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Spiriva is an anticholinergic agent, it widens breathing passages and is used treat breathing difficulties caused by chronic obstructive pulmonary disease.
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Spiriva is a drug for inhalation. It is used for the appearance of bronchopulmonary diseases that are accompanied by respiratory spasms. Depending on the dosage, the effect may last up to 24 hours. Spiriva must only be prescribed by a doctor.
Spiriva belongs to the group of bronchodilators. They improve air circulation in the bronchi due to their expansion. Due to them, you can normalize the supply of oxygen to the entire body. This drug belongs to anticholinergic bronchodilators. Its action is directed specifically at the bronchi. In most cases, it has no side effects. Thanks to this drug, expectoration of sputum is facilitated.
Inhalations of Spiriva are made in two such basic forms: a powdery substance in vials; a solution for inhalation. The manufacturer is a German pharmaceutical company. For several years, the drug has proven to be a very effective way to combat suffocation by inhalation.
Pharmacological properties
Tiotropium Bromide refers to long-acting antimuscarinics. Its effect depends on the dose and can last up to a day. This drug does not cause side effects because, when inhaled, it has a selective effect on the bronchi. This local action can explain the effect of inhalation. Studies show that the work of the lungs after Spiriva inhalation improves within 30 minutes after the first session.
Addiction to the drug was not detected. The effect will last for 48 weeks of use. Also, clinical studies show a greater effect from the use of Spiriva 5 mcg than the drug Spiriva 18 mcg. In patients with chronic lung diseases, after a year of using the drug, there is a decrease in shortness of breath and an increase in physical activity. When Spiriva is included in the course of treatment for patients with bronchial asthma, there is also an improvement in the condition and a decrease in periods of exacerbation.
Indications for use
Spiriva solution is recommended to be used in the form of inhalations. It is necessary to reduce the risk of relapses and exacerbations of such diseases: chronic bronchitis; emphysema of the lungs; COPD; bronchial asthma, treatment of which with inhaled glucocorticosteroids does not bring a positive result. This drug has a positive effect on the respiratory system. After taking it, patients suffering from a chronic form of bronchial asthma note only positive dynamics and improvement in their General condition.
How to use and dosage the Spiriva Inhaler should be used 1 time a day. It is desirable to do inhalations at the same time. In the treatment of bronchial asthma, the effect of the drug begins a few days after the start of procedures. The number of inhalation doses should be 60, which will be equal to 30 therapeutic doses of the drug.
Overdose
When using 2.5 micrograms of Spiriva inhalation, no significant side effects are observed. The only thing that can cause complaints is the dryness of the nasopharyngeal mucosa. After a few days of using the drug, there may be a decrease in salivation. Side effects Spiriva is not suitable for all people. In some cases, some side effects may occur when taking this drug. A person has skin reactions that manifest as urticaria. The skin is very itchy and itchy. The General state of health is deteriorating. Strong dizziness, nausea, and vomiting are possible. Most of all, the patient is concerned about coughing and dry mouth. With prolonged use of the drug, candidiasis of the oral mucosa may develop. Cases of severe tachycardia are not uncommon. Against the background of long - term use of the drug, the gastrointestinal tract suffers. Its dysfunction is observed. The most dangerous complication is bronchospasm, which can develop as a result of an allergic reaction to the components of the drug. If such symptoms occur, you should immediately cancel taking Spiriva. You will need to see a doctor in order for them to choose an alternative treatment option.
Common use
Spiriva is a specific antagonist of muscarinic receptors with longterm action. It reversibly blocks receptors of M3 type in respiratory track which results in relaxation of smooth muscles of the bronchial tree. High affinity of the receptors and slow release of the inhibitor from the complex with M3 receptor stipulates prolonged local action of Tiovais. Bronholitic effect of the drug results of local action, dose and persisted for at least 24 hours. Effects of Spiriva depend on the dose and continues for 24 hours. The medication is used to treat bronchial spasms (wheezing) caused by chronic obstructive pulmonary disease, chronic bronchitis and emphysema.
Dosage and direction
Spiriva comes as capsules with powder for inhalations with the HandiHaler inhalation device. Use the medication about the same time each day.
Precautions
Cautiousness is needed in treatment of patients with narrow-angle glaucoma, urination disorders caused by prostatic hypertrophy or obstruction of the bladder neck. Tiovais cannto be used for urgent blockage of a bronchial spasm. Avoid getting of the medication in eyes. Monitoring on a regular basis is needed in the patients with moderate and severe renal failure treated by Tiovais and medications which excreted by the kidneys. Inhaled medications may cause paradoxical bronchospasm and other reactions of such kind. Avoid administration of the medication if you are pregnant or breastfeeding.
Contraindications
Spiriva cannot be administered to the patients with hypersensitivity to the medication, atropine and its derivates (ipratropium and oxytropine). Use in adolescents under 18 years of age is not researched.
Possible side effects
Most common side effects include local reactions such as dry mouth, throat pain, coughing, paradoxical bronchospasm. Changes in accommodation if the medication got into the eyes. Allergic reactions (rash, swelling) are possible. In rare were observed cases short heart beat, acute glaucoma, difficulty urination in men with prostatic hypertrophy, constipation.
Drug interactions
Concomitant use of Spiriva with other anticholinergetic medications is not recommended.
Missed dose
If you forgot to take your dose in time, please do it as soon as you remember. But do not take if it is too late or almost time for your next dose. Do not increase your recommended dose. Take your doses at about the same time each day to avoid missing a dose.
Overdose
It was not reported about overdose if Spiriva was used in therapeutic doses. In case of considerable exceeding of the recommended dose symptoms associated with anticholinergetic properties of the medication are observed: reversible changes in accommodation, dry mouth. Acute poisoning is not likely due to low biological availability of the medication used as inhalations.
Storage
Store at room temperature away from moisture, sunlight, kids and pets in a tight container.
Disclaimer
We provide only general information about medications which does not cover all directions, possible drug integrations, or precautions. Information at the site cannot be used for self-treatment and self-diagnosis. Any specific instructions for a particular patient should be agreed with your health care adviser or doctor in charge of the case. We disclaim reliability of this information and mistakes it could contain. We are not responsible for any direct, indirect, special or other indirect damage as a result of any use of the information on this site and also for consequences of self-treatment.