Buy Spiriva Handihaler Online

To get the best results this medication has to be used correctly. Your doctor or pharmacist should be able to explain or even demonstrate how to use this properly. The device should also come with a patient information pamphlet with a diagram illustrating its use. Call your doctor or pharmacist if there are any additional questions.

The capsules are meant to be used with the handihaler device and the device is not intended to be used to administer any other medications. Seek immediate medical attention if you accidentally get the powder in your eyes and experience impaired vision or dilated pupils.

When you remove a capsule from the packaging be sure to use it immediately. The capsule is placed in the chamber and secured the mouthpiece until you hear a “click” sound. With the mouthpiece facing upward press the green button that pierces the capsule. Do not handle a pierced capsule with your bare hands. Wash your hands if you do touch a pierced capsule.

Breath out as much as you can. Be sure not to exhale into the mouthpiece. Close your lips around the mouthpiece and breathe in slowly and deeply. You should hear a vibration if this is done properly. When you are finished breathing, hold your breath for a moment and remove the mouthpiece from your mouth.

Repeat the process until you have completed the recommended dose. Discard any leftover material from the inhalation device and keep it clean and dry. Spiriva can contribute to enlarged prostate, narrow angle glaucoma and/or eye pain.

Spiriva has known side effects. Mild side effects may be manageable and can even go away in time. Serious side effects may require immediate medical attention. Your doctor should advise you what to be cautious of.

• puffiness or swelling of the eyelids or around the eyes, face, lips, or tongue
• difficult, burning, or painful urination
• irritability
• increased urination
• flushed, dry skin
• loss of interest or pleasure
• hives, itching, or skin rash
• canker sores
• trouble breathing
• bloody or cloudy urine
• nausea
• Fainting
• chest tightness or heaviness
• heartburn
• sores, ulcers, or white spots on the lips or tongue or inside the mouth
• Bloating
• tender, swollen glands in the neck
• stomach discomfort, upset, or pain
• cough
• sweating
• runny or stuffy nose
• lower back or side pain
• dizziness
• fast, pounding, or irregular heartbeat or pulse
• Bloody nose
• belching
• difficulty having a bowel movement (stool)
• vomiting
• unexplained weight loss
• congestion
• painful blisters on the trunk of body
• Acid or sour stomach
• increased thirst
• fever
• tiredness
• tightness in the chest
• Cough
• headache
• feeling sad or empty
• bone pain
• swelling or inflammation of the mouth
• red skin
• ear congestion
• chest pain
• trouble concentrating
• voice changes
• large, hive-like swelling on the face, eyelids, lips, tongue, throat, hands, legs, feet, or sex organs
• frequent urge to urinate
• muscle pain
• sore throat
• pain or tenderness around the eyes and cheekbones
• diarrhea
• chills
• bladder pain
• Arm, back, or jaw pain
• indigestion
• painful or difficult urination
• increased hunger
• hoarseness
• dryness of the throat
• sore mouth or tongue
• chest pain or discomfort
• lack of appetite
• blurred vision
• sweating
• sneezing
• loss of voice
• change in vision
• burning, crawling, itching, numbness, prickling, "pins and needles", or tingling feelings
• unusual tiredness or weakness
• difficulty with swallowing
• leg pain
• dry mouth
• discouragement
• fast or irregular heartbeat
• trouble sleeping
• body aches or pain
• fruit-like breath odor
• nausea

This medication has known allergies. Disclose all your current medications with your doctor to prevent unwanted interactions or allergic reactions.

• Carbinoxamine
• Paroxetine
• Trifluoperazine
• Prochlorperazine
• Clemastine
• Meclizine
• Loxapine
• Tizanidine
• Orphenadrine
• Trospium
• Clomipramine
• Protriptyline
• Mepenzolate
• Promethazine
• Ipratropium
• Revefenacin
• Oxybutynin
• Brompheniramine
• Doxepin
• Pirenzepine
• Stramonium
• Amifampridine
• Donepezil
• Pimozide
• Chlorpheniramine
• Carisoprodol
• Umeclidinium
• Benztropine
• Cyproheptadine
• Propantheline
• Glycopyrronium Tosylate
• Scopolamine
• Biperiden
• Perphenazine
• Propiverine
• Procyclidine
• Cyclobenzaprine
• Desipramine
• Chlorpromazine
• Thioridazine
• Darifenacin
• Oxitropium Bromide
• Thiothixene
• Amoxapine
• Flavoxate
• Terodiline
• Hydroxyzine
• Trihexyphenidyl
• Atropine
• Fesoterodine
• Fluphenazine
• Clidinium
• Glycopyrrolate
• Trimipramine
• Amitriptyline
• Hyoscyamine
• Diphenhydramine
• Imipramine
• Tropicamide
• Homatropine
• Belladonna
• Dimenhydrinate
• Pipenzolate Bromide
• Nortriptyline
• Methacholine
• Clozapine
• Cyclopentolate
• Aclidinium
• Tolterodine
• Solifenacin
• Tiotropium
• Dicyclomine
• Olanzapine

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