Spiriva Respimat (Tiotropium) 2.5 mcg Inhalation Solution (Refill) 4ml

Spiriva Respimat is a long-acting anticholinergic (antimuscarinic) bronchodilator, with tiotropium bromide as its active ingredient, delivered via a metered inhalation device. Before starting or refilling this treatment, it's worth knowing that common effects include dry mouth, dry throat, or dry nasal passages, and less commonly, some people report constipation or difficulty passing urine. This is a once-daily maintenance treatment, and it should always be paired with a separate inhaler if one has been prescribed alongside it for other purposes. Because it's delivered through a specific inhaler device, correct technique matters for getting the full benefit of each dose.

The standard dose is 2 inhalations (2.5 mcg total) once daily, taken at the same time each day for consistent maintenance therapy. Dosage adjustment is generally not required for most patients, though those with significant kidney impairment should be monitored closely by their doctor.

• Dry mouth
• Dry throat or nasal mucosa
• Constipation
• Difficulty urinating (especially in men with prostate issues)
• Headache
• Cough
• Dizziness
• Blurred vision (if the spray contacts the eyes)
• Allergic reactions including rash or angioedema (uncommon)

Store below 25°C, away from direct heat, moisture, and freezing temperatures. Keep the cartridge and inhaler out of reach of children.

• Use at the same time each day for consistent effect
• Never use as a rescue inhaler for sudden breathlessness
• Avoid spraying near or into the eyes
• Replace the cartridge only with the compatible Respimat inhaler
• Rinse mouth after use to reduce dry mouth discomfort
• Store below 25°C away from heat and moisture
• Seek medical advice if you have difficulty urinating or eye pain
• Keep out of reach of children

Spiriva Respimat is administered as two inhalations from the Respimat inhaler, once daily, at the same time each day, using the specific technique demonstrated by your doctor or pharmacist. It should never be used as a rescue treatment for sudden breathlessness, and this refill cartridge is intended solely for use with the compatible Respimat inhaler device.

The unopened refill cartridge typically has a shelf life of around 2 to 3 years from manufacture. Once inserted into the inhaler and in use, it should generally be used within 3 months, as advised on the packaging.

Each actuation delivers 1.25 mcg of tiotropium (two actuations equal one 2.5mcg dose), a long-acting muscarinic antagonist that helps relax the airway muscles to ease breathing over a 24-hour period.

This medicine is contraindicated in individuals with known hypersensitivity to tiotropium, ipratropium, or any component of the formulation.
It should be used with caution in patients with narrow-angle glaucoma, urinary retention or prostate enlargement, and significant kidney impairment.

Combining Spiriva Respimat with other anticholinergic medicines may increase the risk of side effects such as dry mouth, constipation, or urinary retention, so your doctor should be informed of all other inhalers or medications you use.
There are no known significant food interactions associated with this medicine.

Do I need a prescription to purchase this refill cartridge?
Yes, Spiriva Respimat is a prescription-only medicine, so a valid prescription from a registered doctor is required.

Can this refill be delivered to Singapore from a Malaysian online pharmacy?
Delivery to Singapore depends on the pharmacy's shipping arrangements and Singapore's import regulations for prescription respiratory medicines; check directly with the pharmacy.

How can I confirm the refill cartridge I receive is genuine?
Ordering from a licensed, NPRA-registered pharmacy and checking the packaging seal, batch number, and device compatibility on arrival helps confirm authenticity.

What information is required to place an order for this refill?
A valid prescription along with accurate delivery details is typically required before the order can be processed.

How should this refill cartridge be stored while in transit or after delivery?
Keep it below 25°C, away from heat, moisture, and freezing, both during shipping and after arrival.

Is it safe to order maintenance respiratory medicines like this online?
Yes, provided you order from a licensed pharmacy that verifies prescriptions and ensures proper handling and storage during delivery.