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Spiriva with HandiHaler 18 mcg capsule, w/inhalation device

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Estimated Cost 30 Day Supply 90 Day Supply
Cash $368 $1104
Pharmacy Preferred $0 $0
Pharmacy Non Preferred $10 $30

Spiriva with HandiHaler 18 mcg Generics & Alternatives

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Drug Description

Tiotropium is used to control and prevent symptoms (such as wheezing, shortness of breath) caused by ongoing lung disease (chronic obstructive pulmonary disease-COPD which includes bronchitis and emphysema). It works by relaxing the muscles around the airways so that they open up and you can breathe more easily. Tiotropium belongs to a class of drugs known as anticholinergics. Controlling symptoms of breathing problems can decrease time lost from work or school. This medication must be used regularly to be effective. It does not work right away and should not be used to relieve sudden breathing problems. If wheezing or sudden shortness of breath occurs, use your quick-relief inhaler (such as albuterol, also called salbutamol in some countries) as prescribed.

Side Effects

Occasional & Severe Side Effects
  • Urinary Tract Infection
  • Skin Rash
  • Epistaxis
  • Chest Pain
Rare & Severe Side Effects
  • infection
  • angioedema
  • Glaucoma
  • Angina
  • Paroxysmal Supraventricular Tachycardia
  • Atrial Fibrillation
  • Ileus
  • Urticaria
  • Aggravated Glaucoma
  • hypersensitivity drug reaction
Frequent & Moderate Side Effects
  • Xerostomia
Occasional & Moderate Side Effects
  • oral candidiasis
  • Cough
  • Arthritis
  • Pharyngitis
  • Rhinitis
  • Sinusitis
  • gastroesophageal reflux disease
  • constipation
  • Pruritus of Skin
  • Dizziness
  • Voice Changes
  • Palpitations
  • Vomiting
Rare & Moderate Side Effects
  • Skin Ulcer
  • Blurred Vision
  • Sore Throat
  • Laryngitis
  • Paradoxical Bronchospasm
  • Stomatitis
  • Glossitis
  • Dysphagia
  • Gingivitis
  • Dry Skin
  • Urinary Retention
  • Dysuria
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