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Spiriva Side Effects

Spiriva Side Effects Range From Common to More Severe


Updated June 11, 2014

Written or reviewed by a board-certified physician. See About.com's Medical Review Board.



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If you've ever taken Spiriva, a long-acting, anticholinergic bronchodilator, to help you manage your COPD symptoms, chances are you have found it both safe and effective. There are, however, numerous possible Spiriva side effects that you should be aware of ranging from common to more severe.

Common Spiriva Side Effects

The following are common Spiriva side effects that generally don't require medical attention:

  • Constipation
  • Cough
  • Dry mouth
  • Headache
  • Muscle pain
  • Sore throat
  • Upset stomach

More Severe Spiriva Side Effects

More serious side effects that have been reported after using Spiriva are listed below. Contact your health care provider immediately if you experience:

  • Any type of allergic reaction such as skin rash, hives, swelling of the face, lips, or tongue
  • Difficulty breathing
  • Changes in vision
  • Chest pain
  • Rapid heartbeat or heart palpitations
  • Infection or flu-like symptoms
  • Trouble passing urine or change in the amount of urine that you pass

Spiriva Interactions

Spiriva may interact with the following medications:

  • Atropine
  • Hyoscyamine
  • Ipratropium
  • Related medicines called antimuscarinics (drugs that block bladder contractions) or anticholinergics

PLEASE NOTE: This is only a partial list of possible drug interactions and side effects. Be sure to talk with your health care provider if you take these, or any other medications, before taking Spiriva, or if you experience additional side effects that are not mentioned here. Additionally, Spiriva does NOT increase risk of stroke or other cardiovascular events, as was reported in previous years.

For more information about Spiriva and Spiriva side effects, read the Complete Guide to Spiriva.

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