Tiotropium Bromide Inhalation Powder is a bronchodilator in powder form, primarily used to reduce the frequency and severity of bronchospasm and other symptoms of COPD, including chronic bronchitis and emphysema.

Note that there are other formulations of Tiotropium Bromide, such as a mist. Patients buy Tiotropium Bromide Inhalation Powder for moderate to severe COPD; Tiotropium Bromide Mist is typically used for asthma and mild COPD.

Patients usually buy Tiotropium Bromide Inhalation Powder by its more widely-recognized brand name, Spiriva HandiHaler, while the mist version is more commonly sold as Spiriva Respimat.

In both cases the medication is very similar; Tiotropium Bromide is a bronchodilator regardless of its formulation. It is a long-acting medication, relaxing the small muscles that constrict the airways over a 24-hour period. The medication should be used daily, regardless of symptoms, for maximum benefit.

Patients should not buy Tiotropium Bromide Inhalation Powder or Mist as a rescue treatment; faster-acting but shorter-lasting bronchodilators, such as albuterol, are much more suitable.

Asthma versus COPD

Because the inhalation powder and the mist are quite similar, there is a degree of confusion among patients as to which product to buy for which condition. Here are the main differences between the inhalation powder and the mist:

• While it may seem obvious, the inhalation powder delivers the medication in a powder; the mist delivers the medication in a mist.
• The inhalation powder provides 18 mcg of tiotropium bromide per spray; the mist delivers 1.25 to 2.5 mcg per spray.
• The inhalation powder is largely restricted to adults; the mist can be administered to children as young as 6.
• The inhalation powder is administered just once per day; the mist is usually administered in two sprays per day.

Those who have very severe asthma, or who have asthma plus COPD, may find the inhalation powder beneficial; speak with a doctor about risks versus benefit. Otherwise asthma patients and those with mild COPD should buy this medication in a mist; the 18 mcg of powder will likely provide far more medication than needed for beneficial results.

Buying Tiotropium Bromide Inhalation Powder

Patients planning to buy Tiotropium Bromide Inhalation Powder will notice there are two types of product for sale; Starter Packs and Refill Packs. The difference is:

• Starter Packs include both capsules and a device to activate them.
• Refill Packs include only capsules.

Currently Tiotropium Bromide Inhalation Powder is predominantly sold as Spiriva HandiHaler; the HandiHaler is the device needed to activate the capsules. It does so by piercing a capsule once loaded into the device, making the powder available for inhalation. This device is necessary for using capsules; patients who don't have one should buy the Starter Pack the first time.

Capsules for use in the HandiHaler come individually packaged in blister packs; they should be left in their packaging until immediately before consumption. Patients may notice that each capsule contains only a very small amount of powder; this is normal. Do not swallow capsules.

How to Use

Detailed instructions on using and cleaning the HandiHaler or similar device are included with each product.

The majority of those who buy Tiotropium Bromide Inhalation Powder will use one capsule per day, though a doctor may, rarely, advise using more. Since the HandiHaler device is by far the most commonly used, directions here will assume patients have one.

Once a capsule is inserted in the HandiHaler device use is as follows:

• Press the green "piercing" button on the HandiHaler; this pierces the capsule and makes the powder available for inhalation.
• Breathe out completely.
• Holding your head upright so you're looking forward, bring the HandiHaler to your mouth and close lips around the mouthpiece.
• Breathe in deeply.
• While holding your breath, remove the HandiHaler from your mouth.
• Exhale completely and breathe normally for a minute.
• Return the HandiHaler to your mouth and again inhale deeply.
• Again remove the HandiHaler before exhaling.

After each dose the HandiHaler should be emptied by tapping it gently but firmly against a trash can; this will remove the capsule and any lingering powder.

Patients may occasionally need to clean the device with water. Simply rinse it with warm water; avoid use of soaps and/or very hot water. When finished, leave the device open and spread out for drying, which will take about 24 hours. Do not use device while wet. Drying with a clean paper towel can speed things up if necessary.

Buy Tiotropium Bromide Inhalation Powder from a Trusted Source

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A prescription is needed to buy Tiotropium Bromide Inhalation Powder at Kiwi Drug; if you don't have one you may want to take advantage of our online doctor services:

• Add the product to your cart and initiate checkout.
• Answer the questions on the following page about your medical history and other medications being taken.
• There is no extra charge for our online doctor services.

Patients who already have a prescription to buy Tiotropium Bromide Inhalation Powder will be given options to transfer it to us upon completing checkout.

As always, we're here for you any time if you have any questions or need a hand with your order.