Stop using Spiriva and get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.
Call your doctor at once if you have a serious side effect such as:
- tongue swelling or redness;
- sores or white patches of your mouth, lips, or tongue; or
- urinating less than usual or not at all.
Less serious Spiriva side effects may include:
- dry mouth, cough, hoarseness;
- blurred vision;
- trouble swallowing;
- nausea, constipation, upset stomach;
- stuffy nose, nosebleed;
- fast heart rate;
- drowsiness; or
- white patches in your mouth or throat.
This is not a complete list of side effects and others may occur. Tell your doctor about any unusual or bothersome side effect.
What other drugs will affect Spiriva?
Before using Spiriva, tell your doctor if you are using any of the following medicines:
- atropine (Donnatal, and others);
- cimetidine (Tagamet);
- clidinium (Quarzan);
- dicyclomine (Bentyl);
- glycopyrrolate (Robinul);
- hyoscyamine (Anaspaz, Cystospaz, Levsin, and others);
- mepenzolate (Cantil);
- methantheline (Provocholine);
- methscopolamine (Pamine);
- propantheline (Pro-Banthine); or
- scopolamine (Transderm-Scop).
This list is not complete and there may be other drugs that can interact with Spiriva. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.