Spiriva Respimat 2.5mcg Inhalation Solution
₦140,000.00
Buy Spiriva Respimat 2.5mcg Online – Once-Daily Soft Mist Inhaler for COPD and Severe Asthma
Buy Spiriva Respimat 2.5mcg online from HubPharm Africa, a PCN licensed specialty pharmacy. Spiriva Respimat delivers tiotropium, a long-acting muscarinic antagonist (LAMA), as a slow-moving soft mist. Two puffs once daily give a total dose of 5 micrograms and 24 hours of bronchodilation. It is used for the maintenance treatment of chronic obstructive pulmonary disease, including chronic bronchitis and emphysema, and as add-on maintenance therapy in severe asthma.
Tiotropium blocks the muscarinic receptors that keep airway smooth muscle contracted. It binds tightly and releases slowly, which is why one daily dose holds the airways open all day and night. Spiriva is a controller, not a reliever. It will not open the airways quickly during an attack, so a short-acting reliever inhaler must be carried at all times.
The Respimat is a soft mist inhaler rather than a pressurised one. The mist moves slowly and lasts far longer than an aerosol puff, so more of the dose reaches the lungs and less lands at the back of the throat. It suits patients who cannot generate the strong inhalation a dry powder device needs, including the elderly, the very breathless and children. Every HubPharm order is reviewed by a pharmacist who will show you how to load the cartridge, prime the device before first use and read the dose indicator. Same-day delivery within Lagos, 48 hours nationwide, and international shipping available.
Key Features
- Two Puffs, Once a Day: 2.5 micrograms per puff, two puffs once daily for a 5 microgram total daily dose and a full 24 hours of bronchodilation.
- Soft Mist Delivery: The mist is released slowly over about 1.5 seconds, so coordination is far easier than with a pressurised inhaler and lung deposition is higher.
- Licensed in COPD and Severe Asthma: Reduces breathlessness and exacerbations in COPD, and is used as add-on maintenance therapy in severe asthma from 6 years of age.
- Dose Indicator: The device shows how much is left and locks when the cartridge is finished, so you are never caught out mid-month.
- Pharmacist-Guided Dispensing: A HubPharm pharmacist checks suitability, teaches cartridge loading and priming, and confirms your reliever inhaler is in date.
FAQ
What is Spiriva Respimat 2.5mcg used for?
It is used as a once-daily maintenance bronchodilator to relieve the symptoms of chronic obstructive pulmonary disease, including chronic bronchitis and emphysema, and as add-on maintenance treatment for patients with severe asthma who remain symptomatic on an inhaled corticosteroid plus a long-acting beta agonist.
How many puffs do I take?
Two puffs once a day, at the same time each day. That is the full dose. Never take more than two puffs in 24 hours.
How do I use the Respimat inhaler?
Hold the inhaler upright with the cap closed, turn the clear base in the direction of the arrows until it clicks, open the cap, breathe out fully away from the device, seal your lips around the mouthpiece without covering the air vents, press the dose release button while breathing in slowly and deeply, then hold your breath for about ten seconds. Close the cap and repeat for the second puff.
Do I need to prime it before first use?
Yes. After inserting the cartridge, point the inhaler towards the ground and actuate it until a visible cloud appears, then repeat three more times. If you have not used it for more than seven days, actuate once towards the ground. If it has been unused for more than 21 days, repeat the full priming.
Is Spiriva Respimat a rescue inhaler?
No. It has a slow onset and is not for sudden breathlessness. Use your short-acting reliever, such as salbutamol, for acute symptoms and seek urgent help if it does not work.
How long before it starts working?
Some improvement in lung function appears from the first day, but the full benefit builds over several weeks of consistent daily use. Do not stop because you feel no immediate change.
What is the difference between Spiriva Respimat and Spiriva HandiHaler?
Both deliver tiotropium once daily and produce an equivalent clinical effect. Respimat gives 2.5 micrograms per puff as a slow soft mist and needs only gentle inhalation. HandiHaler gives 18 micrograms as a dry powder from a capsule and needs a strong, fast inhalation. The microgram numbers are not comparable and the two are not interchangeable dose for dose. Respimat is additionally licensed in asthma.
How long does one cartridge last?
A cartridge provides 60 puffs, which is 30 days of treatment at two puffs daily. Discard the inhaler three months after first use even if some doses remain.
What are the common side effects?
Dry mouth is the most common. Others include sore throat, hoarseness, cough, constipation, headache, dizziness, blurred vision and difficulty passing urine. Sipping water and rinsing your mouth after use helps with dryness.
Who should be cautious with Spiriva Respimat?
Tell your prescriber if you have narrow-angle glaucoma, an enlarged prostate, bladder outflow obstruction, moderate to severe kidney impairment, or a heart rhythm disorder. Anyone allergic to atropine or its derivatives, including ipratropium, should not use it.
Can it be used in children?
Spiriva Respimat is licensed as add-on maintenance therapy for severe asthma from 6 years of age, at the prescriber’s direction. It is not used in children for COPD.
Can I use it with my other inhalers?
Yes. Tiotropium is routinely combined with inhaled corticosteroids and long-acting beta agonists. It must not be combined with another muscarinic antagonist such as ipratropium (Atrovent), which adds side effects without adding benefit.
What if I miss a dose?
Take it as soon as you remember on the same day, then continue as normal. If it is nearly time for the next day’s dose, skip the missed one. Never take four puffs to catch up.
Why must I keep the mist out of my eyes?
Tiotropium reaching the eye can blur vision, dilate the pupil and, in susceptible people, trigger acute angle-closure glaucoma. Seek urgent care for eye pain, halos around lights or sudden visual blurring.
Can I buy Spiriva Respimat online in Nigeria?
Yes. HubPharm Africa is a PCN licensed pharmacy (LAG20247B39C9) and dispenses Spiriva Respimat with pharmacist review. We deliver same-day within Lagos, within 48 hours nationwide, and ship internationally.
How should Spiriva Respimat be stored?
Store below 25°C. Do not freeze. Keep the inhaler assembled with the cap closed and out of the reach of children. Do not use after the expiry date on the pack, and discard three months after first use.
Description
Spiriva Respimat 2.5mcg Inhalation Solution – Full Product Information
Active ingredient: Tiotropium (as tiotropium bromide monohydrate) 2.5 micrograms per actuation, a long-acting muscarinic antagonist (LAMA).
Presentation: Cartridge of inhalation solution supplied with the Respimat soft mist inhaler. One cartridge delivers 60 puffs, equivalent to 30 daily doses. Related presentation: Spiriva 18mcg inhalation powder hard capsules with the HandiHaler device.
Indications: Maintenance bronchodilator treatment to relieve symptoms of chronic obstructive pulmonary disease, including chronic bronchitis and emphysema, and reduction of COPD exacerbations. Add-on maintenance bronchodilator therapy in patients aged 6 years and older with severe asthma who have experienced one or more severe exacerbations in the preceding year.
Legal category: Prescription only medicine.
How Spiriva Respimat Works
Tiotropium is a competitive, reversible antagonist at muscarinic receptors. In airway smooth muscle it blocks M3 receptors, preventing acetylcholine-mediated bronchoconstriction. Its clinical value comes from its kinetics: dissociation from the M3 receptor is very slow while dissociation from M2 receptors is fast, giving prolonged, relatively selective bronchodilation that supports once-daily dosing. The Respimat device generates a fine, slow-moving mist over approximately 1.5 seconds, which improves lung deposition and reduces oropharyngeal deposition compared with a pressurised metered dose inhaler, and removes the need for a forceful inspiratory effort.
Dosage
Adults, adolescents and children aged 6 years and over: two puffs of 2.5 micrograms once daily, giving a total daily dose of 5 micrograms, taken at the same time each day. Do not exceed two puffs in 24 hours. Before first use, insert the cartridge and prime the device by actuating towards the ground until a visible cloud is produced, then repeat three more times. Actuate once towards the ground if the inhaler has not been used for more than 7 days, and repeat the full priming sequence if unused for more than 21 days. No dose adjustment is required for age or hepatic impairment; patients with creatinine clearance of 50ml/min or less should be monitored closely.
Storage and Handling
Store below 25°C. Do not freeze. Keep the cap closed when not in use and store the assembled inhaler out of the sight and reach of children. Do not use after the expiry date shown on the packaging, and discard the inhaler three months after first use even if doses remain. The device locks automatically once the cartridge is exhausted.
Safety Information
Not for the relief of acute bronchospasm. Do not use in patients hypersensitive to tiotropium, atropine or its derivatives such as ipratropium and oxitropium, or to any excipient. Use with caution in narrow-angle glaucoma, prostatic hyperplasia, bladder neck obstruction, moderate to severe renal impairment, and in patients with cardiac rhythm disorders or recent myocardial infarction. Avoid contact of the mist with the eyes, which can precipitate or worsen angle-closure glaucoma: stop and seek urgent advice for eye pain, halos, blurred vision or inability to pass urine. Paradoxical bronchospasm requires immediate discontinuation. Do not combine with other anticholinergic bronchodilators. In asthma, Spiriva Respimat is add-on therapy and must not replace inhaled corticosteroid treatment.
Pharmacist Support
Every HubPharm order is reviewed by a licensed pharmacist before dispatch. You can reach our pharmacy team on WhatsApp at +234 705 050 5001, or through Afiya, our AI health companion, 24 hours a day in over 50 languages.
This information is provided for general education and does not replace the advice of a qualified healthcare professional. Always read the manufacturer’s leaflet supplied with your medicine.
