Tiotropium (as bromide monohydrate) 18mcg/cap; dry pwd in caps for oral inhalation; with inhaler device. Spiriva Handihaler consists of Spiriva capsules and the Handihaler device. Spiriva capsules ...

Max: 2 inh/24hrs. Place Spiriva capsule into the center chamber of the Handihaler device, then pierce the capsule by pressing and releasing the green piercing button on the side of the Handihaler ...