Spiolto Respimat (Trotropium / Olodaterol)

NHS Senior Clinical Pharmacist, Irsalan Ahmed (MPharm) provides a simple explanation of the medication below:

'Spiolto contains 2 ingredients, an anticholinergic and a bronchodilator, used as a long-term treatment in COPD by dilating the airways'.

If you think Spiolto Respimat is a treatment that can help you, start an online consultation now for a registered prescriber to review. If treatment is deemed suitable, they can prescribe it, and we can deliver it to you from the comfort of your own home with a range of convenient delivery and payment options for you to choose from. If you have any questions about a medication, you should always consult your doctor with any questions prior to starting treatment, to ensure that it is safe and suitable for you.

How do I buy Spiolto Respimat online?

You can safely buy Spiolto Respimat online from UK Meds.

Before your order is supplied, you must complete a quick online consultation with a registered independent prescriber. This ensures that Spiolto Respimat is safe and suitable for your condition.

Once approved, your medication will be delivered directly to your door in discreet packaging.

Start Your Consultation Today

Complete your online consultation and order Spiolto Respimat safely and conveniently.

What is Spiolto Respimat?

Spiolto Respimat is a prescription inhaler used to treat chronic obstructive pulmonary disease (COPD), including emphysema and chronic bronchitis.

How does Spiolto Respimat work?

• Spiolto Respimat contains a bronchodilator, which relaxes the muscles in the lungs and airways, making it easier to breathe.
• When taken daily, it helps to prevent breathlessness and reduce sudden flare-ups of COPD symptoms.

What are the benefits of taking Spiolto Respimat?

✅ Reduces breathlessness and improves lung function
✅ Lowers the number of COPD flare-ups
✅ Makes breathing easier, supporting daily activities
✅ Improves quality of life with continued use

Remember:

Spiolto Respimat is a long-term treatment and does not work as a quick-relief inhaler. If you experience sudden breathlessness or wheezing, use a fast-acting “rescue” inhaler and seek medical help if symptoms worsen.

If you’re unsure whether Spiolto Respimat is right for you, consult your GP or respiratory specialist.

Spiolto Respimat Reviews

Read first hand what other UK Meds customers think about Spiolto Respimat and it's impact on patients lives on our customer reviews above. For further context there are also a large selection of Spiolto Respimat reviews describing what people think about their experiences with the medication available at Drugs.com and Web MD.

It is important to note that people may have different experiences when they use Spiolto Respimat. If someone states that their medication did not work as they had hoped, it does not mean that it will not work for you. If you believe that it is the right medication for you then the best thing to do is to consult your doctor or healthcare professional, and judge the medication based on your own experiences if they recommend it as a treatment. Before starting a medication you should always consult with your healthcare provider first to ensure that it is safe and suitable for your individual needs.

For more information on the prescription medication patients should refer to the Spiolto Respimat patient information leaflet.

How do I use Spiolto Respimat?

Spiolto Respimat is a prescription-only inhaler for COPD. Always follow your doctor’s instructions and read the patient information leaflet before using it.

Step-by-Step Guide to Using Spiolto Respimat

1️⃣ Prepare the Inhaler

• Your doctor or nurse will show you how to use it correctly.
• The inhaler has a mouthpiece, a protective cap, and a dose counter to track how many doses are left.

2️⃣ Taking a Dose

• Hold the inhaler upright and turn the clear base in the direction of the arrows until you hear a click.
• Open the cap and breathe out fully, away from the inhaler.
• Place the inhaler in your mouth, pointing it towards the back of your throat.
• Breathe in deeply and steadily while pressing the dose-release button.
• Hold your breath for 10 seconds, then remove the inhaler and breathe out slowly.

3️⃣ Repeat for a Second Puff

• Follow the same steps to take the second dose.
• Once finished, close the cap to protect the mouthpiece.

4️⃣ After Use

• Rinse your mouth or brush your teeth to remove any leftover medication.
• This helps prevent thrush (oral fungal infections) and hoarseness.

If you have any questions or difficulty using your inhaler, speak to your GP, pharmacist, or respiratory nurse.

What is the recommended dosage?

Spiolto Respimat contains tiotropium and olodaterol at a strength of 2.5/2.5 micrograms per dose.

How to Take Spiolto Respimat

✅ Usual dose: Two puffs once a day, at the same time each day.
✅ The medication works for 24 hours, so you only need to take it once daily.
✅ Do not change your dose unless your doctor advises you to.

Important Usage Advice

• Spiolto Respimat is a long-term treatment for COPD.
• Do not stop taking it, even if you feel better—using it daily helps prevent symptoms.
• This is not a rescue inhaler—it will not relieve sudden breathlessness. Always carry a fast-acting inhaler for emergencies.

Missed a Dose?

• Skip the missed dose and take your next dose as scheduled.
• Do not double your dose to make up for a forgotten one.

What If You Take Too Much?

If you accidentally take too much, contact your doctor or pharmacist immediately. Symptoms of an overdose may include:

• Fast heartbeat
• Blurred vision
• Dry mouth

If you have any concerns, speak to your GP or respiratory nurse.

What warnings does it come with?

Who Should NOT Take Spiolto Respimat?

Before using Spiolto Respimat, speak to your doctor or pharmacist. You should not take it if you:

• Are allergic to tiotropium or olodaterol, or any other ingredient in the inhaler.
• Are allergic to atropine or similar medicines, such as ipratropium or oxitropium.

Who Should Use Spiolto Respimat with Caution?

Inform your doctor if you have any of the following conditions, as they may affect your suitability for this medication:

• Asthma (Spiolto Respimat is not suitable for asthma treatment).
• Heart disease or high blood pressure.
• Epilepsy.
• An overactive thyroid (thyrotoxicosis).
• An aneurysm (abnormal widening of an artery).
• Diabetes.
• Liver or kidney disease.
• Glaucoma (increased pressure in the eye).
• Prostate problems or difficulty passing urine.
• A planned surgery.

Medicine Interactions: What to Tell Your Doctor

Spiolto Respimat may interact with other medications. Inform your doctor if you are taking:

• Other COPD or asthma inhalers with similar active ingredients.
• Beta-blockers (used for high blood pressure or heart conditions).
• Medications that lower potassium levels.
• Theophylline (used for breathing conditions).
• Medicines for neurological or psychiatric conditions, such as Parkinson’s disease or depression.

Your doctor will assess whether Spiolto Respimat is the right treatment for you based on your current medications.

Important Usage Warnings

Not a Rescue Inhaler
Spiolto Respimat is a long-term treatment for COPD and does not provide immediate relief from sudden breathlessness. Always carry a fast-acting inhaler (reliever inhaler) for emergencies.

Pregnancy & Breastfeeding
If you are pregnant or breastfeeding, consult your doctor before using this medication. Your doctor may recommend an alternative treatment.

What side effects can it have?

Like all medicines, Spiolto Respimat may cause side effects. The most common include:

• Dry mouth
• Dizziness
• Difficulty sleeping (insomnia)
• Headache
• High blood pressure or irregular heartbeat
• Heart palpitations (feeling your heartbeat)
• Cough
• Hoarseness
• Constipation

When to Seek Medical Help

Contact your doctor immediately if you experience:

• Worsening breathing difficulties
• A rash, swelling of the face or mouth (possible allergic reaction)

If you experience any persistent or serious side effects, speak to your GP or pharmacist for further advice.

• About Tiotropium Inhalers - NHS
• Tiotropium with Olodaterol - BNF
• Tiotropium (Braltus, Spiriva, Tiogiva) - Patient.info
• Tiotropium Patient Information Leaflet - EMC

• Asthma Treatments Compared - Compare different asthma treatments to find the best one for managing your symptoms.
• Inhaler London: Buying Asthma Inhalers in London - Find out where to buy asthma inhalers in London.
• Inhaler Nottingham: Buying Asthma Inhalers in Nottingham - Learn where to buy asthma inhalers in Nottingham.
• Inhaler Belfast: Buying Asthma Inhalers in Belfast - Discover where to buy asthma inhalers in Belfast.