Spiriva Capsule Side Effects in Pakistan

A complete guide to the side effects of Spiriva Capsule. From common effects to serious warnings — everything you need to know is on this page.

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

Side Effects

Quick Answer

Common side effects of Spiriva Capsule include dry mouth and constipation. Serious effects such as urinary retention and angle-closure glaucoma require immediate medical attention. Most COPD patients tolerate Spiriva Capsule well at the correct dose. Contact your doctor if any side effect persists or worsens.

Side Effects at a Glance

Common

Dry mouth
Constipation
Urinary tract infection

Serious — See a Doctor

Urinary retention (inability to urinate)
Paradoxical bronchospasm (sudden worsening of breathing)
Angle-closure glaucoma (eye pain, blurred vision, halos around lights)

When to See a Doctor Immediately

Sudden worsening of breathing or new wheezing
Eye pain, blurred vision, or halos — possible angle-closure glaucoma
Inability or difficulty urinating

Spiriva Capsule Side Effects (Nuksanat)

Spiriva Capsule (tiotropium bromide 18mcg) is generally well tolerated when used correctly via the HandiHaler device. However, like all medicines, it can cause side effects in some patients.

Common Side Effects (Aam Nuksanat)

Dry mouth
Constipation
Urinary tract infection

These side effects are usually mild. If they continue, inform your doctor.

Serious Side Effects (Sanjeedah Nuksanat)

Urinary retention (inability to urinate) — see a doctor immediately
Paradoxical bronchospasm (sudden worsening of breathing) — see a doctor immediately
Angle-closure glaucoma (eye pain, blurred vision, halos) — see a doctor immediately

When to See a Doctor (Kab Doctor Se Milna Zaroori Hai)

Sudden worsening of breathing or new wheezing after inhalation
Eye pain, blurred vision, or seeing halos around lights
Inability or difficulty urinating

Warnings and Precautions (Ihtiyat)

Do not use Spiriva Capsule if you are allergic to tiotropium, ipratropium, or any ingredient
The capsule must not be swallowed — inhalation via HandiHaler only
Use with caution if you have prostate enlargement or urinary problems

Side Effects Summary Table

Type	Side Effect	Action
Common	Dry mouth	Monitor / inform doctor
Common	Constipation	Monitor / inform doctor
Common	Urinary tract infection	Inform doctor
Serious	Urinary retention	See a doctor immediately
Serious	Angle-closure glaucoma	See a doctor immediately

Reporting Side Effects

If you notice any unexpected side effect, report it on the DRAP pharmacovigilance portal: https://www.dra.gov.pk/pharmacovigilance

The information in this guide is for educational purposes only. If you notice any side effect, contact your doctor or pharmacist.

Frequently Asked Questions

What are the most common side effects of Spiriva Capsule?

The most commonly reported side effects of Spiriva Capsule include dry mouth and constipation. These are usually mild. Inform your doctor if they persist or are troublesome.

Can Spiriva Capsule cause allergic reactions?

Yes, like all medicines, Spiriva Capsule can cause allergic reactions in some people. Signs include rash, itching, swelling, or difficulty breathing. Stop use and seek medical help immediately if this happens.

Is Spiriva Capsule safe to take for a long time?

Long-term safety of Spiriva Capsule in COPD has been well studied. Your doctor will monitor for any signs of urinary retention or eye problems if continued long-term use is needed.

What should I do if I experience side effects from Spiriva Capsule?

For mild side effects such as dry mouth, inform your pharmacist. For serious effects such as urinary retention or eye pain, stop the medicine and contact your doctor immediately or go to the nearest hospital.

Does Spiriva Capsule affect the liver or kidneys?

Spiriva Capsule requires dose adjustment in patients with moderate to severe kidney impairment. Your doctor will advise based on your kidney function tests.

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.