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Details Tiova (Generic Spiriva) Handihaler + 15 Capsules Generic Name: Tiotropium Bromide Packets of 15 Capsules + Handihaler Manufacutered by Cipla Use Tiova (Generic Spiriva) is the only once-daily maintenance therapy for the bronchospasm (airway tightening) that occurs with COPD. Dosage Tiova (Generic Spiriva) is taken just once a day, using the HandiHaler inhalation device. Taking your dose of Tiova (Generic Spiriva) requires four main steps: Open the blister and the HandiHaler device, insert the Tiova (Generic Spiriva) capsule, press the HandiHaler button and inhale your medication. Side Effects With Tiova (Generic Spiriva) the most commonly reported adverse drug reaction is dry mouth. Dry mouth is usually mild and often resolved during continued treatment. Other reactions reported in individual patients and consistent with possible anticholinergic effects included constipation, increased heart rate, blurred vision, glaucoma, urinary difficulty, and urinary retention. Precautions Tiova (Generic Spiriva) should not be taken by patients with a history of hypersensitivity to atropine or any of its derivatives, including ipratropium or any component of this product. Tiova (Generic Spiriva) is intended as a once-daily maintenance treatment for COPD and is not indicated for the initial treatment of acute episodes of bronchospasm, i.e., rescue therapy. Before you use Tiova (Generic Spiriva) , tell your doctor if you: * Are pregnant or wish to become pregnant * Are breastfeeding an infant * Are taking any medications, including prescription medicines, over-the-counter treatments, including eye drops, or herbal remedies * Have other medical problems such as difficulty urinating or an enlarged prostate * Are allergic to any medications. This product should be used only as directed by your doctor.