Spiriva Respimat Inhalation Spray is supplied in a carton ... or paradoxical bronchospasm occurs; consider alternative therapy. Monitor for signs/symptoms of worsening narrow-angle glaucoma ...

Discontinue therapy immediately and consider alternative treatments if ... Handihaler was also compared to tiotropium inhalation spray 5 mcg (Spiriva Respimat 5 mcg) in an additional long-term ...