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Do not use SPIRIVA RESPIMAT or SPIRIVA HANDIHALER if you are allergic to tiotropium, ipratropium, atropine or similar drugs, or any ingredient in these medicines.
For oral inhalation only. Do not swallow SPIRIVA capsules, as the intended effects on the lungs will not be obtained. The contents of the SPIRIVA capsules should only.
Use all of your medications as directed by your doctor. SPIRIVA RESPIMAT is not a treatment for sudden asthma symptoms. Do not use extra medicine to make up the missed dose. It will not work fast enough to treat an asthma or bronchospasm attack. Long-term use of steroids may lead to bone loss osteoporosisespecially if you smoke, if you do not exercise, if you do not get enough vitamin D or calcium in your diet, or if you have a family history of osteoporosis. Not all possible interactions are listed here.