Spiriva Respimat 2.5mcg/dose 4ml

Instruction for Spiriva Respimat

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As a rule, doctors prescribe Spiriva Respimat to patients to facilitate the breathing process, since the effect of the therapeutic agent lasts for 24 hours at the right dosage chosen by the doctor.
The use of a therapeutic agent is allowed only after its appointment by a doctor - if the patient begins to carry out inhalations on his own, this can adversely affect the work of the body and lead to the development of side effects.

Description and composition of the drug

Spiriva Respimat for the inhaler is a long-acting bronchodilator, which, when used correctly, has a quick healing effect on the health of the patient. This is due to the fact that the drug instantly penetrates the respiratory system and settles in the inflamed area, which helps to restore healthy lung function more quickly.
The medicine that can be used in an inhaler is produced in two forms. It:
    containers in which the powder is located;
    liquid solution for inhalation (1 dose contains 2.5 mg of tiotropium).
The manufacturer Spiriva Respimat is the now known Beringer Ingelheim Pharma company located in Germany. Specialists created a pharmaceutical company recently, but its products have already gained much popularity among doctors and patients who suffer from frequent attacks of the bronchopulmonary system.
    Attention! Spiriva Respimat can not be used on its own - a medicine can have an effective effect only if the patient begins to conduct complex therapy.
Inhalation of the drug using inhalation is considered the best option for treating respiratory diseases, since particles of therapeutic agents can quickly penetrate deep into the bronchi, while covering the entire affected mucous layer, reducing swelling and irritation.
Especially often, doctors prescribe inhalation treatment for children, since such therapy does not allow a negative effect on the digestive tract.
The main substance of Spiriva Respimat is tiotropium. Each small container contains 18 micrograms of this active ingredient. Also in the composition there is disodium edetate, lactose monohydrate, benzalkonium chloride, which are auxiliary components of the drug.
In addition to the medicine, the package contains a special aerosol device for inhalation at home.
    Attention! Although the drug is in the form of capsules, it is forbidden to take them orally - treatment is carried out only by inhalation using the Handihaler device.

Pharmacological features

Spiriva Respimat is a powerful bronchodilator drug and m-cholinergic blocker.
After inhalation in the airways, inhibition of M3 receptors is observed - due to this, the patient has a relaxation of their muscles, which ultimately causes a strong bronchodilating effect. Depending on the dose taken to patients, the therapeutic agent of the drug lasts about 24 hours. However, to achieve a stable therapeutic effect will turn out only if the medicine is taken correctly.

Forms of release and principle of action of the drug

As indicated in the instructions for use, Spiriva Respimat is available in the following forms - a solution for inhalation and powder placed in capsules. The action of the drug in the patient's body is carried out by relaxing the muscles of the bronchi, due to which it is possible to get rid of spasm and asthma attacks. It is required to be treated with Spiriva drug only after its appointment by a doctor.

Application area

It is permissible to use nebulizers with the Spiriva Respimat therapeutic agent during maintenance and rehabilitation treatments to normalize lung function and reduce the frequency of exacerbations of the disease. Doctors prescribe patients with therapy with this drug in the following cases:
    bronchitis flowing in advanced form;
    COPD
    emphysema;
    bronchial asthma, which lasts for a long time without the disappearance of symptoms.
The dosage of the drug in each case is different - it will be prescribed by the doctor after receiving the results of the examination, passing tests and identifying the general condition of the patient.

Contraindications

The pharmacological effect of Spiriva Respimat will be observed in the patient only if he takes the medicine strictly according to the instructions. The absolute contraindications of the medication include:
    the patient's age is less than 18 years, since there is no data on the safety of the main active substance for the child's body;
    high sensitivity to the components of the drug and to derivatives of atropine (for example, oxytropy bromide).
As the instruction says, Spiriva Respimat and its analogues in composition should be carefully taken with angle-closure glaucoma, prostate hyperplasia and obstruction of the bladder neck, as this can aggravate the course of the disease.

Dosage and administration

Spiriva Respimat inhaler is required to be applied once a day constantly at the same time after a meal. With each use, 2 inhalations should be taken immediately. In one inhaler there are 60 inhaled doses, which is 30 therapeutic doses.
With asthma of the bronchial type, the effect of the application occurs only after 6-7 days, so the patient should not wait for an instant treatment result.
If the inhaler has not been used for a week, air must be directed upward before inhalation, and then press the device.
    Attention! Depending on the type of disease and the age of the patient, the dosage of Spiriva Respimat is different in each case. Therefore, the use of an inhaler is permissible only after its appointment by a doctor.
After each procedure, the mouthpiece should be washed with warm water - this will avoid drying out the drug inside the device, as well as rinse pathogens from the inhaler body.
Like Symbicort Turbuhaler, the inhaler in question has a special indicator that alerts the patient about the number of remaining doses. In about a week, it will turn red, which indicates the completion of the drug in the container. After blocking the aerosol, the device cannot be used.

Excess dosage

With regular administration of tiotropium bromide (the main substance of the drug) in healthy people, in addition to problems with the respiratory system, there were no undesirable side effects, except for dry mouth and nose. When carrying out procedures for more than 7 days, a decrease in salivation was observed in some patients. No other symptoms suggesting an overdose were found.

Side effects

This group of drugs, judging by the reviews of doctors, has common side effects, namely:
    dehydration;
    insomnia;
    dizziness;
    increased pressure inside the eyes;
    loss of clarity of vision;
    tachycardia;
    atrial fibrillation;
    increased heart rate;
    pharyngitis;
    sinusitis (asthmatics usually suffer from it);
    frequent coughing;
    dry skin and the appearance of ulcers on it;
    swelling or pain in the joints;
    urinary retention;
    the development of infections in the urinary organs;
    dysuria;
    stomatitis;
    bowel obstruction;
    candidiasis developing in the mouth;
    urticaria or itching on the body.
If side effects are detected, it is urgent to stop carrying out inhalations and contact a medical institution.

Use for inhalation procedures

Carry inhalation at home is required by all rules. How is the inhaler prepared before use:
    first you need to remove the cap - for this you need to press the lock button, and then pull the sleeve strongly;
    Now you need to insert the cartridge inside the inhaler and put it in until it clicks;
    the cap is kept closed, and the sleeve is smoothly rotated by half a turn, as indicated in the instructions;
    Now you need to open the cap and simultaneously press the button to dispense the drug, and then close it immediately.
Repeating such actions is required several times in order to achieve a comprehensive therapeutic effect on the body.
How to conduct daily procedures:
    The first step is to turn the sleeve until it clicks as indicated on the label (the cap must be kept closed);
    open the cap all the way and exhale slowly, after which we grab the mouthpiece with our lips and press the device;
    after receiving a dose of the drug, hold your breath for 10-15 seconds, and then exhale slowly.
If the patient needs to take a large dose of the drug, the above steps must be repeated.

Application for driving cars and complex mechanisms

Since an aerosol can cause a deterioration in the clarity of vision and lead to dizziness, doctors do not advise to drive or perform work that requires increased attention and concentration during therapy.

Features of the reception

An inhaled drug is not used in the treatment of acute forms of the disease or the removal of acute symptoms of the disease. In this case, doctors prescribe fast β2-agonists to patients.
Doctors forbid patients to interrupt home treatment with anti-inflammatory drugs, for example, inhaled glucocorticosteroids. This can lead to a deterioration in overall health (for example, cause bronchospasm), and also cause a decrease in the healing properties of Spiriva Respimat.
It is important to avoid getting the solution or aerosol in your eyes - if this happened, rinse your eyes immediately with clean water and consult a doctor. It is especially important to do this if vision has fallen sharply, eye pain has appeared, they have turned red or corneal edema has occurred.
In childhood, tablets are rarely prescribed, so doctors increasingly prefer sprays. But in order for them to have a maximum therapeutic effect, aerosols must be used strictly according to the instructions.
    Attention! After a heart attack or other serious heart diseases, Spiriva Respimat should be used with caution.
Using the medicine more than 1 time per day is unacceptable.

Pregnancy and breastfeeding

Data on the effect of the drug on the fetus developing in the womb is limited. Therefore, doctors do not advise pregnant women to treat with this drug, as this can harm a developing baby.
This can only be done if therapy is more beneficial for the mother than harm for the child. Only a doctor is entitled to appoint Spiriva Respimat or his substitute after a complete study of the disease picture.
When naturally feeding a baby, it is also necessary to limit the inhalation of Spiriva Respimat, as doctors have not found how the drug affects the baby’s body and how much of its components penetrate into breast milk.

In childhood

The effectiveness and safety of the drug in patients less than 18 years old has not been established by doctors, therefore, in pediatric practice, the medication is not used today.

In old age

Elderly people do not need to adjust the drug, since its composition is quite sparing and not able to harm elderly patients.

With diseases of the kidneys and liver

Patients with liver diseases are allowed to take a standard dose of the drug, which the doctor will prescribe. But with kidney problems, caution is required during home treatment.

Interaction with other drugs

The active substance of Spiriva Respimat should not be combined with other types of anticholinergic drugs, since their prolonged combination has not been fully studied by doctors.
But it is allowed to use the medicine along with other medicines, for example, methylxanthines, bronchodilators, antihistamines and mucolytics. For example, doctors often combine with Spiriva Respimat Berodual, Brizkhaler, Spiolto and so on.

Shelf life and storage rules

Regardless of the packaging of the drug, it is forbidden to freeze or store at a temperature of more than 25 degrees. Shelf life of the drug is 3 years, and after opening the package, it is allowed to store it for no more than 3 months.

Reviews about the drug

Reviews about the drug contain information that if you take Spiriva Respimat according to the doctor’s instructions and strictly follow the dosage, the medicine quickly facilitates breathing, reduces shortness of breath and has a long therapeutic effect. The only disadvantage of the drug is the high price.

Terms of sell

You don't need a prescription to buy Spiriva Respimat.