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Spiolto Respimat

Spiolto Respimat is a solution-based inhalation treatment for Asthma and COPD. The principal role of this medication is to help prevent breathlessness and reduce the number of sudden attacks. For optimal results, you need to take it every day.
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Spiolto Respimat

Spiolto Respimat is a solution-based inhalation treatment for Asthma and COPD. The principal role of this medication is to help prevent breathlessness and reduce the number of sudden attacks. For optimal results, you need to take it every day.


Spiolto Respimat is an inhaled medication recommended to those suffering from chronic obstructive pulmonary disorder (COPD). With regular use, Spiolto Respimat reduces the number of flare-ups experienced by COPD patients. This is a preventive medication that is effective upon regular use for a long time. It can help maintain COPD conditions such as chronic bronchitis and emphysema.  

Spiolto Respimat is an effective medication for treating COPD. This medication helps to open the airways and makes it easier for the air to go in and out. Spiolto Respimat is a long-acting preventive medication, and the best results of this inhaler can only be experienced with regular use. 

Regular use reduces the number of flare-ups you experience and limits the onset of COPD symptoms such as breathlessness and coughing.

Spiolto Respimat consists of the active ingredients Tiotropium Bromide and Olodaterol. Tiotropium belongs to a group of medicines known as anticholinergics. These medicines are used to relax the airways to make breathing easier. The other ingredient Olodaterol is a bronchodilator that prevents the narrowing of the lungs’ airways by relaxing the muscles in the breathing tubes.  

The effects of each dose of Spiolto Respimat lasts for twenty-four hours. With regular use of Spiolto Respimat, COPD symptoms such as shortness of breath, cough, chest discomfort and coughing up phlegm. 

Spiolto Respimat is a prescription-only medication. Follow the dosage as prescribed by your doctor or pharmacist. Your doctor will assess your chronic obstructive pulmonary disease (COPD) symptoms to recommend the required amount of medicine.  

One inhalation of Spiolto Respimat contains 2.5/2.5 micrograms of tiotropium and olodaterol, respectively. Usually, the recommended dose of Spiolto Respimat is two inhalations, once a day. It is advisable to take the dose at the same time every day, as the effects of this medication last for 24 hours. Your doctor may advise a different dose depending on your symptoms. Do not change your dosage without consulting your doctor first. Keep the following points in mind when taking Spiolto Respimat:

  • Spiolto Respimat is a preventive medication designed to treat COPD symptoms with regular use over the long term. So, it is essential to take the medication every day and not just when you experience breathing problems. 
  • If you miss a dose, take it as soon as you remember. Unless it is almost time for the next dose – in that case, skip the missed dose and move on to the next one. Do not take a double dose to make up for the missed dose. 
  • Overdose of Spiolto Respimat may lead to side effects. If you or anyone else has taken an overdose of this medication, seek medical attention immediately. 

Spiolto Respimat is a prescription medication that should be used as advised by your doctor or pharmacist. It is also good to read the patient information leaflet provided in the pack for instructions for use. Here is a step-by-step guide for using the Spiolto Respimat inhaler:


If your Inhaler has not been used for more than seven days, release one puff towards the ground before taking the medication. If it has not been used for more than twenty-one days, repeat the steps listed under ‘Preparation for use’, then repeat steps 4 to 6 at least three times before taking the medication. 

Preparation for Use:

  1. Keep the cap closed. Press the safety catch while pulling off the clear base with the other hand.
  2. Insert a cartridge into the Inhaler. Place the Inhaler on a firm surface and push down on it firmly until it ‘clicks’ into place.
  3. Mark the checkbox provided on the Inhaler’s label to track the number of cartridges you have used. Put the clear base back into place until you hear it click.
  4. Keep the cap closed. Turn the clear base in the direction of the arrows on the label until it clicks. You should hear the click at half a turn.
  5. Open the cap until it snaps fully open.
  6. Point the Inhaler to the ground and press the dose release button, close the cap. Repeat Steps 4 to 6 until a cloud is visible. After you see a visible cloud, repeat Steps 4 to 6 three more times.
  7. Now your Spiolto Respimat inhaler is ready to deliver 60 actuations (puffs) or 30 doses. Here are the steps for using the Inhaler to take a daily dose. 

Using the Spiolto Respimat inhaler:

  1. Keeping the cap closed, turn the base in the direction of the arrows on the label until it clicks.
  2. Stand or sit upright when using the Spiolto Respimat inhaler
  3. Remove the protective cap from the mouthpiece until it snaps open completely, and ensure that the mouthpiece is clean.
  4. Facing away from the mouthpiece, breathe out as far as you can to empty your lungs.
  5. Hold the inhaler mouthpiece between your lips without covering the air vents. Point the Inhaler to the back of your throat. 
  6. Close your lips around the mouthpiece to form a seal. Breathe in slowly while simultaneously pressing down on the dose release button and continue to breathe in as deeply as you can. 
  7. Hold your breath for ten seconds or as long as comfortable.
  8. Exhale, facing away from the inhaler mouthpiece.
  9. Repeat the above steps for the second inhalation. 
  10. Close the cap after you have finished taking the dose.

A few things to look for:

  • Replace the protective cover over the mouthpiece after every use. Also, remember to rinse your mouth or gargle with water (without swallowing it) after every dose.
  • When the dose indicator shows 20 or fewer doses remaining, it is time to revisit your doctor to get a new prescription.
  • Clean your inhaler mouthpiece with a clean, dry cloth every once a week. Do not use water to clean your Inhaler.

Spiolto Respimat is an effective medication for those who have the chronic obstructive pulmonary disease (COPD). However, in some cases, it is advised to exercise caution with using the Spiolto Respimat inhalerDiscuss your medical history, ongoing treatments and prevailing medical conditions with your doctor before using Spiolto Respimat. Here are some conditions wherein Spiolto Respimat should be used with caution:

  • Heart diseases
  • High blood pressure
  • Epilepsy or any other convulsive condition
  • Thyrotoxicosisn - a specific condition of the thyroid gland
  • Aneurysm or an abnormal widening of an artery
  • Diabetes
  • Severe hepatic impairment
  • Planned surgery
  • Narrow-angle glaucoma
  • Prostate issues that make it difficult to pass urine

Spiolto Respimat is used to treat chronic obstructive pulmonary disorders (COPD) among adults. However, this medication may not be suitable for some conditions. Discuss your medical history, ongoing treatments, and prevailing medical conditions with your doctor before starting any COPD medication. Here are some cases wherein Spiolto Respimat is not suitable:

  • If you have asthma, Spiolto Respimat is not a suitable medication for asthma
  • For those in need of a rescue inhaler. Spiolto Respimat is not a rescue inhaler, it is a long-term maintenance treatment, and it will not be suitable for use in a sudden attack of breathlessness or wheezing
  • If you are under eighteen years of age
  • If you are allergic to tiotropium bromide, olodaterol or any other ingredient of Spiolto Respimat
  • If you are pregnant or planning to get pregnant
  • If you are breast-feeding

Just like any other medication, the Spiolto Respimat inhaler is also known to cause side effects in some cases. Just because a side effect is listed here does not mean that every person taking this medication will experience that or any other side effect. Usually, Spiolto Respimat's side effects are mild and disappear as your body gets used to the medication. Here is the list of the Spiolto Respimat inhaler side effects:

Common Side Effects:

  • Dry Mouth

Uncommon Side Effects:

  • Dizziness, nausea 
  • Insomnia
  • Headaches
  • High blood pressure
  • Fast or irregular heartbeat
  • Palpitations
  • Hoarseness of voice or cough
  • Constipation

If you have been prescribed Spiolto Respimat,

Take the following precautions when taking the medication:

  1. If you experience worsening breathlessness, fainting or allergic reactions on your skin, stop the medication immediately and consult your doctor.  
  2. Please do not use the Inhaler lying down. Use it only in a sitting or standing position.
  3. Do not use another beta 2 agonist such as salbutamol without consulting your doctor or pharmacist
  4. Follow the directions for use as given by your doctor or as given on the patient information leaflet.
  5. Discuss your existing medical conditions and ongoing treatments with your doctor or pharmacist before taking Spiolto Respimat.
  6. Spiolto Respimat may interact with a few other medicines to reduce their effect and vice versa. Some medicine interactions may also lead to side effects.

Do not take a Spiolto Respimat inhaler with the following medicines:  

  1. Another beta 2 agonists or anticholinergics
  2. Medicines that can lower the potassium levels in your blood
  3. Corticosteroids such as Beclomethasone and Prednisolone
  4. Diuretics such as Bendroflumethiazide and Furosemide
  5. Xanthine derivatives such as Theophylline or Aminophylline
  6. Medicines for hypertension, heart conditions, glaucoma and migraine
  7. Anti-depressants and MAO inhibitors

You can buy a Spiolto Respimat inhaler safely in the UK from MedsNow online pharmacy. Check our website for the Spiolto Respimat inhaler price and other details. Place the order for the medication from the convenience of your home. Spiolto Respimat inhaler is a prescription-only medication. You can also take an online consultation with our doctors or pharmacists before buying the drug. The medication is delivered to your doorstep.

Store Spiolto Respimat inhaler in a cool, dry place away from direct light sources, preferably below 30 degrees Celsius. Keep all medicines out of sight and reach of children. Do not use the medication if the expiry date is past and find a safe way to dispose of the expired medicine. Do not throw away any medicines via wastewater or household waste. Ask your pharmacist how to throw away medicines you no longer use. These measures will help protect the environment. 

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