Canada Drugs Direct

Visiting from Canada?

Want to save up to 80% on your medications? Signup below to be notified if we open a Canadian Online Pharmacy.

I agree to receive email updates from Canada Drugs Direct

Looking for Call us toll free 1-800-500-2897

Spiriva (Tiotropium)

Prescription medicineOnly Available By Prescription

Top brand choice

Strength Pack Size Qty
Respimat 2.5mcg (60 puffs/30 doses/inhaler)
Pack Size
18mcg (30 doses/Handihaler)
Pack Size

You'll have option to make 4 interest-free payments by credit card once your order is confirmed using

Top Generic choice

Strength Pack Size Qty
18mcg (30 doses/rotacaps)
Pack Size

You'll have option to make 4 interest-free payments by credit card once your order is confirmed using

What if I find a lower price with another pharmacy?

We guarantee the lowest price on all of our prescription products. If you find your medications cheaper at any other recognized licensed mail order pharmacy, we will not only match their price, we will beat it by 25% of the difference. It is our 125% price match guarantee!

Example: If you find a product on Canada Drugs Direct for $50.00 and find the same product for $40.00 at another mail order pharmacy, we will provide you with a $12.50 discount, bringing your total to $37.50.

To get the discount please make sure to mention the price match to the customer service team when they call to collect payment for your order. Or call toll free at 1-888-904-8467 to place the order through the phone.

Terms & Conditions of Program

  • Guaranteed lowest price is only valid at the time of sale.
  • We will only match the current advertised price.
  • Products must be identical and in stock at the time of placing an order with a licensed mail order pharmacy. The must be a member of CIPA (Canadian International Pharmacy Association).
  • Products must be authentic in brand and size (same manufacturer, same country of manufacture, same pack size, same strength and same quantity).
  • Products must be new. We cannot match the price of any used, short expiry or expired product.
  • Price match can only be issued over the phone with our customer service team
What is a Generic Drug?

A generic drug is a copy of the brand-name drug with the same dosage, safety, strength, quality, consumption method, performance, and intended use. Before generics become available on the market, the generic company must prove it has the same active ingredients as the brand-name drug and works in the same way and in the same amount of time in the body.

The only differences between generics and their brand-name counterparts is that generics are less expensive and may look slightly different (eg. different shape or color), as trademarks laws prevent a generic from looking exactly like the brand-name drug.

Generics are less expensive because generic manufacturers don't have to invest large sums of money to develop a drug. When the brand-name patent expires, generic companies can manufacture a copy of the brand-name and sell it at a substantial discount.


SPIRIVA (tiotropium) is a type of medication indicated to treat symptoms of chronic obstructive pulmonary disease (COPD), including bronchospasm and COPD exacerbations. SPIRIVA is a long-term maintenance medication and should be taken regularly for full effect.

COPD is a group of long-term, degenerative, inflammatory diseases of the small airways in the lungs. Diseases included in this group include chronic bronchitis, emphysema, and refractory asthma. Symptoms of COPD can be managed by a variety of medications, including anticholinergics like SPIRIVA.

SPIRIVA works by blocking muscarinic receptors on the surface of smooth muscle cells in the lungs. When muscarinic receptors are blocked, the airway relaxes and bronchodilation occurs.

Fact Table




US FDA, US DailyMed



Legal status


Chemical Name


Elimination half-life

5–6 days

Dosage (Strength)

Respimat 2.5mcg (60 puffs/30 doses/inhaler), 18mcg (30 doses/Handihaler), 18mcg (30 doses/rotacaps)


Not Harmful



Protein binding


PubChem CID






ATC code






Routes of administration



Take SPIRIVA according to how it has been prescribed by your doctor. Directions may vary based on the type of inhaler, which may be one of the following:

  • SPIRIVA HANDIHALER: 2 inhalations of a single 18 mcg capsule once daily
  • SPIRIVA RESPIMAT: 2 inhalations of 2.5 mcg once daily


The active ingredient in SPIRIVA is tiotropium.


SPIRIVA is not a rescue inhaler and should not be used to treat acute episodes of bronchospasm.

SPIRIVA may worsen symptoms of narrow-angle glaucoma and should be used with caution in these patients.

Patients with urinary retention should use caution while taking SPIRIVA and report any signs and symptoms of hyperplasia or bladder-neck obstruction to their doctor.

Patients with moderate to severe renal impairment should use caution while taking SPIRIVA.

Side Effects

Common adverse effects of SPIRIVA may include:

  • Constipation
  • Dry mouth
  • Dyspepsia
  • Epistaxis
  • Non-specific chest pain
  • Pharyngitis
  • Rhinitis
  • Sinusitis
  • Upper respiratory tract infection
  • Urinary tract infection
  • Vomiting

Side effects of SPIRIVA may vary depending on the type of inhaler used. Refer to individual package inserts for more information.


  1. Boehringer Ingelheim Pharmaceuticals. Spiriva Handihaler [package insert]. U.S. Food and Drug Administration website. Revised 2009. Accessed December 16, 2019. "
  2. Boehringer Ingelheim Pharmaceuticals. Spiriva Respimat [package insert]. U.S. Food and Drug Administration website. Revised 2015. Accessed December 16, 2019. "
  3. Ostroff, Jared, A Review of the 2019 GOLD Guidelines for COPD. Published July 17, 2019. Accessed December 18, 2019.

IMPORTANT NOTE: The above information is intended to increase awareness of health information and does not suggest treatment or diagnosis. This information is not a substitute for individual medical attention and should not be construed to indicate that use of the drug is safe, appropriate, or effective for you. See your health care professional for medical advice and treatment.

product-reviews Product Reviews