{"id":54574,"date":"2022-10-27T21:05:16","date_gmt":"2022-10-28T01:05:16","guid":{"rendered":"https:\/\/www.singlecare.com\/blog\/?p=54574"},"modified":"2025-10-06T17:29:41","modified_gmt":"2025-10-06T21:29:41","slug":"spiriva-respimat-alternatives","status":"publish","type":"post","link":"https:\/\/www.singlecare.com\/blog\/spiriva-respimat-alternatives\/","title":{"rendered":"Spiriva alternatives: What can I take instead of Spiriva Respimat?"},"content":{"rendered":"

Spiriva Respimat<\/a> is a brand-name medication that delivers tiotropium to airways via a soft mist inhaler. This medicine is classified as a long-acting antimuscarinic agent (LAMA) and works by relaxing the muscles in the airways of the lungs to make breathing easier. The resultant dilation of airways is welcomed by many users with asthma<\/a> or chronic obstructive pulmonary disease (COPD)<\/a>, which includes chronic bronchitis and emphysema. Unfortunately, Spiriva Respimat may not be the best option for everyone. If your symptoms aren\u2019t improving, or you feel that any benefits are being offset by adverse effects, your healthcare provider may recommend a Spiriva alternative.\u00a0 <\/span><\/p>\n

What can I take in place of <\/span>Spiriva Respimat<\/span>?<\/span><\/h2>\n

There are various options you can try if Spiriva Respimat is not the best choice for you. In past years, treatment often started with a rescue inhaler (such as albuterol), and that\u2019s still common for COPD. However, for asthma, the Global Initiative for Asthma (GINA) now recommends starting with an <\/span>inhaled corticosteroid<\/span><\/a> (ICS) as a maintenance treatment, sometimes in combination with a long-acting bronchodilator if needed. Still, treatment plans can vary based on individual factors like frequency and severity of symptoms, other health conditions, and the medications you take\u2014so be sure to consult your healthcare provider for personalized medical advice.<\/span><\/p>\n

Top 5 <\/span>Spiriva Respimat<\/span> alternatives<\/span><\/h2>\n

The following are some of the most common alternatives to <\/span>Spiriva Respimat<\/span>.<\/span><\/p>\n

1. <\/span>Incruse Ellipta<\/span><\/h3>\n

LAMAs are a common choice for treatment in <\/span>COPD patients<\/span>. The convenience of a once-daily LAMA, like <\/span>Incruse Ellipta<\/span><\/a> or <\/span>Spiriva Respimat<\/span>, is hard to beat. <\/span>Incruse Ellipta<\/span> offers a different delivery mechanism compared to <\/span>Spiriva Respimat<\/span>\u2019s mist <\/span>inhaler<\/span>. As a <\/span>dry inhalation powder<\/span>, <\/span>Incruse Ellipta<\/span> requires one deep, quick <\/span>inhalation<\/span> to effectively deliver the medication to the lungs. Many users find <\/span>dry powder inhalers<\/span> easier to use because they do not have to coordinate activation of the device with the timing of an <\/span>inhalation<\/span>. Incruse Ellipta is approved by the U.S. Food and Drug Administration (FDA) for maintenance treatment of COPD, but is not FDA-approved for asthma. Note that severe milk protein allergy is a contraindication to <\/span>Incruse Ellipta<\/span><\/a> and other <\/span>dry powder inhalers<\/span>.<\/span><\/p>\n

RELATED: <\/b>Incruse Ellipta vs. Spiriva<\/b><\/a><\/p>\n

2. <\/span>Anoro<\/span> Ellipta<\/span><\/h3>\n

RELATED: Anoro Ellipta alternatives<\/a><\/strong><\/p>\n

3. <\/span>Breo Ellipta<\/span><\/h3>\n

Breo Ellipta<\/span><\/a> is a <\/span>dry powder inhaler<\/span> that combines the <\/span>LABA<\/span> vilanterol<\/span> and an ICS <\/span>fluticasone furoate<\/span> to produce <\/span>bronchodilation<\/span> and reduced airway inflammation. Breo Ellipta is FDA-approved for maintenance treatment in people with asthma (adults and children 5 years and older) or COPD. <\/span>Breo<\/span><\/a> is typically used once per day. Because of the ICS component, there is a risk of thrush (yeast infection of the mouth and throat)\u2014it\u2019s important to always rinse your mouth thoroughly after using.<\/span><\/p>\n

RELATED: <\/b>Breo Ellipta side effects and how to avoid them<\/b><\/a><\/p>\n

4. Trelegy Ellipta<\/span><\/h3>\n

Trelegy Ellipta<\/span><\/a> is a once-daily inhaler that contains three active ingredients: fluticasone furoate (an ICS), umeclidinium (an anticholinergic), and vilanterol (a LABA). It is FDA-approved for maintenance treatment of asthma and COPD in adults. It is not approved for use in pediatric patients.\u00a0<\/span><\/p>\n

Trelegy<\/span><\/a> represents a step up in therapy for those inadequately helped by dual mechanism <\/span>inhalers<\/span>. With three active ingredients, there can be <\/span>more side effects<\/span> and <\/span>drug interactions<\/span> to consider. Your healthcare provider can determine if this medicine would be appropriate for you.<\/span><\/p>\n

5. Symbicort<\/span><\/h3>\n

Symbicort<\/span><\/a> is an inhaler that contains budesonide (an ICS) and formoterol fumarate dihydrate (a LABA). It is FDA-approved for maintenance treatment of COPD. Symbicort is also used in adults and children six years and older to treat asthma. Some of the common side effects include throat irritation, oral thrush, sinus infections, and upper respiratory tract infections. <\/span>Symbicort<\/span><\/a> is typically used twice a day.\u00a0<\/span><\/p>\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n
\n

Compare Spiriva to alternatives<\/span><\/h2>\n<\/th>\n<\/tr>\n<\/thead>\n

Drug name<\/b><\/td>\nUses<\/b><\/td>\nDosage<\/b><\/td>\nSavings options<\/b><\/td>\n<\/tr>\n
Spiriva Respimat<\/span> (<\/span>tiotropium bromide<\/span>)<\/span><\/td>\nCOPD maintenance, asthma maintenance<\/span><\/td>\nCOPD: 2.5 <\/span>mcg<\/span> per actuation, 2 puffs inhaled once daily<\/span><\/p>\n

Asthma: 1.25 mcg per actuation, 2 puffs inhaled once daily<\/span><\/td>\n

Spiriva Respimat<\/span> coupons<\/span><\/a><\/td>\n<\/tr>\n
Spiriva Handihaler<\/span> (<\/span>tiotropium bromide<\/span>)<\/span><\/td>\nCOPD maintenance<\/span><\/td>\n18 <\/span>mcg<\/span> inhaled once daily<\/span><\/td>\nSpiriva Handihaler<\/span> coupons<\/span><\/a><\/td>\n<\/tr>\n
Incruse Ellipta<\/span> (<\/span>umeclidinium<\/span>)<\/span><\/td>\nCOPD maintenance<\/span><\/td>\n62.5 <\/span>mcg<\/span> per actuation, 1 puff inhaled once daily<\/span><\/td>\nIncruse Ellipta<\/span> coupons<\/span><\/a><\/td>\n<\/tr>\n
Anoro<\/span> Ellipta (<\/span>umeclidinium<\/span>–<\/span>vilanterol<\/span>)<\/span><\/td>\nCOPD maintenance<\/span><\/td>\n62.5 <\/span>mcg<\/span>\/25 <\/span>mcg<\/span> per actuation, 1 puff inhaled once daily<\/span><\/td>\nAnoro<\/span> Ellipta coupons<\/span><\/a><\/td>\n<\/tr>\n
Breo Ellipta<\/span> (<\/span>fluticasone furoate-vilanterol<\/span>)<\/span><\/td>\nCOPD maintenance, asthma maintenance<\/span><\/td>\nCOPD: 100 <\/span>mcg<\/span>\/25 <\/span>mcg<\/span> per actuation, 1 puff inhaled daily<\/span><\/p>\n

Asthma: 100 <\/span>mcg<\/span>\/25 <\/span>mcg<\/span> or 200 mcg\/25 mcg per actuation, 1 puff inhaled daily<\/span><\/td>\n

Breo Ellipta<\/span> coupons<\/span><\/a><\/td>\n<\/tr>\n
Trelegy Ellipta (<\/span>fluticasone<\/span>–<\/span>umeclidinium<\/span>–<\/span>vilanterol<\/span>)<\/span><\/td>\nCOPD maintenance, asthma maintenance<\/span><\/td>\nCOPD: 100 <\/span>mcg<\/span>\/62.5 <\/span>mcg<\/span>\/25 <\/span>mcg<\/span> per actuation, 1 puff inhaled once daily<\/span><\/p>\n

Asthma: 100 <\/span>mcg<\/span>\/62.5 <\/span>mcg<\/span>\/25 <\/span>mcg<\/span> or 200 <\/span>mcg<\/span>\/62.5 <\/span>mcg<\/span>\/25 <\/span>mcg <\/span>per actuation, 1 puff inhaled once daily<\/span><\/td>\n

Trelegy Ellipta coupons<\/span><\/a><\/td>\n<\/tr>\n
Symbicort<\/span> (<\/span>budesonide<\/span>–<\/span>formoterol<\/span>)<\/span><\/td>\nCOPD maintenance, asthma maintenance, single <\/span>inhaler<\/span> maintenance, and reliever therapy for persistent asthma (off-label)<\/span><\/td>\nCOPD: 160 <\/span>mcg<\/span>\/4.5 <\/span>mcg<\/span> per actuation, 2 puffs twice daily<\/span><\/p>\n

Asthma maintenance: 80 mcg\/4.5 mcg or 160 <\/span>mcg<\/span>\/4.5 <\/span>mcg<\/span> per actuation, 2 puffs twice daily<\/span><\/p>\n

Asthma (persistent): 1 or 2 puffs inhaled once or twice daily, then 1 or 2 puffs inhaled every 4 hours as needed<\/span><\/td>\n

Symbicort<\/span> coupons<\/span><\/a><\/td>\n<\/tr>\n
Stiolto Respimat (olodaterol-<\/span>tiotropium<\/span>)<\/span><\/td>\nCOPD maintenance<\/span><\/td>\n2.5 <\/span>mcg<\/span>\/2.5 <\/span>mcg<\/span> per actuation, 2 puffs inhaled once daily<\/span><\/td>\nStiolto Respimat coupons<\/span><\/a><\/td>\n<\/tr>\n
Tudorza Pressair<\/span> (<\/span>aclidinium<\/span>)<\/span><\/td>\nCOPD maintenance<\/span><\/td>\n400 <\/span>mcg<\/span> per actuation, 1 puff inhaled every 12 hours<\/span><\/td>\nTudorza Pressair<\/span> coupons<\/span><\/a><\/td>\n<\/tr>\n
Duaklir Pressair (<\/span>aclidinium<\/span>–<\/span>formoterol<\/span>)<\/span><\/td>\nCOPD maintenance<\/span><\/td>\n400 <\/span>mcg<\/span>\/12 <\/span>mcg<\/span> per actuation, 1 puff inhaled every 12 hours<\/span><\/td>\nDuaklir Pressair coupons<\/span><\/a><\/td>\n<\/tr>\n
Combivent Respimat (ipratropium-<\/span>albuterol<\/span>)<\/span><\/td>\nCOPD, asthma <\/span>exacerbation<\/span> relief (<\/span>off-label<\/span><\/a>)<\/span><\/td>\n20 <\/span>mcg<\/span>\/100 <\/span>mcg<\/span> per actuation, 1 puff inhaled four times daily<\/span><\/td>\nCombivent Respimat coupons<\/span><\/a><\/td>\n<\/tr>\n
Advair Diskus<\/span> (<\/span>fluticasone-salmeterol<\/span>)<\/span><\/td>\nCOPD maintenance, asthma maintenance<\/span><\/td>\nCOPD: 250 <\/span>mcg<\/span>\/50 <\/span>mcg<\/span> per actuation, 1 puff inhaled every 12 hours<\/span><\/td>\nAdvair Diskus<\/span> coupons<\/span><\/a><\/td>\n<\/tr>\n
Daliresp (roflumilast)<\/span><\/td>\nSevere COPD\u00a0<\/span><\/td>\n250 mcg orally once daily for four weeks, then 500 <\/span>mcg<\/span> orally once daily<\/span><\/td>\nDaliresp coupons<\/span><\/a><\/td>\n<\/tr>\n
Theophylline ER<\/span><\/td>\nCOPD maintenance, asthma maintenance<\/span><\/td>\n300 to 600 mg orally once daily<\/span><\/td>\nTheophylline ER coupons<\/span><\/a><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

 <\/p>\n

Natural alternatives to <\/span>Spiriva Respimat<\/span><\/h2>\n

Hearing the advantages and disadvantages of alternatives to <\/span>Spiriva Respimat<\/span> can be overwhelming. While there are some non-pharmacologic options that may provide symptom relief, you may still need to take medication, so be sure to talk with your healthcare provider before you stop taking it.<\/span><\/p>\n

If you smoke, quitting is the best way to reduce the severity of asthma symptoms and <\/span>slow down the deterioration in lung function in COPD<\/span><\/a>. Consider the prescription aids for smoking cessation, such as <\/span>varenicline<\/span><\/a>, <\/span>Nicoderm CQ<\/span><\/a>, or <\/span>bupropion SR<\/span><\/a>, to increase the chance of successfully quitting.\u00a0<\/span><\/p>\n

Pulmonary rehabilitation is exercise therapy tailored for COPD. It is a proven option for<\/span> improving quality of life and exercise capacity<\/span><\/a>. The rehab sessions can be a nice springboard to starting a daily exercise routine. Asthma symptom control and quality of life improvements are possible with <\/span>weight management<\/span><\/a>.\u00a0<\/span><\/p>\n

Nutrient supplementation is not a proven remedy yet, but that does not mean that nutrients are not important. Low levels of vitamin D, zinc, potassium, magnesium, and selenium have been associated with <\/span>higher COPD risk<\/span><\/a>. There are just no clinical trial results to show a benefit from supplementing these nutrients.\u00a0<\/span><\/p>\n

Before embarking on a weight loss effort, exercise campaign, or dietary supplement, check with your <\/span>healthcare provider<\/span> to see if it is safe for you.<\/span><\/p>\n

COPD Coupons & Resources<\/a><\/p>\n

How to switch to a <\/span>Spiriva Respimat<\/span> alternative<\/span><\/h2>\n

If you\u2019re considering switching from Spiriva to an alternative, make an appointment with your healthcare provider. You can present your concerns about <\/span>Spiriva Respimat<\/span> and review your ideas about alternatives. Be prepared with your list of any prescription medications, over-the-counter drugs, and supplements you\u2019re currently taking so your provider can recommend an option that\u2019s safe and effective.\u00a0<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"

Spiriva Respimat is a brand-name medication that delivers tiotropium to airways via a soft mist inhaler. This medicine is classified as a long-acting antimuscarinic agent (LAMA) and works by relaxing the muscles in the airways of the lungs to make breathing easier. The resultant dilation of airways is welcomed by many users with asthma or […]<\/p>\n","protected":false},"author":133,"featured_media":54576,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[4589],"tags":[10965,20946,20795],"coauthors":[20732],"class_list":["post-54574","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-drug-info","tag-asthma","tag-copd","tag-respiratory-illness","wpautop"],"acf":[],"yoast_head":"\nTop Spiriva alternatives and how to switch your Rx<\/title>\n<meta name=\"description\" content=\"Incruse Ellipta, Anoro Ellipta, Breo Ellipta, Trelegy Ellipta, and Symbicort are some Spiriva alternatives. Learn about your options and how to switch.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.singlecare.com\/blog\/spiriva-respimat-alternatives\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Spiriva alternatives: What can I take instead of Spiriva Respimat?\" \/>\n<meta property=\"og:description\" content=\"Incruse Ellipta, Anoro Ellipta, Breo Ellipta, Trelegy Ellipta, and Symbicort are some Spiriva alternatives. Learn about your options and how to switch.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.singlecare.com\/blog\/spiriva-respimat-alternatives\/\" \/>\n<meta property=\"og:site_name\" content=\"The Checkup\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/singlecare\" \/>\n<meta property=\"article:published_time\" content=\"2022-10-28T01:05:16+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2025-10-06T21:29:41+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.singlecare.com\/blog\/wp-content\/uploads\/2022\/10\/Spiriva-Respimat-alternatives.png\" \/>\n\t<meta property=\"og:image:width\" content=\"1920\" \/>\n\t<meta property=\"og:image:height\" content=\"1080\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\n<meta name=\"author\" content=\"Chad Shaffer, MD\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@SingleCare\" \/>\n<meta name=\"twitter:site\" content=\"@SingleCare\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Chad Shaffer, MD\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"7 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/www.singlecare.com\\\/blog\\\/spiriva-respimat-alternatives\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.singlecare.com\\\/blog\\\/spiriva-respimat-alternatives\\\/\"},\"author\":{\"name\":\"Christie Falzone\",\"@id\":\"https:\\\/\\\/www.singlecare.com\\\/blog\\\/#\\\/schema\\\/person\\\/5ff7c7bb5ce0c66a6962ecf7c8d7941e\"},\"headline\":\"Spiriva alternatives: What can I take instead of Spiriva Respimat?\",\"datePublished\":\"2022-10-28T01:05:16+00:00\",\"dateModified\":\"2025-10-06T21:29:41+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/www.singlecare.com\\\/blog\\\/spiriva-respimat-alternatives\\\/\"},\"wordCount\":1349,\"publisher\":{\"@id\":\"https:\\\/\\\/www.singlecare.com\\\/blog\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/www.singlecare.com\\\/blog\\\/spiriva-respimat-alternatives\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/www.singlecare.com\\\/blog\\\/wp-content\\\/uploads\\\/2022\\\/10\\\/Spiriva-Respimat-alternatives.png\",\"keywords\":[\"Asthma\",\"COPD\",\"Respiratory illness\"],\"articleSection\":[\"Drug Info\"],\"inLanguage\":\"en-US\"},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/www.singlecare.com\\\/blog\\\/spiriva-respimat-alternatives\\\/\",\"url\":\"https:\\\/\\\/www.singlecare.com\\\/blog\\\/spiriva-respimat-alternatives\\\/\",\"name\":\"Top Spiriva alternatives and how to switch your Rx\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.singlecare.com\\\/blog\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/www.singlecare.com\\\/blog\\\/spiriva-respimat-alternatives\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/www.singlecare.com\\\/blog\\\/spiriva-respimat-alternatives\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/www.singlecare.com\\\/blog\\\/wp-content\\\/uploads\\\/2022\\\/10\\\/Spiriva-Respimat-alternatives.png\",\"datePublished\":\"2022-10-28T01:05:16+00:00\",\"dateModified\":\"2025-10-06T21:29:41+00:00\",\"description\":\"Incruse Ellipta, Anoro Ellipta, Breo Ellipta, Trelegy Ellipta, and Symbicort are some Spiriva alternatives. 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A LAMA alone may be insufficient to control your asthma or COPD symptoms. <\/span>Anoro<\/span> Ellipta<\/span><\/a> is a combination inhaler that offers a broader intervention. It combines two types of bronchodilating medications, coupling a LAMA (umeclidinium) with a long-acting beta-agonist, or <\/span>LABA<\/span>, vilanterol. <\/span>Anoro Ellipta<\/span><\/a> is FDA-approved for maintenance treatment of COPD. You may feel that the dual action is more effective. On the contrary, adding more medication could lead to more <\/span>side effects,<\/span> too. For example, the <\/span>LABA<\/span> content can lead to increases in blood pressure and heart rate, and the LAMA content could lead to dry mouth, difficulty urinating, or <\/span>worsening<\/span> glaucoma.<\/span><\/p>\n