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 132 64
Asthma 46 17
Emphysema 19 15
Shortness of breath (dyspnea) 4 2
Breathing difficulty with activity 3 1

Show all 27 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
Severe 6
Moderate 7
Mild 8
None 69

Commonly reported side effects and conditions associated with Tiotropium inhaler

Side effect Patients
Dry mouth 5
Shakiness 2
Tachycardia (fast heart rate) 2
Acid reflux 1
Asthma 1
Bladder irritability 1

Show all 26 reported side effects

Dosages

Based on patients currently taking Tiotropium inhaler

Dosage Patients
18 mcg daily 16
2.5 mcg daily 7
0.018 mg daily 5
5 mcg daily 4
1.25 mcg daily 2
2 mcg daily 2
1.25 mcg twice daily 2
0.036 mg twice daily 1
1 capsule(s) daily 1
2 other daily 1

See all 16 dosages

Why patients stopped taking Tiotropium inhaler

Multiple reasons could be selected

Reason Patients
Doctor's advice 13
Did not seem to work 12
Side effects too severe 7
Other 6
Expense 4
Course of treatment ended 3
Change in health plan coverage 1
See all 38 patients who've stopped taking Tiotropium inhaler

Duration

Currently taking Tiotropium inhaler

Duration Patients
Less than 1 month 1
1 - 6 months 4
6 months - 1 year 3
1 - 2 years 6
2 - 5 years 19
5 - 10 years 10
10 years or more 5

Stopped taking Tiotropium inhaler

Duration Patients
Less than 1 month 3
1 - 6 months 11
6 months - 1 year 4
1 - 2 years 4
2 - 5 years 5
5 - 10 years 6
10 years or more 5
Adherence
Adherence Evaluations
Always 66
Usually 14
Sometimes 4
Never taken as prescribed 6
Burden
Burden Evaluations
Very hard to take 7
Somewhat hard to take 14
A little hard to take 16
Not at all hard to take 53
Cost per month
Cost per month Evaluations
$200+ 3
$100-199 3
$50-99 9
$25-49 12
< $25 37
Not specified 26

What people switch to and from

Patients started taking Tiotropium inhaler after stopping:

Treatment Patients
Fluticasone-Salmeterol (Advair Diskus) 3
Tiotropium inhaler (Spiriva HandiHaler) 2
Aclidinium Bromide (Tudorza Pressair) 1
Budesonide (Pulmicort) 1
Ciclesonide inhaler (Alvesco HFA) 1

Show all 9 treatments patients report switching from

Patients stopped taking Tiotropium inhaler and switched to:

Treatment Patients
Fluticasone furoate-Vilanterol (Breo Ellipta) 3
Fluticasone-Salmeterol (Advair Diskus) 2
Olodaterol-Tiotropium (Stiolto Respimat) 2
Tiotropium inhaler (Spiriva HandiHaler) 2
Umeclidinium (Incruse Ellipta) 2

Show all 8 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 chronic obstructive pulmonary disease)
  • Effectiveness
    Slight (for emphysema)
  • 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