Spiriva Respimat

Adult Dosing .

Dosage forms:  MDI: 1.25 mcg per actuation, 2.5 mcg per actuation

COPD, maintenance tx

[2 puffs (2.5 mcg per actuation) inhaled qd]

Max: 5 mcg/24h

asthma, maintenance tx

[2 puffs (1.25 mcg per actuation) inhaled qd]

Max: 2.5 mcg/24h

renal dosing

[see below]

renal impairment: no adjustment; Info: monitor for anticholinergic side effects if CrCl <60

HD/PD: not defined

hepatic dosing

[no adjustment]

Peds Dosing .

Dosage forms:  MDI: 1.25 mcg per actuation

asthma, maintenance tx

[6 yo and older]

Dose: 2 puffs inhaled qd; Max: 2.5 mcg/24h

renal dosing

[see below]

renal impairment: no adjustment; Info: monitor for anticholinergic side effects if CrCl <60

HD/PD: not defined

hepatic dosing

[no adjustment]