If certain medications are combined with Spiriva, drug interactions may occur. These interactions can increase your risk of side effects or decrease the medications' effectiveness. If Spiriva drug interactions are a concern, your healthcare provider may monitor you more closely or adjust your dose. Drug interactions are especially a concern if you are taking anticholinergic medications or acetylcholinesterase inhibitors as well as Spiriva.
Spiriva® (tiotropium bromide) can potentially interact with a few other medicines. Some of the medications that may lead to Spiriva drug interactions include: