Tiotropium Bromide

Also sold as Tiotropium Bromide, Spiriva HandiHaler

Medicine summary · from official FDA labels · Oct 19, 2026

5 recalls on record — a recall affects specific batches; check with your pharmacist.

What it’s used for

Tiotropium bromide inhalation powder is indicated for the long-term, once-daily, maintenance treatment of bronchospasm associated with chronic obstructive pulmonary disease (COPD), including chronic bronchitis and emphysema. Tiotropium bromide inhalation powder is indicated to reduce exacerbations in COPD patients.

How to take it

For oral inhalation only. Do not swallow tiotropium bromide inhalation powder capsules, as the intended effects on the lungs will not be obtained.

Important warnings

Not for acute use: Not a rescue medication ( 5. 1 ) Immediate hypersensitivity reactions: Discontinue tiotropium bromide inhalation powder at once and consider alternatives if immediate hypersensitivity reactions, including angioedema, urticaria, rash, bronchospasm, or anaphylaxis, occur.

Common side effects

The following adverse reactions are described, or described in greater detail, in other sections: Immediate hypersensitivity reactions [see Warnings and Precautions ( 5. 2 )] Paradoxical bronchospasm [see Warnings and Precautions ( 5.

Interactions

Anticholinergics: May interact additively with concomitantly used anticholinergic medications.

If pregnant or breastfeeding

Questions to ask your doctor or pharmacist

Is this the right medicine for my condition, and how long should I take it?
What side effects should I watch for, and which need urgent attention?
Does this interact with my other medicines, supplements, or alcohol?
What should I do if I miss a dose or take too much?