After assembly, the Spiriva Respimat inhaler should be discarded at least 3 months after first use or when the locking mechanism is engaged, whichever comes first. COPD: 2 inh of Spiriva Respimat ...

Tiotropium (as bromide monohydrate) 18mcg/cap; dry pwd in caps for oral inhalation; with inhaler ... Spiriva capsules should always be stored in the blister and only removed immediately before use.