Spiriva

Capsule for inhaler · Boehringer Ingelheim
PRESCRIPTION MEDICINE

Spiriva is a capsule for inhaler made by Boehringer Ingelheim that contains Tiotropium 18 mcg. Tiotropium is a long-acting bronchodilator (anticholinergic): keeps the airways open for 24 hours in COPD.

Ingredient (salt)Amount
Tiotropium18 mcg

What it is used for

Keeps the airways open for 24 hours in COPD.

How it works

A once-daily long-acting anticholinergic bronchodilator for COPD and some asthma.

How to take it

One dose once a day at the same time, using the inhaler device correctly; it is not a reliever.

Common side effects

  • Dry mouth
  • Constipation
  • Cough

Get medical help straight away if

  • Eye pain or blurred vision
  • Difficulty passing urine
  • Fast or irregular heartbeat

Be careful

Can cause dry mouth; not a reliever for sudden breathlessness.

Other medicines and interactions

Do not combine with other long-acting anticholinergic inhalers.

Pregnancy and breastfeeding

Inhaled bronchodilators are generally continued in pregnancy and breastfeeding, because uncontrolled breathing problems are the bigger risk; ask your doctor.

Same composition, other brands (1)

Tiova Rotacap

Ask your doctor or pharmacist before switching brands.

Common questions

What is Spiriva?

Spiriva is a capsule for inhaler by Boehringer Ingelheim containing Tiotropium 18 mcg.

What is Spiriva used for?

Keeps the airways open for 24 hours in COPD.

How should I take Spiriva?

One dose once a day at the same time, using the inhaler device correctly; it is not a reliever. Always follow the dose your doctor or the pack gives.

What are the side effects of Spiriva?

Common side effects include: Dry mouth, constipation, cough. Get medical help straight away for: Eye pain or blurred vision, difficulty passing urine, fast or irregular heartbeat.

Does Spiriva need a prescription?

Yes. In India it is a prescription (Schedule H) medicine, so a pharmacist should sell it only with a doctor's prescription.

Can I take Spiriva in pregnancy or while breastfeeding?

Inhaled bronchodilators are generally continued in pregnancy and breastfeeding, because uncontrolled breathing problems are the bigger risk; ask your doctor.

What are the substitutes for Spiriva?

Brands with the same composition: Tiova Rotacap. Ask your doctor or pharmacist before switching.

Sources and further reading

NHS (UK National Health Service) and MedlinePlus (US National Library of Medicine) are free, reviewed medicine guides. Brand names and doses there may differ from India.

Composition checked against pack details from large Indian online pharmacies. Last reviewed 31 October 2026. Written by Satya Babu.

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For information only, not medical advice. This page is a plain-language summary written from standard prescribing information and the public guides linked below. Brands sometimes change their formula, so always check the composition printed on the pack. Doses here are typical adult doses; yours may differ. Do not start, stop or change a medicine without your doctor or pharmacist, and keep all medicines away from children. In an emergency, call 112 (India) or your local emergency number.