Tiotropium (Spiriva)

Pulmonology (LAMA - Anticholinergic)

Dosing & Administration

Adult Dose

Inhaled: 2 puffs (1.25 mcg/puff or 2.5 mcg/puff) once daily. Or 1 capsule (18 mcg) inhaled daily.

Pediatric Dose

Asthma (>6 yrs): 2 puffs (1.25 mcg/puff) daily.

Renal Adjustment

CrCl < 60: Use caution (renally excreted).

Hepatic Adjustment

No adjustment necessary.

Safety & Special Populations

Pregnancy Category

C

Lactation Safety

Unknown.

Contraindications & Adverse Effects

Contraindications

  • Hypersensitivity to ipratropium

Common Adverse Effects

  • Dry mouth
  • Urinary retention
  • Paradoxical bronchospasm