Spiriva Respimat

Tiotropium Bromide Monohydrate

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Spiriva Respimat
Tiotropium Bromide Monohydrate
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Spiriva Respimat
Tiotropium Bromide Monohydrate
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Medically reviewed by: Samuel Maaiah, PharmD

Last updated on October 14, 2021

Dr. Maaiah is a PharmD graduate who has practiced both in pharmaceutical consulting and retail pharmacy. His interests include consulting and the development and approval of new therapeutics. He currently works as a Medical Information Consultant (MIC) and as a retail pharmacist. As a MIC he helps pharmaceutical companies with projects and by consulting as a medical information expert.

When Dr. Maaiah is not working, he enjoys spending time with his family and friends, doing outdoor activities, working out, and reading.

Spiriva Respimat Coupon

Get $10 off order



* minimum order of $100

* Please note, these coupon codes listed here are one-time use and cannot be combined with other coupons or offers.

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How to buy Spiriva Respimat (Tiotropium) online?

Spiriva Respimat can be ordered online through 90daymeds.com or by calling 1-800-828-4489 and speaking to customer support. The chat feature can also be used for support. For more information please visit the “How to Order” page on 90DayMeds.com.

Is a prescription required?

Yes, Spiriva Respimat is available by prescription only; proof of a valid prescription from your doctor is required. To process your order, you will need to submit a prescription. The prescription can be emailed ([email protected]), uploaded, or faxed (1-800-416-8019). Alternatively, we can reach out to your doctor to attain a valid prescription if you would like.

What is the maximum amount that can be ordered?

A 3-month supply (90-days) is the maximum amount that can be ordered at one time. The amount that can be ordered will be based on the directions and quantity indicated on the original prescription from your provider. Refills are kept on file for future orders.

Is it safe to order Spiriva HandiHaler (Tiotropium) from 90-Day Meds?

Absolutely. We operate just like your local pharmacy would, with our main priority being to provide you access to safe and affordable prescription medication. All our partner pharmacies are fully licensed and certified in their respective countries to manufacture medications. We ensure that your shopping experience is safe and secure with our Norton Shopping Guarantee.


Average US Retail Price 90-Day Meds Price
Spiriva Respimat 2.5mcg
(60 doses)
$573.60 $105.00

How much does Spiriva Respimat (Tiotropium) cost?

At 90DayMeds.com, we make sure to keep drug prices low. You can view the Spiriva Respimat cost savings below:

We provide brand Spiriva Respimat 2.5 mcg inhalers here at 90-Day Meds. A quantity of 1 inhaler (60 doses) of Spiriva Respimat costs $105, which comes out to $1.75 per unit.

Below shows the price comparison of brand Spiriva Respimat at a quantity of 1 inhaler between the average U.S. retail price and 90-Day Meds price.

What is the lowest price of Spiriva Respimat per unit?

Lowest Price Per Unit: $1.33/unit for Spiriva Respimat 2.5 mcg inhalers

Is this price for Spiriva Respimat without insurance?

The prices included above are without insurance. Unfortunately, we cannot process insurance claims. However, we will provide you with an official receipt which you can use to apply for reimbursement with your insurer. We are unable to adjudicate with US insurance providers.

Why is Spiriva Respimat cheaper from Canada than from the United States?

Drug prices in Canada are negotiated and regulated. The US is a free market economy which is why the price may differ since pharmaceutical suppliers can charge what they determine appropriate for the product. As a result, we are able to offer lower prices to our patients as we supply medications from these countries.


Sorry, we do not have a Spiriva Respimat (Tiotropium Bromide Monohydrate) coupon at the moment, please check back later.

Yes, Check out the Coupon Section of this page.

Is there a coupon for Spiriva Respimat available?

Yes, we do you have a Spiriva Respimat coupon for an extra discount on your prescription. You can save $10 off your order with coupon code SPIRIVAR10. Apply coupon at checkout for instant savings and pay less for your prescription with a minimum $100 order.


Is there a lower cost generic Spiriva Respimat available?

Spiriva Respimat is not available as a generic alternative.

How much cheaper is generic Spiriva Respimat?

There is currently no generic alternative available.

What is the difference between brand and generic Spiriva Respimat?

Once available on the market, there will be no difference between generic and brand Spiriva Respimat. Generic formulations of medications contain the same active ingredients and meet the same quality, strength, and purity standards as the brand formulation.


Is shipping available to the United States?

Yes. An email notification will be sent to you once the item has been shipped. We ship nationwide across the United States.

How much does shipping cost?

There are no standard shipping fees.

Is express shipping available?

If a product of Canada is available then express shipping can be selected with an estimated delivery time of 3-5 business days. You have the option at the checkout page to select the express shipping option ($25) if available for that medication source.

Refill RX

How to refill a prescription?

You can easily order refills through 90-Day Meds. Simply access the reorder section in your account to place a refill order online. You can sign into your online account and view your previous orders and see which prescriptions we have on file. You can also call us and speak to customer support to place a refill. Our live chat is also a great place to connect with us to place a refill order while you are on the go.

Are prescriptions automatically refilled?

We cannot automatically refill prescriptions as there can be cases where you are no longer taking the medication, your doctor has changed your dose, etc. However, we provide a friendly refill reminder service. We will kindly notify you by phone or email as to the best time to place a refill order based on your prescription history.

Drug Information


What is Spiriva Respimat?

Spiriva Respimat (Tiotropium) is a prescription medication that is classified as an anticholinergic agent.


What is Spiriva used for?

It is used for the long-term maintenance treatment of bronchospasms associated with chronic obstructive pulmonary disease (COPD) and also for the prevention of COPD-associated exacerbations. It can also be used for the long-term treatment of asthma in patients at least 12 years of age or older.

How does it work?

It induces bronchodilation by inhibiting the M3 receptor on airway smooth muscle.


How do I use Spiriva Respimat?

This medication should be taken exactly as prescribed by your doctor for effective management of asthma or COPD. The color of the cap indicates the strength of that inhaler. Instructions for when you use your inhaler for the first time:

  1. Pull off the clear base while the cap is closed
  2. Push the narrow edge of the Respimat cartridge into the inhaler and do not remove after insertion
  3. Place the clear base back on
  4. Prime the inhaler prior to use by keeping the cap on and turning the clear base until you hear a click
  5. Open the cap and face away from the inhaler and then press the ‘dose release’ button
  6. Repeat steps 4 and 5 three more times for a total of 4 priming sprays
  7. The inhaler is now ready for use and does not need to be primed again (unless it has been more than 3 days since your last dose)

What dosages are available?

Spiriva Respimat comes in 1.25 mcg or 2.5 mcg inhalers

What is the recommended dosage?

You should take Spiriva as directed by your doctor, generally it is dosed as 2 inhalations once daily. The dose of Spiriva varies based on if it is used for asthma versus COPD, refer to your doctor for dosing recommendations.

What is the maximum dosage?

The maximum recommended dosage is 2 inhalations (1 dose)/day.

What if I miss a dose?

If you miss a dose, take it as soon as you remember, do not take more than one dose every 24 hours.


What should you know before you take Spiriva HandiHaler?

Spiriva Respimat is not indicated as a rescue medication, refer to your doctor’s recommendations for an emergency inhaler

Hypersensitivity reactions may occur when using Spiriva Respimat; discontinue use if you have swelling of the tongue.

Spiriva Respimat can cause paradoxical bronchospasms, discontinue Spiriva if you experience these symptoms

Patients with existing narrow-angle glaucoma should use Spiriva cautiously as it can worsen symptoms

Patients may have worsening urinary retention with Spiriva Respimat. If you have existing urinary retention you should use this medication cautiously and notify your doctor if you have worsening symptoms.

Side Effects

What are the side effects of Spiriva HandiHaler?

Some common (> 2-3% incidence) side effects include:

  • Pharyngitis
  • Cough
  • Dry mouth
  • Sinusitis
  • Bronchitis
  • Headache

Speak to your doctor for a full list of side effects.


Does this medication interact with other drugs, foods, or alcohol?

Avoid use with other anticholinergics as they may have additive effects.


How should this medication be stored?

The inhaler(s) may be kept at room temperature (15 – 30°C (59°F – 86°F)) until the expiration date on the box or for up to 3 months after the cartridge has been inserted (whichever comes first)

Pharmacist Tips

  • Priming the inhaler is important to ensure that every dose you inhale contains the correct amount of medicine to effectively manage your asthma/COPD. Priming the inhaler does not waste doses.
  • This inhaler works differently than Spiriva HandiHaler. Ask your doctor or pharmacist if you need help setting the inhaler up or have any questions about how to use this device.
  • The respimat inhaler will alert you of how many doses are remaining on the dose indicator. 1 dose of Spiriva Respimat is equal to 2 inhalations; seek a refill when the dose indicator shows the number ‘7’.


How long does spiriva stay in your system?

It can be taken at any time of day that works best for your schedule. Try to take the dose at the same time each day to avoid missing doses and to ensure there is enough medication in your system.

How long does it take for Spiriva Respimat to start working?

Taking more of this medication than recommended has not been shown to make the medication work faster. When taking this medication as prescribed, patients reported a relief in their symptoms about 4 – 8 weeks after they started using Spiriva Respimat.

Does Spiriva Respimat improve lung function?

It works by opening the airways so it can improve lung function.

Does Spiriva affect the kidneys?

Spiriva Respimat is eliminated via the kidneys. In patients with renal impairment, increased plasma concentrations were observed which may increase the risk for adverse effects.

Does Spiriva Respimat slow the progression of COPD?

If given during the early stages of COPD, it is more likely to slow the progression of COPD. This medication helps preserve lung function which indicates the progression of COPD has been reduced but this medication has not been shown to reverse changes made to lung function as a result of COPD.


This information is not individual medical advice and does not substitute for the advice of your health care professional. Always ask your health care professional for complete information about this product and your specific health needs before taking any medication.