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Boehringer Ingelheim

HIGHLIGHTS OF PRESCRIBING INFORMATION These highlights do not include all the information needed to use SPIRIVA respimat safely and effectively. See full prescribing information for SPIRIVA respimat . SPIRIVA respimat (tiotropium bromide) inhalation spray, for oral inhalation Initial Approval: 2004 ----------------------------RECENT MAJOR CHANGES-------------------------- Indications and Usage ( ) 2/2017 ----------------------------INDICATIONS AND USAGE--------------------------- SPIRIVA respimat is an anticholinergic indicated for: The long-term, once-daily, maintenance treatment of bronchospasm associated with chronic obstructive pulmonary disease (COPD), and for reducing COPD exacerbations ( ) The long-term, once-daily, maintenance treatment of asthma in patients 6 years of age and older ( ) Limitation of Use.

SPIRIVA RESPIMAT is intended as a once-daily maintenance treatment for COPD and asthma and should not be used for the relief of acute symptoms, i.e., as rescue therapy for the treatment of acute episodes of bronchospasm . In the event of an acute attack, a rapid-acting beta2-agonist should be used.

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