Januvia | Sitagliptin
"What's the difference between the branded products you sell and the ones I get locally?
The branded drugs we sell are chemically and therapeutically no different from the ones you get in your local pharmacy. They both generally come from the same exact manufacturer. Generally, the main difference* is in the packaging and the price. Our packaging may be different from what you get locally, but we're also much cheaper.
* Other differences may include differences in trade name, form, and general appearance.
Why are there packaging differences?
Due to differences in government regulation, different countries have different packaging requirements. For example, a product in Canada (or any other country) will have different packaging than the same product in the US even though both drugs are chemically and therapeutically equivalent and are generally manufactured by the same exact company.
Why are your drugs so much cheaper?
Due to government price controls, medications from Canada and many other countries are often significantly cheaper than in the United States. Also, other countries may have more affordable generic versions of drugs, which may not yet be available in the US."
IMPORTANT NOTE: A valid Prescription is required to be mailed or faxed to complete this order. I acknowledge that I will need to be contacted to complete a health profile before my order is shipped.
- - May be split and taken at half the dose listed
- - Can't be split and must taken at existing form
Spiriva (tiotropium) is a bronchodilator that relaxes muscles in the airways and increases air flow to the lungs.
Spiriva is used to prevent bronchospasm (narrowing of the airways in the lungs) in adults with COPD (chronic obstructive pulmonary disease), including bronchitis and emphysema.
Spiriva Respimat is also used to prevent asthma attacks in adults and children who are at least 6 years old.
Spiriva HandiHaler is not for use in children.
Use Spiriva exactly as prescribed by your doctor. The usual dose of this medicine is 2 inhalations through the mouth once daily. Follow all directions on your prescription label. Do not use this medicine in larger or smaller amounts or for longer than recommended.
Spiriva is not a rescue medicine. It will not work fast enough to treat a COPD flare-up. Your doctor may prescribe a fast-acting inhalation medicine to treat a bronchospasm attack. Tell your doctor if it seems like your medications don't work as well.
Read all patient information, medication guides, and instruction sheets provided to you. Ask your doctor or pharmacist if you have any questions.
Any child using Spiriva Respimat should be supervised by an adult while using this medicine.
Spiriva HandiHaler is packaged in capsules that come with a special inhaler device. Each time you use the medicine, load a capsule into the device and click the mouthpiece closed. Push the button on the side of the device to pierce the capsule and release the medicine into the inhalation chamber. You will need 2 inhalations to get the full dose from 1 capsule.
Do not take the capsule by mouth. Spiriva capsules are for use only in the HandiHaler device. Use only 1 capsule at a time. Do not use the HandiHaler device to take any other medicine.
Keep each capsule in its blister pack until you are ready to place the capsule into the HandiHaler and use the device. Throw away any capsule that is not used right after you have taken it out of the blister pack. Exposure to air can ruin the capsule.
Spiriva Respimat comes in a cartridge that is inserted into a special inhaler device provided with this medicine. Turning the base of the Respimat device until it clicks will release the medicine into the inhaler chamber. You will need 2 puffs to get a full dose.
The Spiriva Respimat inhaler will lock and cannot be turned after 30 doses (or 60 puffs) have been used. An indicator on the side of the inhaler will show when there are 14 puffs (or 7 days) of medicine left in the cartridge.
To be sure this medicine is helping your condition, your lung function will need to be tested on a regular basis.
Use this medicine regularly to get the most benefit. Get your prescription refilled before you run out of medicine completely.
Store both the capsules and the Respimat inhaler at room temperature away from moisture and heat. Do not freeze. Do not store capsules in the HandiHaler device.
You should not use Spiriva if you are allergic to tiotropium or ipratropium (Atrovent, Combivent, DuoNeb).
To make sure this medicine is safe for you, tell your doctor if you have ever had:
a milk allergy; or
an enlarged prostate or urination problems.
Tell your doctor if you are pregnant. It is not known whether tiotropium will harm an unborn baby. However, having uncontrolled asthma during pregnancy may cause premature birth, a low birth weight baby, or complications such as eclampsia (dangerously high blood pressure that can lead to medical problems in both mother and baby). The benefit of treating asthma may outweigh any risks to the baby.
It may not be safe to breast-feed while using this medicine. Ask your doctor about any risk.
Spiriva Respimat is not approved for use by anyone younger than 6 years old.
Common side effects of Spiriva (Tiotropium) include:
Difficult or painful urination
Indigestion or upset stomach
Fast heart rate
Serious side effects of Spiriva (Tiotropium) include:
Eye pain or redness
Wheezing, choking or other breathing problems
Sores or white patches on tongue, lips or in mouth
Seeing halos around lights
Little to no urination
Severe pain or burning with urination
Allergic reaction: skin rash, hives, difficulty swallowing, swelling of the face, itching, swelling of the following: tongue, throat, lips, eyes, hands, feet, ankles or lower legs
Contact your medical health professional, if you experience any of the above serious side effects while taking Spiriva (Tiotropium).
Avoid getting the powder from a Spiriva capsule in your eyes. If this does happen, call your doctor.
Avoid driving or hazardous activity until you know how this medicine will affect you. Your reactions could be impaired.
IMPORTANT NOTE: Please note that not all medications, including any referenced on this page, are dispensed from our affiliated Canadian pharmacy. The medications in your order may be filled and shipped from an approved International fulfillment center located in a country other than Canada. In addition to dispensing medications from our Canadian pharmacy, medication orders are also filled and shipped from international fulfillment centers that are approved by the regulatory bodies from their respective countries. Medication orders are filled and shipped from approved fulfillment centers around the world including, but not limited to, Canada, Singapore, United Kingdom, New Zealand, Turkey, Mauritius, India, Australia, and the United States. The items in your order may be filled and shipped from any one of the above jurisdictions. The products are sourced from various countries including, but not limited to, Canada, United Kingdom, New Zealand, Turkey, India, Australia, and the United States. All of our affiliated fulfillment centers have been approved by the regulatory bodies from their respective countries.
A valid Prescription is required to be mailed or faxed to complete this order. I acknowledge that I will need to be contacted to complete a health profile before my order is shipped. Sildenafil Citrate (Generic) is a generic drug used to treat male erectile dysfunction (impotence). It is manufactured by licensed generic manufacturers. This product DOES NOT originate from Pfizer Inc. and IS NOT authorized by Pfizer Inc., the owner and maker of the branded Viagra prescription pharmaceutical product.