected

Reason Patients Percentage
Did not seem to work 14
Doctor's advice 13
Other 6
Side effects too severe 6
Expense 4
Change in health plan coverage 3
Course of treatment ended 3
See all 41 patients who've stopped taking Tiotropium inhaler

Duration

Currently taking Tiotropium inhaler

Duration Patients Percentage
1 - 6 months 3
1 - 2 years 2
2 - 5 years 10
5 - 10 years 8
10 years or more 3

Stopped taking Tiotropium inhaler

Duration Patients Percentage
Less than 1 month 3
1 - 6 months 12
6 months - 1 year 5
1 - 2 years 4
2 - 5 years 6
5 - 10 years 7
10 years or more 5
Adherence
Adherence Evaluations Percentage
Always 69
Usually 18
Sometimes 5
Never taken as prescribed 5
Burden
Burden Evaluations Percentage
Very hard to take 7
Somewhat hard to take 13
A little hard to take 17
Not at all hard to take 60
Cost per month
Cost per month Evaluations Percentage
$200+ 4
$100-199 3
$50-99 10
$25-49 13
< $25 37
Not specified 30

What people switch to and from

Patients started taking Tiotropium inhaler after stopping:

Treatment Patients Percentage
Fluticasone-Salmeterol (Advair Diskus) 4
Tiotropium inhaler (Spiriva HandiHaler) 2
Aclidinium Bromide (Tudorza Pressair) 1
Budesonide (Pulmicort) 1
Ciclesonide inhaler (Alvesco HFA) 1

Show all 10 treatments patients report switching from

Patients stopped taking Tiotropium inhaler and switched to:

Treatment Patients Percentage
Fluticasone furoate-Vilanterol (Breo Ellipta) 4
Umeclidinium (Incruse Ellipta) 3
Albuterol (Albuterol Inhaler) 2
Budesonide-Formoterol (Symbicort) 2
Fluticasone-Salmeterol (Advair Diskus) 2

Show all 10 treatments patients report switching to

Last updated:

8 patient evaluations for Tiotropium inhaler

Jun 28, 2018 (Started Jun 15, 2015)

  • Effectiveness
    Major (for asthma)
  • Side effects
    Mild (nausea during and after eating)
  • Adherence
    Always
  • Burden
    Not at all hard to take
Dosage: 5 mcg Daily
Advice & Tips: breathing daily with Spiriva improves my pulse oximeter by 5 points on many daus consistent improvement in pulse oximeter is an excellent surprise
Cost: $50-99 monthly

  • 0 helpful marks

Feb 12, 2016 (Started Feb 08, 2013)

  • Effectiveness
    Major (for chronic obstructive pulmonary disease)
  • Side effects
    None
  • Adherence
    Always
  • Burden
    Not at all hard to take
Dosage: 18 mcg Daily
Advice & Tips: Spiriva continues to be a major dry eye solution.
Cost: < $25 monthly

Sep 21, 2015 (Started Feb 08, 2013)

  • Effectiveness
    Major (for chronic obstructive pulmonary disease)
  • Side effects
    None
  • Adherence
    Always
  • Burden
    Not at all hard to take
Dosage: 18 mcg Daily
Advice & Tips: it remains an excellent treatment.
Cost: < $25 monthly

May 2, 2013 (Started Feb 08, 2013)

  • Effectiveness
    Major (for chronic obstructive pulmonary disease)
  • Side effects
    None
  • Adherence
    Always
  • Burden
    Not at all hard to take
Dosage: 18 mcg Daily
Advice & Tips: Using Spiriva has greatly exhanced my ability to exhale, which unexpectedly helps my breathing as well, I have much less shortness of breath and I'm much more active as well as felling more fit.
Cost: < $25 monthly

Apr 8, 2013 (Started Feb 08, 2013)

  • Effectiveness
    Major (for chronic obstructive pulmonary disease)
  • Side effects
    None
  • Adherence
    Always
  • Burden
    Not at all hard to take
Dosage: 18 mcg Daily
Advice & Tips: Spiriva is very effective for both shortness of breath, panting and greatly increases the ability to fully exhale. Overall my breathing is much improved and less labored.
Cost: < $25 monthly

  • 0 helpful marks

Jul 18, 2014 (Started Jun 09, 2014)

  • Effectiveness
    Slight (for emphysema)
  • Effectiveness
    Slight (for chronic obstructive pulmonary disease)
  • Side effects
    Mild (raspy voice)
  • Adherence
    Always
  • Burden
    Somewhat hard to take
Dosage: 18 mcg Daily
Cost: < $25 monthly

  • 0 helpful marks
Last updated:
Showing 3 of 8 patient evaluations for Tiotropium inhaler