Spiriva 18mcg Capsule is an anticholinergic medicine. It is used in the treatment of chronic obstructive pulmonary disease and asthma.

Spiriva 18mcg Capsule is only for the inhalational purpose, so do not swallow the capsule. The first dose is given under medical supervision to prevent the side effects happen during first use. For better results, it is suggested to take it at the same time every day. The dose and how often you take it depends on what you are taking it for. Your doctor will decide how much you need to improve your symptoms. You should take this medicine for as long as it is prescribed for you. It does not prevent the already started breathing trouble or asthma attack, hence always carry your medical inhaler with you for emergency.

The most common side effects of this medicine include nose dryness or itching, nose bleed, and dry mouth or throat. If these bother you or appear serious, let your doctor know. There may be ways of reducing or preventing them. To overcome dry mouthness, it is advised to increase water intake, carry sugar candy or maintain good oral hygiene.

Before taking this medicine, let your doctor know if you have liver or kidney disease, or if you are pregnant or breastfeeding. Your doctor should also know about all other medicines you are taking as many of these may make this medicine less effective or change the way it works.

Uses of Spiriva Capsule

Side effects of Spiriva Capsule

Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them

Common side effects of Spiriva

Blurred vision
Increased heart rate
Dryness in mouth
Upper respiratory tract infection
Constipation

How to use Spiriva Capsule

Take this medicine in the dose and duration as advised by your doctor. Spiriva 18mcg Capsule may be taken with or without food, but it is better to take it at a fixed time.

How Spiriva Capsule works

Spiriva 18mcg Capsule is an anticholinergic medication. It works by relaxing the muscles in the airways and widens the airways. This makes breathing easier.

Safety advice

Alcohol

CONSULT YOUR DOCTOR

It is not known whether it is safe to consume alcohol with Spiriva 18mcg Capsule. Please consult your doctor.

Pregnancy

CONSULT YOUR DOCTOR

Spiriva 18mcg Capsule may be unsafe to use during pregnancy. Although there are limited studies in humans, animal studies have shown harmful effects on the developing baby. Your doctor will weigh the benefits and any potential risks before prescribing it to you. Please consult your doctor.

Breast feeding

SAFE IF PRESCRIBED

Spiriva 18mcg Capsule is probably safe to use during breastfeeding. Limited human data suggests that the drug does not represent any significant risk to the baby.
Monitor the baby for dry mouth, constipation, and urinary problems.

Driving

CONSULT YOUR DOCTOR

It is not known whether Spiriva 18mcg Capsule alters the ability to drive. Do not drive if you experience any symptoms that affect your ability to concentrate and react.

Kidney

SAFE IF PRESCRIBED

Spiriva 18mcg Capsule is safe to use in patients with kidney disease. No dose adjustment of Spiriva 18mcg Capsule is recommended.
However, inform your doctor if you have underlying kidney disease. Close monitoring is advised while you are taking this medicine.

Liver

SAFE IF PRESCRIBED

Spiriva 18mcg Capsule is safe to use in patients with liver disease. No dose adjustment of Spiriva 18mcg Capsule is recommended.

What if you forget to take Spiriva Capsule?

If you miss a dose of Spiriva 18mcg Capsule, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular schedule. Do not double the dose.\n

All substitutes

For informational purposes only. Consult a doctor before taking any medicines.

Spiriva 18mcg Capsule

₹10.23/Capsule

Quikhale T Capsule

Intas Pharmaceuticals Ltd

₹11.03/capsule

8% costlier

Quikhale T 18mcg Capsule

Intas Pharmaceuticals Ltd

₹11.98/capsule

17% costlier

Vilmist 18mcg Capsule

Mankind Pharma Ltd

₹12.33/capsule

21% costlier

Aerotrop Inhalation

Macleods Pharmaceuticals Pvt Ltd

₹9.93/capsule

3% cheaper

Tivo Rota 18mcg Capsule

Cipla Ltd

₹10.27/capsule

same price

View all substitutes

Quick tips

Spiriva 18mcg Capsule makes breathing easier for patients with chronic obstructive pulmonary disease (COPD) and asthma.
It should be taken at the same time each day.
It does not work right away and should not be used to relieve sudden breathing problems. Use your rescue inhaler to control sudden difficulty in breathing.
Dry mouth may occur as a side effect. Frequent mouth rinses, good oral hygiene, increased water intake and sugarless candy may help.
Gargle with warm water after each inhalation to avoid any fungal infections in your mouth and throat.
Take the first dose under medical supervision as it may cause wheezing or tightening of the airways (bronchospasm) immediately after using.
Your doctor may monitor your blood potassium level regularly while taking this medication.
Only small amounts of Spiriva 18mcg Capsule may get absorbed into the bloodstream after inhalation. Hence, serious side effects are unlikely.
Spiriva 18mcg Capsule makes breathing easier for patients with chronic obstructive pulmonary disease (COPD) and asthma.
This medicine is for inhalation only. The tablet should not be swallowed.
It should be taken at the same time each day.
It does not work right away and should not be used to relieve sudden breathing problems. Use your rescue inhaler to control sudden difficulty in breathing.
Dry mouth may occur as a side effect. Frequent mouth rinses, good oral hygiene, increased water intake and sugarless candy may help.
Gargle with warm water after each inhalation to avoid any fungal infections in your mouth and throat.
Take the first dose under medical supervision as it may cause wheezing or tightening of the airways (bronchospasm) immediately after using.
Your doctor may monitor your blood potassium level regularly while taking this medication.
Only small amounts of Spiriva 18mcg Capsule may get absorbed into the bloodstream after inhalation. Hence, serious side effects are unlikely.

Fact Box

Chemical Class

Morpholines Derivative

Habit Forming

Therapeutic Class

RESPIRATORY

Action Class

Anticholinergics- COPD

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FAQs

How long does Spiriva 18mcg Capsule take to work?

Spiriva 18mcg Capsule starts working within 30 minutes of taking it and you may start breathing with ease after the first dose. The full benefits will be experienced within about 3 days to a week’s time.

Is Spiriva 18mcg Capsule a steroid?

No, Spiriva 18mcg Capsule is not a steroid, but it belongs to anticholinergic class of medicines. It works by relaxing the muscles of the small airways, helping them to open and remain open for 24 hours.

How can Spiriva 18mcg Capsule help me?

Spiriva 18mcg Capsule is a long-acting bronchodilator which opens the air passages and makes breathing easier. Using this medicine daily can help prevent sudden short-term worsening of your breathing problem. Regular use also helps relieve shortness of breath when you have ongoing shortness of breath.

What should I avoid while taking Spiriva 18mcg Capsule?

Use Spiriva 18mcg Capsule carefully to prevent it from getting into your eyes. If it gets into your eyes, your vision may get blurry and the pupil in your eye may become larger (dilate). If this happens, call your doctor. Spiriva 18mcg Capsule may also cause dizziness and blurred vision. Avoid driving or using heavy machinery if you experience these side effects.

How should I take Spiriva 18mcg Capsule?

Always take it exactly as directed by your doctor. Spiriva 18mcg Capsule is meant for inhalation and should not be swallowed. The recommended dose is to inhale the contents of one capsule once daily. Since the effect persists for 24 hours, try to take it at the same time each day for best results.

How should Spiriva 18mcg Capsule be stored?

Store Spiriva 18mcg Capsule at room temperature 68°F to 77°F (20°C to 25°C). Keep it away from heat and cold and do not refrigerate it. Keep it in a dry place and throw away any unused capsules which have been exposed to air.

How long do I need to take Spiriva 18mcg Capsule?

Your doctor may prescribe you to take this medicine for life long. The reason being, COPD is a chronic condition and requires long-term treatment.

What is the difference between rescue treatment and maintenance treatment?

Rescue treatment is used to treat the sudden attack of disease. On the other hand, maintenance treatment are medicines that you take daily to help you manage the symptoms of disease. For example, when you have sudden shortness of breath due to COPD, you may be prescribed corticosteroids. Whereas, to help prevent these sudden attacks from happening, you may be prescribed Spiriva 18mcg Capsule.

What is chronic obstructive pulmonary disease (COPD)?

COPD is a serious lung disease in which the airways become narrow, so the air moves out of your lungs slowly and makes it hard to breathe. Examples of chronic obstructive pulmonary disease include chronic bronchitis (swelling of the air passages leading to lungs) and emphysema (damage to air sacs in the lungs).

Can I prevent my COPD from getting worse?

If you smoke, then quitting smoking is one of the most important things you can do to slow the progression of COPD. In fact, keep taking the medicine as advised by your doctor. Following the prescribed dose for the recommended duration may stop the progression of COPD.

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Disclaimer:

Tata 1mg's sole intention is to ensure that its consumers get information that is expert-reviewed, accurate and trustworthy. However, the information contained herein should NOT be used as a substitute for the advice of a qualified physician. The information provided here is for informational purposes only. This may not cover everything about particular health conditions, lab tests, medicines, all possible side effects, drug interactions, warnings, alerts, etc. Please consult your doctor and discuss all your queries related to any disease or medicine. We intend to support, not replace, the doctor-patient relationship.

References

Brown JH, Laiken N. Muscarinic Receptor Agonists and Antagonists. In: Brunton LL, Chabner BA, Knollmann BC, editors. Goodman & Gilman’s: The Pharmacological Basis of Therapeutics. 12th ed. New York, New York: McGraw-Hill Medical; 2011. pp. 230-31.
Boushey HA. Drugs Used in Asthma. In: Katzung BG, Masters SB, Trevor AJ, editors. Basic and Clinical Pharmacology. 11th ed. New Delhi, India: Tata McGraw Hill Education Private Limited; 2009. p. 347.
Briggs GG, Freeman RK, editors. A Reference Guide to Fetal and Neonatal Risk: Drugs in Pregnancy and Lactation. 10th ed. Philadelphia, PA: Wolters Kluwer Health; 2015. pp. 1367-68.
Tiotropium. Ingelheim am Rhein Germany: Boehringer Ingelheim International GmbH; 2016 [revised Jan. 2019]. [Accessed 01 Apr. 2019] (online) Available from:
ScienceDirect. Tiotropium. [Accessed 01 Apr. 2019] (online) Available from:
Central Drugs Standard Control Organisation (CDSCO). [Accessed 01 Apr. 2019] (online) Available from:

Marketer details

Name: Progress Pharma Private Limited

Address: Unit No. 007 Lower Tower A, Floor S2, Urbtec Trade Center, Plot No. 35b, Sector-132, Noida Expressway, Noida-201305

Country of origin: India

The list of available options shown with the same composition has been prepared upon the advice of registered medical practitioners, pharmacists affiliated with TATA 1MG. TATA 1MG does not promote any pharmaceutical product of any particular company, and all recommendations are based on the medical opinion, advisories from specialist medical and pharmaceutical professionals.