Let's take a minute to talk about your medication.  

This is Spiriva 18 mcg, and you should inhale the contents of one capsule by mouth as directed by your doctor. To do this, place the capsule in the HandiHaler device, and inhale two breaths that are deep enough to make the capsule rattle. You should keep the capsules in their package until the dose is due, and never swallow a capsule. Also, be careful not to get any powder into your eyes. For maximum benefit, ask your pharmacist to watch your inhaler technique.  

Although Spiriva is not a 'rescue inhaler' for sudden shortness of breath, using it daily can help control your COPD.  

It's usually well-tolerated, but side effects can occur, like dry mouth. This is normal and should go away. If this or other side effects become reasons you want to stop taking it, please talk with your doctor or pharmacist.  

In rare cases, serious side effects could occur, so tell your doctor right away if you notice unusual changes in your body, especially trouble breathing or urinating, or eye problems, like blurry vision or pain. 

You should clean your HandiHaler once a week—just open the device, clean it with warm water, and let it air dry.   

For best results, continue using Spiriva, and follow your doctor's advice about lifestyle changes to help you breathe better.