Spiriva (Tiotropium)

Spiriva (Tiotropium) can be ordered online through CanadianPharmacyOnline.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.

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

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

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

Spiriva Handihaler 18mcg – 30 Doses

• Average US retail price – $537.00
• Our Price – $75.00

At CanadianPharmacyOnline.com, we make sure to keep drug prices low.

You can view the Spiriva HandiHaler cost savings above with the price comparison between the average U.S. retail price and Canadian Pharmacy Online price

Lowest Price Per Unit: $1.44/unit for Spiriva HandiHaler 18 mcg inhaler.

Spiriva inhaler cost is made affordable with our online pharmacy service.

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

The prices of medications ordered from Canada are cheaper because drug prices 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 can offer lower prices to our patients as we utilize medications from these countries.

Yes, we do you have a Spiriva coupon for an extra discount on your prescription. You can save $10 off your order with coupon code SPIRIVA10. Apply coupon at checkout for instant savings and pay less for your prescription with a minimum $50 order.

There is a more affordable generic alternative available.

Generic Spiriva HandiHaler (Tiotropium) is $38 cheaper than brand Spiriva HandiHaler. 

There is no difference between generic and brand Spiriva HandiHaler. Generic formulations of medications contain the same active ingredients and meet the same quality, strength, and purity standards as the brand formulation.

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

Standard shipping is free.

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.

Refilling your prescription is made easy with Canadian Pharmacy Online. You can sign into your online account and view your previous orders and see which prescriptions we have on file. Placing a refill order online is made simple by accessing the reorder section in your account.

You can also call us at 1-800-416-8019 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.

We do not 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.

What is Spiriva HandiHaler? 

Spiriva HandiHaler (Tiotropium) is a prescription medication that is classified as a long acting muscarinic antagonist (LAMA).

What is Spiriva used for? 

It is used as a maintenance therapy for bronchospasms associated with chronic obstructive pulmonary disease (COPD).

How does it work?

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

How do I take Spiriva HandiHaler? 

DO NOT take the capsules by mouth

To dose, place a capsule in the center chamber of the handihaler device, utilizing the green piercing button on the side of the device, depress it completely once. Put your mouth around the mouthpiece, inhale deeply and slowly. Remove mouth from device and hold your breath for as long as is comfortable, then exhale slowly. Repeat inhalation of the same capsule contents again. Dispose of the remaining contents inside of the Handihaler.

What dosages are available?

Spiriva HandiHaler comes in brand and generic 18 mcg/dose dispensers.

What is the recommended dosage?

You should take as directed by your doctor, generally it is dosed as 2 inhalations of the powdered contents of one capsule once daily.

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 Handihaler is not indicated as a rescue medication, refer to your doctors recommendations for an emergency inhaler 

Hypersensitivity Reactions can happen from spiriva, discontinue use if you have swelling of the tongue, patients with a milk hypersensitivity should exercise extra caution. 

Spiriva can cause paradoxical bronchospasms discontinue Spiriva if you have 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, if you have existing urinary retention you should use this cautiously, notify your doctor if you have worsening symptoms.

What are the side effects of Spiriva HandiHaler ?

Some common (>5% incidence) side effects include:

• Upper Respiratory tract infection 
• Dry Mouth 
• Sinusitis 
• Pharyngitis 
• Non-specific Chest Pain
• Urinary Tract Infection 
• Dyspepsia 
• Rhinitis 

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

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

Patients should avoid use with other anticholinergics since it has not been studied.

How should this medication be stored?

The capsules provided should remain in their original packaging (blister pack) until a single dose is required for usage. DO NOT store capsules in the Handihaler device. Store at room temperature (77°F)

• Do Not swallow the capsules provided 
• Inhale the contents of one capsule twice 
• Rinse handihaler with warm water, air dry afterwards.
• It takes approx 24 hours for the device to air dry so ensure you clean it promptly after using
• Do not use for asthma attacks