Spiriva (Tiotropium)

Prescription medicineOnly Available By Prescription

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What is Generic?

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.


Chemical Name: Tiotropium ( ty-OH-tro-pee-um)

SPIRIVA is indicated for long term, once a day maintenance treatment for bronchospasm (wheezing or difficulty in breathing) that is associated with Chronic Obstructive Pulmonary Disease (COPD), including chronic bronchitis and emphysema. SPIRIVA works by relaxing the muscles in your airways and enlarging the airways. This way more air can move in/out of your lungs, in turn helping you breathe better. This medication comes with a handheld inhalation device because the capsule contains dry powder that is inhaled through the mouth. SPIRIVA is only used to prevent bronchospasm attacks. Do not use it during an attack because it will not work quickly enough -- use a fast-acting inhaler instead.

Available with prescription only.


SPIRIVA is generally used once a day, every day, to help maintain any breathing problems relating to COPD and to reduce the possibility of COPD flare-ups. SPIRIVA is a dry powder that comes in a capsule form. Patients must insert the capsule in the HandiHaler and inhale the powder through your mouth. Avoid getting this medication in your eyes. If this does happen, immediately rinse with water. Do not swallow the capsule. Carefully read the Instructions for use.


It is important to consult with your general practitioner (GP) before taking SPIRIVA HandiHaler, as it may not be the right treatment method for you. Share your medical history and conditions, including:

  • allergies to any medications
  • kidney problems
  • have glaucoma
  • an enlarged prostate
  • problems passing urine
  • pregnancy or plan to become pregnant
  • breast-feeding or plan to breast-feed
  • severe allergy to milk proteins
  • any medications you may be taking including prescription, non-prescription, eye drops, vitamins, and herbal supplements

Side Effects

SPIRIVA can cause serious side effects, including allergic reaction. Symptoms may include raised red patches on your skin (hives), itching, rash, and swelling of the lips, tongue, or throat that may cause difficulty in breathing or swallowing. If you have these symptoms of an allergic reaction, stop taking SPIRIVA and call your doctor immediately or visit a hospital emergency room.

Additional side effects of SPIRIVA include:

  • upper respiratory tract infection
  • dry mouth
  • sinus infection
  • sore throat
  • non-specific chest pain
  • urinary tract infection (UTI)
  • indigestion
  • runny nose
  • constipation
  • increased heart rate
  • blurred vision
This is not a complete list of all the possible side effects with SPIRIVA. Tell your general practitioner if you experience any side effect that bothers you or that are persistent.

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.

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