Spiriva Capsule: Uses, Dosage & Side Effects in Pakistan

Spiriva Capsule Uses, Dosage, Side Effects & Price in Pakistan

1. Quick Info (Mukhtasir Maloomat)

2. What is Spiriva Capsule? (Spiriva Capsule kya hai)

Spiriva Capsule contains tiotropium bromide, a long-acting muscarinic antagonist (LAMA). Muscarinic receptors, when activated, cause the airways to narrow; tiotropium works by blocking these receptors and thereby keeping the airways relaxed and open for extended periods. This bronchodilation effect lasts approximately 24 hours, making Spiriva suitable for once-daily maintenance therapy. It is primarily prescribed for patients with chronic obstructive pulmonary disease (COPD), including chronic bronchitis and emphysema, to reduce breathlessness and the frequency of flare-ups.

It is important to note that Spiriva Capsule is not swallowed. The capsule is pierced inside a special device called a HandiHaler, and the released powder is inhaled directly into the lungs. Among LAMA agents used in COPD management, tiotropium has an established record of improving lung function and exercise tolerance. Always take Spiriva Capsule as directed by your doctor or pharmacist.

3. Uses (Fayde / Kis kaam aati hai)

• COPD (chronic obstructive pulmonary disease) maintenance therapy
• Chronic bronchitis
• Emphysema

4. Who Should Take It (Kis ko leni chahiye)

• Adults diagnosed with COPD
• Patients with persistent breathlessness not controlled by short-acting bronchodilators
• Smokers or ex-smokers with chronic airflow limitation

5. When NOT to Take It (Kab nahi leni chahiye)

• If you are allergic to tiotropium, ipratropium, or any ingredient
• For acute bronchospasm or sudden breathing attacks (not a rescue inhaler)
• If you have severe urinary retention or narrow-angle glaucoma without medical supervision

6. Dosage (Kitni leni hai)

• One capsule via HandiHaler once daily

• One capsule via HandiHaler once daily at the same time each day

• Do not exceed one capsule per day unless advised by your doctor

• If you miss a dose, take it as soon as you remember. If the next dose is close, skip the missed dose. Never use two capsules in one day.

7. How to Take It (Kaise leni hai)

• Spiriva Capsule must be used only with the HandiHaler inhalation device

• The capsule must not be swallowed — it delivers medicine only when inhaled through the HandiHaler

• Insert one capsule into the HandiHaler, pierce it by pressing the button, and inhale deeply through the mouthpiece

• Use once daily at the same time each morning

8. Best Time to Take (Kab leni chahiye)

• Morning is preferred for once-daily use

• Same time daily to maintain a consistent bronchodilation effect

9. Empty Stomach or After Food (Khali pait ya khane ke baad)

• Spiriva Capsule is inhaled via the HandiHaler device — food intake does not affect its use.

10. Warnings (Ihtiyat)

• Do not swallow the capsule — inhalation via HandiHaler only
• Do not use Spiriva Capsule if you are allergic to tiotropium, ipratropium, or any ingredient
• Not for use during acute bronchospasm
• Use with caution in patients with prostate enlargement, urinary retention, or narrow-angle glaucoma

11. Precautions (Ahm ehtiyaat)

• Store in a cool, dry place below 25°C
• Protect from moisture; keep capsules in blister until immediately before use
• Keep out of the reach of children

12. Side Effects (Nuksanat)

• Dry mouth, constipation, urinary tract infection

• Urinary retention, paradoxical bronchospasm, angle-closure glaucoma (eye pain and blurred vision)

13. Drug Interactions (Dawaon ke sath reaction)

• Do not use with other inhaled anticholinergic medicines
• Other anticholinergics may produce additive effects including urinary retention and constipation

14. When to See a Doctor (Kab doctor ke paas jayein)

• Sudden worsening of breathing or wheezing
• Eye pain, blurred vision, or halos around lights
• Difficulty urinating or complete inability to urinate

15. Alternatives (Sasti Dusri Dawaein)

16. Price in Pakistan (Price kitni hai)

(Note: Price depends on the pharmacy and pack size.)

17. FAQs (Aksar poochay jane walay sawalat)

Q: Spiriva Capsule kis kaam aati hai?

A: Spiriva Capsule is prescribed for COPD maintenance therapy including chronic bronchitis and emphysema. It is NOT for acute breathing attacks. See the uses section on PakVita and always follow your doctor's advice.

Q: Spiriva Capsule kitne mg ki hoti hai?

A: Each Spiriva Capsule contains tiotropium bromide equivalent to 18mcg tiotropium. Follow your doctor's prescription for the correct use via the HandiHaler device.

Q: Pakistan mein price kitni hai?

A: The price can vary by pharmacy and city. Verify the current rate at a local store or online listing.

Q: Pregnancy mein safe hai?

A: Do not self-medicate during pregnancy. Always use this medicine only after consulting your doctor.

Q: Nuksanat kya hain?

A: Common side effects include dry mouth and constipation. Contact your doctor immediately if you experience urinary retention, eye pain, or worsening breathlessness.

18. Medical Review (Medical jaiza)

Compiled by the PakVita Editorial Team · AI-assisted drafting with editorial review · Sourced from DRAP, WHO, BNF · Last updated: 2026-07-09

19. Disclaimer (Zaroori tanbeeh)

The information on this page is for awareness only. It is not medical advice. Always consult your doctor or pharmacist before taking any medicine. PakVita is not responsible for any harm.