Spiriva Capsule Dosage Guide in Pakistan

Using Spiriva Capsule correctly is essential for effective COPD management. This guide provides complete information on the adult dose, HandiHaler technique, and what to do about a missed dose.

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

Dosage Guide

Quick Answer

The standard dose of Spiriva Capsule is one capsule inhaled via HandiHaler once daily. The capsule must never be swallowed. Children should not use this medicine. Never exceed one capsule per day and always complete treatment as directed by your doctor.

Dose at a Glance

Adult Dose

One capsule (18mcg tiotropium) via HandiHaler

Once daily

Max: One capsule per day — do not exceed

Child Dose (Adults only)

Not recommended for children

Not applicable

Missed Dose

If you miss a dose, take it as soon as you remember on the same day. If you remember on the next day, skip the missed dose and continue on schedule. Never use two capsules in one day.

Overdose

In case of overdose or accidental swallowing of the capsule, contact a doctor or emergency room immediately. An overdose of Spiriva Capsule can cause serious anticholinergic effects.

Spiriva Capsule Dosage (Kitni leni hai)

Correct use of Spiriva Capsule is essential for safe and effective COPD management. The capsule must be inhaled via the HandiHaler device — never swallowed.

Adult Dose (Baalgon ke liye)

One capsule (18mcg tiotropium) via HandiHaler once daily
Frequency: once daily, every day
Do not exceed one capsule per day
If you miss a dose, take it on the same day. If you remember the next day, skip. Never use two capsules in one day.

Starting Dose: One capsule via HandiHaler once daily

Usual Dose: One capsule via HandiHaler once daily, at the same time each morning

Max Daily Dose: One capsule — do not exceed

Child Dose (Bachon ke liye)

Not recommended for children

Spiriva Capsule is indicated for adult COPD patients only. It should not be given to children.

How to Take It (Kaise leni hai)

Open the HandiHaler device and insert one Spiriva Capsule from the blister
Press the green piercing button firmly once to puncture the capsule
Breathe out fully away from the device
Place the mouthpiece between your teeth, close your lips, and inhale deeply and steadily
Hold your breath for as long as comfortable, then exhale
Inhale once more from the same capsule to ensure full dose delivery
Remove and discard the used capsule — do not reuse

Best Time to Take (Kab leni chahiye)

Morning is preferred for once-daily maintenance
Same time daily to maintain 24-hour bronchodilation

With Food or Empty Stomach (Khali pait ya khane ke baad)

Not applicable — Spiriva Capsule is inhaled, not taken by mouth.

Missed Dose (Dose chhoot jaye to kya karein)

If you miss a dose, use the HandiHaler on the same day as soon as you remember. If you remember the next day, skip the missed dose and continue on schedule. Never use two capsules in one day.

Overdose (Zyada Dose)

If more than the prescribed amount is used, or if the capsule is accidentally swallowed, seek emergency medical help immediately. Overdose of tiotropium can cause rapid heart rate, confusion, and other anticholinergic effects.

Dose Summary Table

Patient	Dose	Notes
Adult	One capsule via HandiHaler	Once daily — do not swallow
Child	Not recommended	Not indicated

The information in this guide is for educational purposes only. Always confirm the dose with your doctor or pharmacist.

Frequently Asked Questions

What is the standard adult dose of Spiriva Capsule?

The standard adult dose is one capsule inhaled via the HandiHaler device once daily. Always follow your doctor's instructions and do not swallow the capsule.

What should I do if I miss a dose of Spiriva Capsule?

If you miss a dose, take it the same day as soon as you remember. If you remember the next day, skip and continue. Never use two capsules in one day.

Can Spiriva Capsule be swallowed?

No. Spiriva Capsule must never be swallowed. It delivers medicine only when inhaled through the HandiHaler device. Swallowing the capsule will not provide the intended benefit and may cause side effects.

What happens if I take too much Spiriva?

Taking more than the recommended dose can cause serious anticholinergic effects including rapid heart rate, dry mouth, and confusion. Contact a doctor or go to the nearest emergency room immediately.

How long should I take Spiriva Capsule?

Spiriva Capsule is a long-term maintenance medicine for COPD. Continue as directed by your doctor even if you feel better. Do not stop without medical advice.

Sources

DRAP Registered Products Database — Drug Regulatory Authority of Pakistan
WHO Model List of Essential Medicines, 23rd ed. (2023) — World Health Organization
British National Formulary (BNF) — BMJ Group & Pharmaceutical Press

Medical disclaimer

This page is for educational use only and does not replace professional medical advice. Always confirm diagnosis, dose, and interactions with a qualified doctor or pharmacist before starting or changing any medicine.