Spiriva Respimat Coupons & Prices

A Spiriva Respimat coupon from Rx.com is a free cash-price discount you can show at the pharmacy counter for tiotropium bromide inhalation spray, the once-daily maintenance inhaler used for COPD and for add-on maintenance treatment of asthma. Spiriva Respimat is a brand-only product in the United States, and there is no generic version of the soft mist inhaler, so the cash price can be high without help. Enter your ZIP code above to see today's Rx.com price at pharmacies near you, then compare it with your insurance copay and with the manufacturer's own savings program before you pay.

What is Spiriva Respimat and how does it work?

Spiriva Respimat (tiotropium bromide) is a long-acting muscarinic antagonist, or LAMA. That is a type of long-acting anticholinergic bronchodilator: it blocks a nerve signal that tightens the muscles around your airways, so the airways stay more open and breathing gets easier over the course of the day. It is delivered by the Respimat soft mist inhaler, which releases a slow-moving mist you breathe in, rather than a dry powder.

The FDA has approved Spiriva Respimat for two uses. The 2.5 mcg strength (two inhalations once daily) is for the long-term, once-daily maintenance treatment of bronchospasm associated with COPD, including chronic bronchitis and emphysema, and to reduce COPD flare-ups. The 1.25 mcg strength (two inhalations once daily) is for long-term, once-daily maintenance treatment of asthma in people 6 years and older, as add-on maintenance therapy. It is a maintenance medicine, not a cure, and it is meant to be used every day even when you feel well. Do not stop it without talking to your prescriber.

Spiriva Respimat cost: manufacturer savings card vs. the Rx.com cash coupon

Because Spiriva Respimat has no generic, most people are choosing between three ways to pay. Boehringer Ingelheim, the manufacturer, runs an official savings program for Spiriva on its own patient website. Like most brand savings cards, it is generally limited to people with commercial (private) insurance, and the terms, eligibility rules and expiration dates change over time, so read the manufacturer's current terms directly on its site. People with Medicare, Medicaid, TRICARE or other government coverage are typically not eligible for these cards, and the uninsured usually cannot use them either.

That is where an Rx.com coupon fits. Our coupon is a cash-price discount, not insurance, so it can be used if you are uninsured, if you are on Medicare and the manufacturer card is off-limits, or if the card is simply declined at the counter. You cannot combine a cash coupon with your insurance on the same fill, but you can price both and pick whichever is lower that day. Enter your ZIP above to see today's Spiriva Respimat price at nearby pharmacies. Boehringer Ingelheim also offers patient assistance for people who qualify based on income and insurance status, so if the cost is still out of reach, ask your prescriber's office or check the manufacturer's official site for current eligibility.

Spiriva Respimat vs. HandiHaler and other inhalers

Spiriva comes in two devices with the same active ingredient. Spiriva HandiHaler is a dry-powder capsule inhaler you load and pierce, and it is approved for COPD. Spiriva Respimat is a soft mist inhaler and is the version approved for both COPD and add-on asthma maintenance in patients 6 years and older. The active ingredient in both is tiotropium bromide. They are not interchangeable at the pharmacy: the device, the strengths and the approved uses differ, so fill exactly what your prescriber wrote.

Other maintenance inhalers your prescriber may discuss include:

• Stiolto Respimat (tiotropium plus olodaterol) and Combivent Respimat (ipratropium plus albuterol), both also soft mist inhalers.
• Trelegy Ellipta, a once-daily three-drug inhaler.
• Symbicort, an inhaled steroid plus long-acting beta-agonist.
• Atrovent HFA (ipratropium), a shorter-acting anticholinergic.

Which one is right depends on your diagnosis, your symptoms and your other medicines. This is a comparison, not medical advice, so leave that choice to your prescriber.

Safety, side effects and what to watch for

Spiriva Respimat has no boxed warning. The most commonly reported side effects include sore throat (pharyngitis), cough, dry mouth, sinus infection, headache and bronchitis. It should not be used by anyone with a known hypersensitivity to tiotropium, ipratropium, atropine or their derivatives, or to any ingredient in the product. Serious allergic reactions have been reported, including angioedema (swelling of the lips, tongue or throat), rash, hives, bronchospasm and anaphylaxis. Get emergency help for these. Paradoxical bronchospasm, meaning breathing that suddenly gets worse right after a dose, can also happen; if it does, stop the inhaler and contact your prescriber.

Because it is an anticholinergic, Spiriva Respimat can worsen narrow-angle glaucoma and urinary retention. Tell your prescriber right away about eye pain, blurred vision, halos around lights or red eyes, or about trouble urinating, and mention any history of glaucoma, enlarged prostate or bladder-neck obstruction. Avoid spraying the mist into your eyes. Tell your prescriber if you have moderate-to-severe kidney problems, since tiotropium is cleared mainly by the kidneys and you may need closer monitoring, and avoid taking other anticholinergic medicines with it unless your prescriber says otherwise. This page is general information, not medical advice; talk with your doctor or pharmacist about your own situation.