Spiriva (Tiotropium)

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Spiriva Handihaler 18mcg

Product of United Kingdom
Manufactured by: Boehringer Ingelheim
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Spiriva Handihaler 18mcg
Product of United Kingdom
Manufactured by Boehringer Ingelheim
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Spiriva Handihaler 18mcg

Product of Canada
Manufactured by: Boehringer Ingelheim
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Spiriva Handihaler 18mcg
Product of Canada
Manufactured by Boehringer Ingelheim
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Tiotropium Handihaler 18mcg

Product of Canada
Manufactured by: Lupin Ltd
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Tiotropium Handihaler 18mcg
Product of Canada
Manufactured by Lupin Ltd
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Tiotropium Rotacaps with Rotahaler 18mcg

Product of India
Manufactured by: Cipla Ltd
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Tiotropium Rotacaps with Rotahaler 18mcg
Product of India
Manufactured by Cipla Ltd
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Spiriva Handihaler 18mcg

Product of Turkey
Manufactured by: Boehringer Ingelheim
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**Med currently on backorder - NO ETA**
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Spiriva Handihaler 18mcg
Product of Turkey
Manufactured by Boehringer Ingelheim
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Get Your Canadian Pharmacy Spiriva Coupon

Are you looking for even better prices for your Spiriva handihaler? Our online prices are already an incredible offer. But, you’re also more than welcome to get in touch with use to learn about Spiriva inhaler coupons and discounts. You can use Spiriva coupon code  SPI10 to get $10 off when you buy Spiriva online from PricePro Pharmacy.

Check the prices for Spiriva, and generic Spiriva, in the section at the top. There, you’re guaranteed to find the best prices online. Otherwise, get in touch with our professionals to get help navigating great prices for all your needs like Spiriva 18 mcg and other prescription drugs.

*Coupon codes cannot be combined and are for one-time use only

Spiriva Coupon Code SPI10

Free Spiriva Coupon

Spiriva Handihaler available online

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Spiriva Cost & How to Order from PricePro Pharmacy

The anticholinergic drug Spiriva (Tiotropium) is given to patients with chronic obstructive pulmonary disease (COPD), chronic bronchitis and emphysema. It works by relaxing the muscles within the airways, which makes it easier to breathe. 

Spiriva (Tiotropium) may be prescribed by your doctor to treat your condition and is available by prescription only.

At PricePro Pharmacy,  you can buy Spiriva online manufactured by Boehringer Ingelheim with each box consisting of 30 capsules to be used  with the Spiriva Handihaler device.  Spiriva cost ranges from $52 for 30 capsules to $138 for 90 capsules with a flat-fee of $9.95 for shipping.

Apply Spiriva coupon code SPI10 at checkout and get instant savings on your prescription order. Check out our other offers and specials to help lower your prescription cost.

To learn more about Spiriva (Tiotropium), read here: Dosage, Side Effects, Warnings and Precautions, and Interactions from our certified medical writer.

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Spiriva Dosage

The following dosage is available to order:

  • Spiriva Handihaler 18mcg

This medication comes in pack sizes of 30, 60, and 90 capsules per pack. It is manufactured by Boehringer Ingelheim in Canada, UK, and Turkey.

You can select the dosage box above to view more product details. The active ingredient is called Tiotropium.

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Cost of Spiriva

At PricePro Pharmacy, the low cost of Spiriva handihaler  is:

  • $52.00 for 30 doses

While the average retail price of Spiriva inhaler in the United States is:

  • $556.00 for 30 caps of Spiriva 18mcg

You can save more than 90% ($504.00) when you order your Spiriva medication from PricePro Pharmacy. 

Another great way to save on your prescription drug price is to order a 90-day supply compared to 30-day supply.

Rx coupons

Coupon for Spiriva

Apply Spiriva coupon code SPI10 to instantly save $10 on your order!

So not only we do offer up to 90% savings compared to your local drug store but we also have Rx coupons for bonus savings.

The coupon mentioned above is for one-time use only and cannot be paired with other promotional offers.

Lower cost generic alternative

Generic for Spiriva

The generic alternative of Spiriva, Tiotropium Rotacaps with Rotahaler 18mcg, is available here at PricePro Pharmacy in the following dosage:

  • Tiotropium 18mcg Rotocaps with Rotohaler

Generic drug are equally effective as their name-brand medication. They are available on the market when the the patent runs out on the brand name medication.

The generic Tiotropium Rotacaps with Rotahaler 18mcg price starts as low as $36.00 for 30 caps at PricePro pharmacy.

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Prescription Delivery

The estimated shipping time for your order will depend on the medication source selected:

  • 7 to 10 business days (Product of Canada)
  • 7 to 14 business days (Product of UK)
  • 10-18 business days (Product of India and Turkey)

The regular delivery fee per order is $9.95. We deliver all across the USA.

When your prescription drugs are shipped, you will get an email with your order's tracking information.

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Prescription Refill Online

PricePro Pharmacy's prescription refill reminder service is where give our customers an email or call to notify them of the right time to place a new order while taking delivery times into account.

You can view your medication history as well as your order history online. Simply sign into your online account and choose ‘reorder’ to place a new order. If your existing prescription is already available and valid, you do not need to upload a new one. If not, we will need a new prescription to accept your order.

If you have any questions, please contact us via live chat or by phone at 1-855-776-0079.

Spiriva HandiHaler (Tiotropium Bromide) Medication Information


Spiriva HandiHaler is a prescription inhaled medication to prevent and reduce the symptoms of chronic obstructive pulmonary disorder (COPD) in adults.

COPD is caused by long-term exposure to harmful chemicals or gases, such as cigarette smoking. This exposure leads to permanent inflammation of the lungs. This inflammation causes changes in the lungs, which leads to a decrease in airflow. This makes it difficult to breathe. 

Spiriva HandiHaler is not a “rescue” inhaler and shouldn’t be used to treat sudden COPD flare-ups. A flare-up is a period of time that COPD symptoms get worse.  COPD symptoms may include coughing, shortness of breath, wheezing, and mucus.

Spiriva HandiHaler works by opening up the lungs’ airways, making it easier to breathe.  Spiriva HandiHaler can help prevent COPD flare-ups and make them less severe when they do occur. 


Spiriva HandiHaler is available in one strength: 18 mcg per inhaled capsule.  

Spiriva HandiHaler capsules contain powder.  The capsule gets punctured by the inhaler device, and you’ll inhale the powder contents of the capsule.  Spiriva HandiHaler is for oral inhalation only.  Do not swallow Spiriva capsules.

The usual dosage of Spiriva HandiHaler is 2 inhalations once daily.  Be sure to follow your healthcare provider’s instructions exactly.


Spiriva HandiHaler may not be safe for people with the following medical history or conditions:

  • History of an allergic reaction to Spiriva (tiotropium) or Atrovent (ipratropium)
  • Kidney problems
  • Glaucoma
  • Enlarged prostate or trouble passing urine
  • Pregnant or planning to become pregnant
  • Breastfeeding
  • Severe allergy to milk proteins

Side Effects

Spiriva HandiHaler may cause side effects in some people.  The most common side effects of Spiriva HandiHaler are mild, but severe side effects are also possible.

The most common but usually mild side effects of Spiriva HandiHaler include:

  • Upper respiratory tract infections (common cold symptoms)
  • Dry mouth
  • Sinus irritation
  • Sore throat
  • Chest pain
  • Urinary tract infections
  • Indigestion
  • Itchy, watery eyes

Serious side effects are less common with Spiriva HandiHaler, but may include:

  • Paradoxical bronchospasm (increased wheezing)
  • New or worsening glaucoma (increased pressure in the eyes)
  • Difficulty passing urine or painful urination
  • Allergic reaction

Your doctor will prescribe Spiriva HandiHaler if they feel that its benefits outweigh your risks for serious side effects.  For more information about these side effects, talk with your doctor or pharmacist. 


Spiriva HandiHaler should not be taken with other medications known as “anticholinergics.”  Some examples include:

  • benztropine (Cogentin)
  • dicyclomine (Bentyl)
  • hyoscyamine (Levsin)
  • ipratropium (Atrovent)
  • oxybutynin (Ditropan)
  • solifenacin (Vesicare)

Ask your doctor or pharmacist before taking any other medications or herbal supplements with Spiriva HandiHaler.


Store Spiriva HandiHaler in its sealed package at room temperature between 68℉ to 77℉ (20℃ to 25℃). 

Pharmacists Tips

  • Be careful not to get the powder from the Spiriva HandiHaler capsules in your eyes. Your vision could get blurry. If that happens, call your doctor immediately. 
  • Do not use Spiriva HandiHaler more often than your doctor prescribed.  Harmful effects may occur. 
  • Detailed instructions for using Spiriva Handihaler are included in the product package.

Spiriva HandiHaler FAQs

How does Spiriva HandiHaler work?

Spiriva HandiHaler relaxes the small muscles in your airways and keeps them open for 24 hours. This allows you to breathe easier.


How long does it take Spiriva HandiHaler to start working?

It may take up to 4 to 8 weeks of treatment with Spiriva HandiHaler to improve your breathing.


How long will I have to take Spiriva HandiHaler?

Spiriva HandiHaler is meant to be a long-term for COPD.  It is essential to keep using this inhaler daily, even if you feel better unless your doctor tells you to stop taking it. 

Related Drugs


  1. Spiriva HandiHaler Prescribing Information. Ridgefield, CT: Boehringer Ingelheim Pharmaceuticals Inc, 2018. https://docs.boehringer-ingelheim.com/Prescribing%20Information/PIs/Spiriva/Spiriva.pdf Accessed January 25, 2021.
  2. Agarwal AK, Raja A, Brown BD. Chronic Obstructive Pulmonary Disease. Treasure Island (FL): StatPearls Publishing; 2020. https://www.ncbi.nlm.nih.gov/books/NBK559281/ Accessed January 25, 2021.

PharmD Medical Writer

Author: Dr. Patricia Weiser, PharmD

Patricia Weiser, PharmD, is a licensed pharmacist and medical writer.  She has clinical experience in community and hospital pharmacy.  Patricia is a 2007 graduate of the University of Pittsburgh. She resides in Pennsylvania with her husband and two daughters.

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The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

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