PACK CHECK · MARKET FIRST

Spiriva RespimatGeneric nametiotropium bromide inhalation spray

Reading size

How this medicine works

The current label describes tiotropium as an anticholinergic bronchodilator; in the airways it has bronchodilation-related effects through inhibition of M3 receptors on smooth muscle. Mechanism explains an action pathway, not whether an individual is suitable, which device is needed, whether another inhaler should be combined, or how to self-manage symptoms.

Read source: United States ↗reviewed 2026-08-22More about its action and precautions →

Check the market, names, dosage form and route together

A medicine may use different brand names across markets. Keep the market, brand, generic name, dosage form and route together; one matching field does not prove that two packs are the same or interchangeable.

Open the complete product-identity record

Use these fields when the pack, market name or package image needs closer checking. They are evidence boundaries, not substitution instructions.

International brand name
Spiriva Respimat
Generic name
tiotropium bromide inhalation spray
Dosage-form class
SPIRIVA RESPIMAT metered inhalation spray: 1.25 mcg or 2.5 mcg per labelled actuation; dedicated inhaler-and-cartridge system (as listed in DailyMed SPL v16)
Route
Oral inhalation
Package-image status
A source-linked public label image is available below

No source-verifiable mainland-China trade-name cue has been established for this record. This does not establish whether the medicine exists, is approved or is available in mainland China. Check pack text and current CDE/NMPA records item by item.

FOR EVERYDAY QUESTIONS

After the leaflet, continue with the question you still need to check

What this pack is

Spiriva Respimat is the brand name in this record; tiotropium bromide inhalation spray is the generic name. Read both together with the dosage form (inhaled product).

What this page can show

This is a source-traceable public record. It helps you read the product identity and its listed source documents; each market still needs its own current record check.

What to bring to the next conversation

Bring the actual pack, the label or prescription, and a complete medicine list when you speak with a pharmacist or clinician.

PRODUCT PRESENTATION IDENTITY

Strength, pack and device identity

A mcg-per-inhalation value identifies the labelled contents of this exact inhaler. It does not calculate an individual's inhalation count, timing, acute-symptom action, combination or switch.

2 source-backed strength, pack or device records — open the full list

First match the market, dosage form and labelled amount on the pack in hand. The number of tablets, sachets or devices in a pack is not a personal dose or schedule.

United States label · DailyMed SPL v16 (published 19 Aug 2026)

Tiotropium 1.25 mcg per labelled actuation; one RESPIMAT inhaler plus one dedicated cartridge (60 labelled actuations)

Exact display panel in the cited public label · select to enlarge
Product code
NDC 0597-0160-61
Form and route
SPIRIVA RESPIMAT metered inhalation spray; dedicated inhaler-and-cartridge system · oral inhalation
Container
RESPIMAT inhaler with dedicated aluminium cartridge system
Units in each inner container
60 labelled actuationsPackage identity only; not an individual amount to take
Delivery device
RESPIMAT inhaler
Listing review
Cited public label display reviewed 2026-08-22; actual marketing, stock and availability are not established.
tiotropium
1.25 mcglabelled ingredient amount per actuation; not an individual's use count or regimen
Package
1 inhaler plus cartridge per carton (60 labelled actuations)
Labelled appearance
blue cap and corresponding label panel · grey cylindrical device with clear base; dedicated cartridge
Open the presentation source ↗reviewed 2026-08-22

United States label · DailyMed SPL v16 (published 19 Aug 2026)

Tiotropium 2.5 mcg per labelled actuation; one RESPIMAT inhaler plus one dedicated cartridge (60 labelled actuations)

Exact display panel in the cited public label · select to enlarge
Product code
NDC 0597-0100-61
Form and route
SPIRIVA RESPIMAT metered inhalation spray; dedicated inhaler-and-cartridge system · oral inhalation
Container
RESPIMAT inhaler with dedicated aluminium cartridge system
Units in each inner container
60 labelled actuationsPackage identity only; not an individual amount to take
Delivery device
RESPIMAT inhaler
Listing review
Cited public label display reviewed 2026-08-22; actual marketing, stock and availability are not established.
tiotropium
2.5 mcglabelled ingredient amount per actuation; not an individual's use count or regimen
Package
1 inhaler plus cartridge per carton (60 labelled actuations)
Labelled appearance
aqua cap and corresponding label panel · grey cylindrical device with clear base; dedicated cartridge
Open the presentation source ↗reviewed 2026-08-22

PUBLIC LABEL IMAGE

Appearance and package-text clues

United States · current public-label panel · exact package/label image · DailyMed SPL v16 (published 19 Aug 2026)Select the image to enlarge; press Escape to close

This current public-label package panel helps check the brand, generic name, strength and dosage-form clues only. It does not authenticate a product in hand or establish originator status, availability, sale eligibility, another package or another market.

Open the public label source ↗

LABEL READING · NOT A PRESCRIPTION

SPIRIVA RESPIMAT label reading: check the spray device and cartridge before the per-actuation label amount

Reading level: drug-specific label reading. This record has been expanded around its dosage form or a higher-risk reading question; the current target-market label and professional review still apply.

This module uses the current U.S. DailyMed SPL v16 label to distinguish SPIRIVA RESPIMAT, tiotropium, the labelled amount per actuation, 60 labelled actuations, the dedicated inhaler and its dedicated cartridge. It does not reproduce anyone's device steps, actuation count, interval, missed-use action, escalation, substitution or acute-breathing plan.

  • “1.25 mcg / 2.5 mcg per actuation” is a label-identity field for one actuation from this spray device, not a webpage answer to how many times anyone should use it in a day. Check the exact product name, cap colour, NDC, inhaler, cartridge, target market and prescription label together.
  • The label says the cartridge is only for the SPIRIVA RESPIMAT inhaler and is not to be interchanged with another RESPIMAT device product. Similar device names, a shared ingredient, both saying “inhalation,” or the same brand family do not establish self-interchangeability of a device, cartridge or strength.
  • SPIRIVA HANDIHALER is an inhalation-powder capsule with a HandiHaler device; RESPIMAT is a spray inhaler with a cartridge. A HandiHaler “18 mcg capsule” is neither a RESPIMAT cartridge nor a swallowed capsule, and a shared generic name or microgram number does not establish a switch.
  • The label distinguishes this product from immediate relief of acute bronchospasm. Sudden or worsening breathlessness, wheeze, chest tightness or uncertainty about the device needs local urgent-care pathways and an existing care plan, with the actual device and full medicine list reviewed by a pharmacist or clinician.
Open this record's official electronic leaflet ↗

PHARMACOVIGILANCE · OFFICIAL ROUTES

Check safety information in the right market

Start with the public label or product record linked to this dossier, then use the official safety routes below for the market that applies to the medicine in hand.

Match five details before using a safety record

  1. Brand and generic nameBoth must match the medicine named by the record.
  2. Dosage form and strengthTablet, capsule, injection, inhaler, patch and eye drop are not interchangeable.
  3. Market and notice dateA record applies only to the country or region and date it names.
  4. Lot, pack and manufacturerRecord these only when the official notice specifically names them.
  5. Current product informationA historical record may have been superseded by the current label.

This checklist only helps organise the right question. It does not create a personal conclusion about stopping, switching, dose, combination or suitability.

This dossier’s product-level source checkU.S. National Library of Medicine DailyMed · United States · Public medicine label · 2026-08-22

This dossier’s publicly accessible product-level route has been checked individually. It does not mean that real-time alerts in every country or region have been searched, or that the medicine has or does not have a current risk.

Markets actually represented by the reviewed product documents
  • United States · 1

This is a document-coverage summary, not a claim that the medicine is authorised, supplied, interchangeable or actively monitored in every listed market today.

No dated, product-scoped official safety record is currently listed in this directory

This is not a conclusion that the medicine has no risk, warning, recall or newer notice in another market. Start with the checked product-level label above, then use the official market gateways below for the product in hand.

See the reviewed safety-record directory →

Global official safety gateways

  • NMPA Centre for Drug Reevaluation · Mainland ChinaPrimary NMPA Drug Evaluation Centre gateway for drug-vigilance bulletins, safety notices and adverse-reaction monitoring. Exact products still require checking approval number, dosage form, strength, authorisation holder and notice date item by item.Drug-vigilance bulletins and safety notices ↗reviewed 2026-08-22
  • FDA · United StatesPrimary FDA pages for important new safety issues, labelling changes and risk communications.Drug Safety Communications ↗reviewed 2026-08-22
  • FDA MedWatch · United StatesU.S. MedWatch safety-information and reporting gateway; a report does not itself establish causality.Safety information and serious-problem reporting ↗reviewed 2026-08-22
  • EMA · European Union / European Economic AreaOfficial EU gateway for pharmacovigilance, suspected adverse-reaction reports and PRAC safety assessment.Pharmacovigilance overview and EudraVigilance ↗reviewed 2026-08-22
  • MHRA · United KingdomPrimary UK MHRA medicine-safety updates for professionals and the public.Drug Safety Update ↗reviewed 2026-08-22
  • PMDA · JapanPMDA’s English official safety gateway; exact products still require checking against the Japanese product page and current documents.Medicine safety information ↗reviewed 2026-08-22
  • MFDS · Republic of KoreaMFDS’s primary index for medicine safety letters in the Republic of Korea. The original notices are in Korean and must be read against the named product, dosage form, market and date; they do not automatically apply in another market or decide an individual case.Medicine safety letters ↗reviewed 2026-08-22
  • HSA · SingaporeHSA’s public Singapore gateway for suspected adverse-event reporting and medicine-safety information. A report does not itself establish individual causality; exact products still require checking Singapore registration status, dosage form, strength, date and current product information.Adverse-event reporting and medicine-safety information ↗reviewed 2026-08-22
  • Health Canada · CanadaHealth Canada’s public MedEffect gateway for medicine and health-product advisories, warnings, recalls, reporting and safety information. Exact products still require checking market, dosage form, strength, notice date and lot item by item.MedEffect Canada: advisories, warnings and recalls ↗reviewed 2026-08-22
  • TGA · AustraliaPrimary Australian TGA safety alerts, advisories and monitoring information for therapeutic products.Medicine safety alerts ↗reviewed 2026-08-22
  • Swissmedic · SwitzerlandOfficial Swissmedic gateway for pharmacovigilance, signal assessment and suspected adverse-reaction reporting; a report or signal does not itself confirm individual causality.Pharmacovigilance and suspected adverse-reaction reporting ↗reviewed 2026-08-22
  • Medsafe · New ZealandNew Zealand Medsafe gateway for public and professional medicine safety communications and archives; older notices may have been superseded by current product information.Medicine safety communications ↗reviewed 2026-08-22
  • SAHPRA · South AfricaSAHPRA’s safety-information, alerts and pharmacovigilance gateway for the public and professionals in South Africa. An official alert does not itself mean a product is unsafe in every circumstance; exact products still require checking South African registration status, dosage form, strength, notice date and current product information.Medicine safety information, alerts and pharmacovigilance ↗reviewed 2026-08-22
  • WHO · GlobalWHO’s cross-market safety-alert archive; every historical notice must be read against its date, named product and market.Medicine and vaccine safety-alert archive ↗reviewed 2026-08-22
  • Anvisa · BrazilAnvisa’s primary Brazilian pharmacovigilance gateway for alerts, bulletins, risk communication and VigiMed reporting. Exact products still require checking Brazilian authorisation status, dosage form, strength and notice date item by item.Pharmacovigilance, alerts and VigiMed ↗reviewed 2026-08-22

This card brings together the medicine-specific product route and 15 market-level official vigilance gateways. It does not mean real-time alerts for this medicine have been searched in every country or region, or that the medicine has a new alert, recall or risk conclusion. Match brand, generic name, dosage form, strength, market and notice date item by item; do not self-stop, switch, increase or reduce use from a headline.

For severe or rapidly worsening symptoms, suspected overdose, a severe allergic reaction, loss of consciousness or another emergency, use local emergency services. Do not wait for an online alert search or change a medicine from this page.

PRIVATE FAMILY LIST

Bring this record into a local medicine list

Only the brand, generic name, dosage form and route are added, and they stay in this browser. Copy strength, label directions, start/stop history and any concern from the actual pack; this tool does not calculate a dose or decide combination, switching or stopping.

Add to the family medicine list →

PACK · LABEL · MEDICINE LIST

Six checks for this medicine pack

Use this card to organise questions about Spiriva Respimat (tiotropium bromide inhalation spray). Keep the exact pack, its current label and the full medicine list together.

  1. Identify the exact product

    Spiriva Respimat is the brand in this record and tiotropium bromide inhalation spray is the active-ingredient name. Check both with the dosage form (SPIRIVA RESPIMAT metered inhalation spray: 1.25 mcg or 2.5 mcg per labelled actuation; dedicated inhaler-and-cartridge system (as listed in DailyMed SPL v16)) and the market on the actual pack.

  2. Read the labelled strength in context

    mcg per actuation, dose count or a two-number strength describes the labelled inhaler and device identity. It is not an individual inhalation count or rescue plan.

  3. Check the exact inhaler or device

    For an inhaled product, verify the device, labelled strength and current instructions for that exact pack. Do not transfer, share or replace a device on the basis of a similar name.

  4. Put every product on one list

    Include prescriptions, over-the-counter products, eye drops, creams, vitamins, minerals, herbs and supplements. A pharmacist or prescriber needs the whole list before any combination, alternation, switch or stop is considered.

  5. Ask a specific pharmacogenetics question

    Ask which medicine, which gene and what clinical decision a result could change. A gene–drug association does not mean broad genetic testing is needed for everyone and must not be used to change treatment without professional review.

  6. Know when to seek urgent help

    For a suspected overdose, a severe allergic reaction, fainting or difficulty breathing, use the local emergency or poison-information service now. Do not wait for a website reply or alter several medicines to test what caused it.

This card does not calculate a dose, decide whether medicines can be combined, or replace a clinician or pharmacist. Market-specific current labels and the person's full context still need review.

HOW IT WORKS · NOT A TREATMENT PLAN

How tiotropium works: it is a long-acting antimuscarinic medicine acting at M3 receptors in airway smooth muscle

  • “Anticholinergic” is one clue for reviewing related medicines and the complete medicine list; it does not permit self-combining, alternating or converting RESPIMAT with another anticholinergic inhaler, oral medicine, patch or eye medicine. Have a pharmacist or clinician review every actual medicine and device.
  • An M3-receptor mechanism does not make a same-ingredient HandiHaler capsule, RESPIMAT cartridge, another spray device or another-market product the same identity. Product form, cartridge-device pairing, label version, market and prescribing purpose all need to be checked together.
  • Eye pain, blurred vision, difficulty passing urine, a serious allergy-like reaction or changing breathing symptoms cannot be used with a mechanism page to decide self-escalation, stopping or changing devices. Use local urgent-care pathways and professional advice.
Open the primary pharmacology source ↗

SOURCE EVIDENCE REGISTER

Source evidence map

Every public link is labelled with its market, document status and document type. A historical public record is not a current label, and an official lookup entry is not a product-specific record.

SOURCE-TRACEABLE ARCHIVE

Spiriva Respimattiotropium bromide inhalation spray

This page includes an exact current U.S. public-label package panel for Spiriva Respimat, alongside documentary primary-source material. It helps check product identity, but does not itself establish originator status, product quality, availability or sale eligibility.

DOCUMENT TIMELINE

Document timeline

  1. Initial U.S. approval year listed in the current label

    The current SPIRIVA RESPIMAT label lists Initial U.S. Approval: 2004. This year only locates this U.S. public label; it does not establish approval, supply, sale eligibility, originator/generic relationship or individual suitability in another market.

    DailyMed (NLM): current U.S. SPIRIVA RESPIMAT tiotropium bromide metered-inhalation-spray public label (Boehringer Ingelheim; SPL v16, published 19 Aug 2026) ↗
  2. DailyMed published current SPL v16

    The DailyMed media catalogue identifies this SPIRIVA RESPIMAT label as SPL v16 and lists publication on 19 Aug 2026. This page uses it only to check the two inhaler-and-cartridge systems, labelled amount per actuation, their NDCs and 60 labelled actuations; it does not establish actual marketing, stock, purchase or individual operation.

    DailyMed (NLM): current U.S. SPIRIVA RESPIMAT tiotropium bromide metered-inhalation-spray public label (Boehringer Ingelheim; SPL v16, published 19 Aug 2026) ↗

MARKET SCOPE

Market-record boundary

United States

Current public label and two exact package panels linked

This page separately displays the 1.25 mcg and 2.5 mcg per-actuation cartons, each with one RESPIMAT inhaler plus its dedicated cartridge and 60 labelled actuations (NDC 0597-0160-61 and NDC 0597-0100-61). They do not authenticate a product or establish actual marketing, stock, purchase, individual use count, switching, device interchangeability or substitutability.

Mainland China, EU, Japan and other markets

Current market record not established

No local trade name, approval, packaging, supply, sale eligibility, originator/generic relationship or interchangeability is inferred from the U.S. label, English brand, NDC, cartridge, cap colour or package image; every market requires separate review against current local regulatory material.

How to read this record

Read each document in its stated market, date and dosage-form context. A historical record is not a current label and does not support individual medical, substitution or purchasing conclusions.

Keep international and mainland China records separate

This page has a U.S. public history/regulatory archive but no mainland China record for this specific product. That does not establish whether the medicine exists, is approved or is available in mainland China. Verify product identity, dosage form, strength, holder and the current label item by item.

CDE listed-drug directory ↗ NMPA public query ↗

RECORD FAQ

Record questions

Both name tiotropium. Can SPIRIVA RESPIMAT and SPIRIVA HANDIHALER be self-switched by microgram number, device name or because both are inhalers?

No. RESPIMAT is a metered spray inhaler with a dedicated cartridge, while HANDIHALER is an inhalation-powder capsule with its dedicated device; a shared ingredient, brand family or microgram number does not establish a conversion or substitution. Take both actual packs, devices and the full medicine list to a pharmacist or prescribing team.

Do 1.25 mcg, 2.5 mcg or 60 labelled actuations on the carton mean someone can calculate or change their own use count?

No. These are the labelled per-actuation amount and package identity for this exact U.S.-labelled product. This page provides no personal use count, schedule, missed-use action, escalation, device steps or purchase advice; use the exact label in hand and check with a pharmacist or clinician.

READ NEXT

Related reading

Evidence status

The listed links are public sources selected for traceability. They must be rechecked against the current target-market record before any use beyond reading and research.

EDITORIAL RECORD

Who prepared and checked this page

Byline
OriginDrug Content Editorial
Review role
Public primary-source verification
Last reviewed
2026-08-22
Source record
2 clickable primary-source entry points are listed with this dossier.

The review role checks source traceability, stated market, document version and product-identity fields. It is not a claim of clinical licensure, prescribing authority or individual pharmacy service. Read the editorial policy.

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Enlarged public-label image