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What side effects may I notice from Spiriva?

Get emergency medical help if you have any of these signs of an allergic reaction to Tiotropium: hives; difficult breathing; swelling of your face, lips, tongue, or throat.

Call your doctor at once if you have a serious side effect such as:

• wheezing, chest pain or tightness, trouble breathing;
• pain or burning when you urinate;
• blurred vision, eye pain or redness, seeing halos around lights;
• rapid heart rate;
• sores or white patches of your mouth, lips, or tongue; or
• urinating less than usual or not at all.

Less serious Tiotropium side effects may include:

• dry mouth;
• constipation, upset stomach, vomiting;
• cold symptoms such as stuffy nose, sneezing, sore throat;
• nosebleed; or
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