{"id":7725,"date":"2025-06-30T03:52:36","date_gmt":"2025-06-30T03:52:36","guid":{"rendered":"https:\/\/healthmedicinet.com\/review\/hmn-when-is-the-best-time-to-take-spiriva-in-2025\/"},"modified":"2025-06-30T03:52:36","modified_gmt":"2025-06-30T03:52:36","slug":"hmn-when-is-the-best-time-to-take-spiriva-in-2025","status":"publish","type":"post","link":"https:\/\/healthmedicinet.com\/review\/hmn-when-is-the-best-time-to-take-spiriva-in-2025\/","title":{"rendered":"HMN: When is the best time to take Spiriva? in 2025"},"content":{"rendered":"<p>\n<br \/>Do you know:  When is the best time to take Spiriva? in 2025<\/p>\n<div id=\"main-content\">\n<div id=\"post-intro\">\n<div id=\"takeaways\">\n<h2>Key takeaways<\/h2>\n<ul>\n<li>\n<p><span style=\"font-weight: 400;\">Spiriva can be taken either in the morning or at night, but morning doses may be easier to remember for some patients.<\/span><\/p>\n<\/li>\n<li>\n<p><span style=\"font-weight: 400;\">You can take Spiriva with or without food, but to reduce the risk of side effects, you should only take it once every 24 hours.<\/span><\/p>\n<\/li>\n<li>\n<p><span style=\"font-weight: 400;\">If you miss a dose, take it as soon as possible, but never double it to make up for a missed one.<\/span><\/p>\n<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<section class=\"table-of-contents\">\n<div class=\"anchorLinks\">\n<div class=\"mobile-only\">\n<div class=\"dropdownLists\">\n<div tabindex=\"0\" class=\"dropdownBtn\"><span class=\"listsIcon\"><br \/>\n\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.singlecare.com\/blog\/wp-content\/themes\/singlecare\/images\/union.svg\" width=\"14\" height=\"20\"\/><\/span><br \/>\n\t\t\t\t\t\t\t<label><\/label><br \/>\n\t\t\t\t\t\t\t<span class=\"downArrow\"><br \/>\n\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.singlecare.com\/blog\/wp-content\/themes\/singlecare\/images\/dropDownArrow.svg\" width=\"24\" height=\"24\"\/><br \/>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<\/div>\n<\/p><\/div>\n<\/p><\/div>\n<\/p><\/div>\n<\/section>\n<p><span style=\"font-weight: 400;\">If you have long-term breathing problems, you may be prescribed a long-acting bronchodilator like Spiriva, the brand name for tiotropium bromide. Spiriva is FDA approved as a maintenance treatment for <\/span><span style=\"font-weight: 400;\">asthma<\/span><span style=\"font-weight: 400;\"> and <\/span><span style=\"font-weight: 400;\">chronic obstructive pulmonary disease (COPD)<\/span><span style=\"font-weight: 400;\">, which includes emphysema and chronic bronchitis. It works by relaxing the muscles surrounding the airways to make breathing easier.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">There are two versions of Spiriva: <\/span><span style=\"font-weight: 400;\">Spiriva Respimat<\/span><span style=\"font-weight: 400;\"> and <\/span><span style=\"font-weight: 400;\">Spiriva Handihaler<\/span><span style=\"font-weight: 400;\">. <\/span><span style=\"font-weight: 400;\">While both options work through the same mechanism of action\u2014targeting muscarinic receptors to improve lung function\u2014they differ significantly in their delivery methods.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The Spiriva HandiHaler device uses a dry powder inhalation system, where patients load a capsule into the device and inhale the medication in powder form. On the other hand, Spiriva Respimat is a soft mist inhaler that delivers the medication in a fine mist, allowing for easier inhalation and potentially better absorption. And since it doesn\u2019t require capsules, it\u2019s a more user-friendly option.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Unlike rescue inhalers like albuterol, which can be used to manage acute symptoms like shortness of breath, chest tightness, coughing, and wheezing, Spririva is not used to manage sudden breathing problems. Instead, it is used once daily as a maintenance medication to prevent asthma and COPD symptoms.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Spiriva is a once-daily medication, but is there a best time of day to take Spiriva? You can take Spiriva in the morning or at night, as long as you take it at the same time each day.\u00a0<\/span><\/p>\n<h2 id=\"should-i-take-spiriva-in-the-morning-or-at-night\"><span style=\"font-weight: 400;\">Should I take Spiriva in the morning or at night?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">There\u2019s no \u201cbest\u201d time to take Spiriva, according to <\/span><a href=\"https:\/\/www.memorialcare.org\/providers\/fady-youssef\"><span style=\"font-weight: 400;\">Fady Youssef<\/span><\/a><span style=\"font-weight: 400;\">, MD, a board-certified pulmonologist, internist, and critical care specialist at MemorialCare Long Beach Medical Center in California. Asthma and COPD patients can take it whenever it\u2019s most convenient for them. The most important thing to remember is to take it at the same time each day. You can take it with or without food.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Some healthcare providers may recommend taking Spiriva in the morning to avoid missing a dose. Ultimately, deciding whether to take Spiriva in the morning or at night should be based on your lifestyle and preferences. Dr. Youssef says that Spiriva is not known to cause sleep disturbances in general. However, some patients may experience side effects, such as dry mouth, that could indirectly influence their sleep quality.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">What\u2019s more, Sprivia should only be taken once per day. Using Spiriva more frequently can increase the likelihood of side effects without offering additional therapeutic benefits. It is crucial to follow the prescribed regimen meticulously to avoid any <\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/20118141\/\"><span style=\"font-weight: 400;\">complications<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/p>\n<p><a href=\"https:\/\/medlineplus.gov\/druginfo\/meds\/a604018.html\"><span style=\"font-weight: 400;\">Common Spiriva side effects <\/span><\/a><span style=\"font-weight: 400;\">include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Dry mouth<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Dry skin<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Indigestion<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Nausea or vomiting<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Constipation<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Muscle pain<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Stomach pain<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Sneezing or runny nose<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Painful white patches in the mouth<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Nosebleeds<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">If you experience the following <\/span><a href=\"https:\/\/patient.boehringer-ingelheim.com\/us\/products\/spiriva\/copd\/using-spiriva\/safety-and-side-effects\"><span style=\"font-weight: 400;\">serious side effects<\/span><\/a><span style=\"font-weight: 400;\">, seek emergency medical help for urgent situations or consult a healthcare professional for medical advice:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Skin rash or hives<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Itching<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Red eyes<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Signs of a life-threatening hypersensitivity reaction, including swelling of the lips, tongue, and throat that causes trouble breathing or swallowing<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Hoarseness<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Chest pain or tightness<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Signs of an infection (sore throat, fever, chills)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Sinus infection symptoms, including headache<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Urinary tract infection<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">New or worsening urinary retention (painful or difficult urination)\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Fast heart rate or heart palpitations<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Symptoms of narrow-angle glaucoma, such as eye pain or blurred vision, seeing halos or colored images<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">COPD exacerbations, such as bronchospasm<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Contraindications include patients who have had allergic reactions to tiotropium, ipratropium, atropine, or similar <\/span><span style=\"font-weight: 400;\">anticholinergic drugs<\/span><span style=\"font-weight: 400;\">.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Spiriva Respimat coupons<\/span><span style=\"font-weight: 400;\">, <\/span><span style=\"font-weight: 400;\">Spiriva Handihaler coupons<\/span><\/p>\n<h2 id=\"what-if-i-miss-a-dose-of-spiriva\"><span style=\"font-weight: 400;\">What if I miss a dose of Spiriva?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">If you accidentally skip a dose of Spiriva, you can inhale your missed dose as soon as you remember, says <\/span><a href=\"https:\/\/www.linkedin.com\/in\/stanley-abraham-77633b329\/\"><span style=\"font-weight: 400;\">Stanley Abraham<\/span><\/a><span style=\"font-weight: 400;\">, DO, a pulmonologist at Northwell Health\u2019s Lenox Hill Hospital in New York. <\/span><span style=\"font-weight: 400;\">But it\u2019s important not to take the next dose until 24 hours later.<\/span><span style=\"font-weight: 400;\"> If it\u2019s almost time for your next dose, skip the missed dose and continue your regular dosing schedule. <\/span><span style=\"font-weight: 400;\">Never double up on doses to make up for a missed dose because it can increase the risk of side effects.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Doses vary according to the type of inhaler and condition being treated:<\/span><\/p>\n<p><span style=\"font-weight: 400;\">For COPD:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Spiriva Respimat: 2 puffs of Spiriva Respimat (2.5 mcg per puff) inhaled by mouth once daily<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Spiriva Handihaler: 2 puffs of the powder contents of an 18 mcg capsule inhaled by mouth once daily<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">For asthma (6 years and older):\u00a0<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Spiriva Respimat: 2 puffs of Spiriva Respimat (1.25 mcg per puff) inhaled by mouth once daily<\/span><\/li>\n<\/ul>\n<h2 id=\"how-long-does-it-take-for-spiriva-to-start-working\"><span style=\"font-weight: 400;\">How long does it take for Spiriva to start working?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">\u201cThe initial effects of Spiriva may be seen within <\/span><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC1200675\/\"><span style=\"font-weight: 400;\">30 minutes<\/span><\/a><span style=\"font-weight: 400;\">,\u201d says Dr. Abraham. However, its peak effect typically occurs between one and a half and three hours of administration. Maximum results typically take four to eight weeks of consistent use.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Spiriva can provide sustained bronchodilation for more than 24 hours, which is one reason why it is effective as a once-daily medication. The onset of action can be influenced by several factors, including:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">The severity of the respiratory condition being treated.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Individual patient responses to the medication.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Adherence to the prescribed treatment plan.<\/span><\/li>\n<\/ul>\n<h2 id=\"how-do-i-get-the-most-out-of-my-spiriva\"><span style=\"font-weight: 400;\">How do I get the most out of my Spiriva?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">To get the most out of your medication, use Spiriva every day at the same time, says Dr. Abraham. \u201cConsistent use of Spiriva can lead to improved lung function, reduced exacerbations\/hospitalizations, and improved quality of life,\u201d he says, adding that if you have questions about how to take Spiriva do not hesitate to reach out to your healthcare provider to review the appropriate technique.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">To optimize Spiriva\u2019s benefits, try these tips and strategies:<\/span><\/p>\n<ul>\n<li><b>Adhere to your prescribed schedule:<\/b><span style=\"font-weight: 400;\"> Dr. Youssef emphasizes that the best way to enhance Spiriva\u2019s effectiveness is to take it consistently, at the same time each day.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Use the correct technique:<\/b> <span style=\"font-weight: 400;\">It\u2019s crucial to administer the inhaler correctly to deliver the medication effectively, Dr. Youssef stresses. It\u2019s also important not to shake your Spiriva Respimat inhaler before use\u2014it is designed to provide the correct dose without shaking. <\/span><span style=\"font-weight: 400;\">And unlike <\/span><span style=\"font-weight: 400;\">inhaled corticosteroids<\/span><span style=\"font-weight: 400;\"> like fluticasone and budesonide, you don\u2019t have to rinse out your mouth after using Spiriva, says Dr. Youssef. <\/span><span style=\"font-weight: 400;\">Your healthcare provider or pharmacist can demonstrate the proper technique, or you can watch an instructional video <\/span><a href=\"https:\/\/pro.boehringer-ingelheim.com\/us\/products\/spiriva\/copd\/how-to-use\"><span style=\"font-weight: 400;\">here<\/span><\/a><span style=\"font-weight: 400;\">.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Monitor for side effects:<\/b><span style=\"font-weight: 400;\"> If you experience concerning or uncomfortable side effects, communicate them to your healthcare provider so that any necessary adjustments to your treatment plan can be made.<\/span><\/li>\n<\/ul>\n<p><b> <\/b><b>How to use your inhaler<\/b><\/p>\n<h2 id=\"the-bottom-line\"><span style=\"font-weight: 400;\">The bottom line\u00a0<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">It doesn\u2019t matter what time of day you take Spiriva as long as you take it consistently and at the same time each day. If remembering to take your medication is a challenge, you may choose to take it first thing in the morning. Stick with your prescribed dose, ensure you\u2019re using the inhaler correctly, and seek guidance from your healthcare provider about any bothersome side effects you may experience.<\/span><\/p>\n<p><svg style=\"display:none\">\n  <g id=\"facebook\">\n    <rect width=\"32\" height=\"32\" rx=\"4\" fill=\"var(--social-bg)\"\/>\n    <path fill=\"var(--social-ico)\" d=\"M19.51 9.32003H21.39V6.14003C20.4798 6.04538 19.5652 5.99865 18.65 6.00003C15.93 6.00003 14.07 7.66003 14.07 10.7V13.32H11V16.88H14.07V26H17.75V16.88H20.81L21.27 13.32H17.75V11.05C17.75 10 18.03 9.32003 19.51 9.32003Z\"\/>\n  <\/g>\n  <g id=\"twitter\">\n    <rect width=\"32\" height=\"32\" rx=\"4\" fill=\"var(--social-bg)\"\/>\n    <path fill=\"var(--social-ico)\" d=\"M26 9.9506C25.2483 10.2767 24.4534 10.4923 23.64 10.5906C24.4982 10.0779 25.1413 9.27138 25.45 8.3206C24.6436 8.80066 23.7608 9.1389 22.84 9.3206C22.2245 8.65317 21.405 8.2089 20.5098 8.05745C19.6147 7.90601 18.6945 8.05596 17.8938 8.48379C17.093 8.91162 16.4569 9.59313 16.0852 10.4214C15.7135 11.2497 15.6273 12.178 15.84 13.0606C14.2094 12.9781 12.6144 12.5536 11.1587 11.8145C9.70287 11.0754 8.41885 10.0383 7.39 8.7706C7.02914 9.40077 6.83952 10.1144 6.84 10.8406C6.83872 11.515 7.00422 12.1792 7.32176 12.7742C7.63929 13.3691 8.09902 13.8763 8.66 14.2506C8.00798 14.2329 7.36989 14.0579 6.8 13.7406V13.7906C6.80489 14.7355 7.13599 15.6497 7.73731 16.3786C8.33864 17.1074 9.17326 17.6062 10.1 17.7906C9.74326 17.8992 9.37288 17.9564 9 17.9606C8.74189 17.9576 8.48442 17.9342 8.23 17.8906C8.49391 18.7034 9.00462 19.4137 9.69107 19.9228C10.3775 20.4318 11.2056 20.7142 12.06 20.7306C10.6172 21.8659 8.83588 22.4855 7 22.4906C6.66574 22.4917 6.33174 22.4717 6 22.4306C7.87443 23.6409 10.0588 24.2833 12.29 24.2806C13.8297 24.2966 15.3571 24.0056 16.7831 23.4247C18.2091 22.8437 19.505 21.9845 20.5952 20.8971C21.6854 19.8097 22.548 18.516 23.1326 17.0915C23.7172 15.667 24.012 14.1403 24 12.6006C24 12.4306 24 12.2506 24 12.0706C24.7847 11.4854 25.4615 10.768 26 9.9506Z\"\/>\n  <\/g>\n  <g id=\"linkedin\">\n    <rect width=\"32\" height=\"32\" rx=\"4\" fill=\"var(--social-bg)\"\/>\n    <path fill=\"var(--social-ico)\" d=\"M10.4092 25.75H6.08646V13.1473H10.4092V25.75ZM8.24784 11.3829C7.65167 11.3829 7.07993 11.1528 6.65838 10.7431C6.23682 10.3335 6 9.77783 6 9.19847C6 8.61911 6.23682 8.06349 6.65838 7.65382C7.07993 7.24415 7.65167 7.014 8.24784 7.014C8.5644 6.97911 8.88498 7.0096 9.18858 7.10346C9.49218 7.19732 9.77196 7.35244 10.0096 7.55867C10.2472 7.76489 10.4374 8.01757 10.5675 8.30015C10.6977 8.58274 10.765 8.88886 10.765 9.19847C10.765 9.50808 10.6977 9.8142 10.5675 10.0968C10.4374 10.3794 10.2472 10.632 10.0096 10.8383C9.77196 11.0445 9.49218 11.1996 9.18858 11.2935C8.88498 11.3873 8.5644 11.4178 8.24784 11.3829ZM26 25.75H21.6772V18.9866C21.6772 17.2922 21.0576 16.186 19.487 16.186C19.001 16.1894 18.5276 16.3376 18.1309 16.6105C17.7341 16.8834 17.433 17.2679 17.268 17.7123C17.1553 18.0414 17.1064 18.388 17.1239 18.7345V25.736H12.8012C12.8012 25.736 12.8012 14.2816 12.8012 13.1333H17.1239V14.9117C17.5166 14.2495 18.0878 13.704 18.7759 13.3338C19.4639 12.9637 20.2429 12.783 21.0288 12.8112C23.9107 12.8112 26 14.6176 26 18.4965V25.75Z\"\/>\n  <\/g>\n  <g id=\"share\">\n    <rect width=\"32\" height=\"32\" rx=\"4\" fill=\"var(--social-bg)\"\/>\n    <path fill=\"var(--social-ico)\" d=\"M21.4994 23.9007H8.47991V10.9629H11.8416C12.6131 9.96349 13.5086 9.14204 14.5419 8.49857H7.9977C6.89552 8.49857 6 9.38848 6 10.4837V24.3799C6 25.4752 6.89552 26.3651 7.9977 26.3651H21.9816C23.0838 26.3651 23.9793 25.4752 23.9793 24.3799V14.2898L21.4994 16.1175V23.9007Z\"\/>\n    <path fill=\"var(--social-ico)\" d=\"M10.0574 22.2921C12.9437 14.4472 17.4696 12.8249 19.7704 12.5305V15.8574L26.4524 10.9287L19.7704 6V8.10154C9.04478 9.01198 10.0574 22.2921 10.0574 22.2921Z\"\/>\n  <\/g>\n  <g id=\"youtube\">\n    <rect width=\"32\" height=\"32\" rx=\"4\" fill=\"var(--social-bg)\"\/>\n    <path fill=\"var(--social-ico)\" d=\"M16.0644 9H16.1756C17.2032 9.00375 22.4098 9.04125 23.8136 9.41878C24.238 9.53399 24.6247 9.75858 24.9351 10.0701C25.2455 10.3816 25.4688 10.7691 25.5825 11.1939C25.7087 11.6689 25.7975 12.2977 25.8575 12.9465L25.87 13.0765L25.8975 13.4015L25.9075 13.5315C25.9888 14.6741 25.9988 15.7442 26 15.9779V16.0717C25.9988 16.3142 25.9875 17.4568 25.8975 18.6469L25.8875 18.7781L25.8762 18.9081C25.8137 19.6232 25.7212 20.3332 25.5825 20.8557C25.4691 21.2807 25.246 21.6684 24.9355 21.98C24.6251 22.2915 24.2382 22.516 23.8136 22.6309C22.3635 23.0209 16.8519 23.0484 16.0881 23.0496H15.9106C15.5243 23.0496 13.9267 23.0421 12.2516 22.9846L12.0391 22.9771L11.9304 22.9721L11.7166 22.9634L11.5028 22.9546C10.1153 22.8934 8.79392 22.7946 8.18514 22.6296C7.76072 22.5148 7.37392 22.2906 7.06347 21.9792C6.75303 21.6679 6.52984 21.2805 6.41628 20.8557C6.27752 20.3345 6.18501 19.6232 6.12251 18.9081L6.11251 18.7769L6.10251 18.6469C6.04081 17.7998 6.00663 16.951 6 16.1017L6 15.9479C6.0025 15.6792 6.0125 14.7504 6.08001 13.7253L6.08876 13.5965L6.09251 13.5315L6.10251 13.4015L6.13001 13.0765L6.14251 12.9465C6.20251 12.2977 6.29127 11.6677 6.41753 11.1939C6.5309 10.7689 6.754 10.3812 7.06446 10.0697C7.37492 9.75811 7.76182 9.53365 8.18639 9.41878C8.79517 9.25627 10.1165 9.15626 11.5041 9.09376L11.7166 9.08501L11.9316 9.07751L12.0391 9.07375L12.2529 9.065C13.4426 9.02672 14.6328 9.00547 15.8231 9.00125H16.0644V9ZM14.0005 13.0128V19.0356L19.1971 16.0254L14.0005 13.0128Z\"\/>\n  <\/g>\n  <g id=\"instagram\">\n    <rect width=\"32\" height=\"32\" rx=\"4\" fill=\"var(--social-bg)\"\/>\n    <path fill=\"var(--social-ico)\" d=\"M21.34 9.46C21.1027 9.46 20.8707 9.53038 20.6733 9.66224C20.476 9.79409 20.3222 9.98151 20.2313 10.2008C20.1405 10.4201 20.1168 10.6613 20.1631 10.8941C20.2094 11.1269 20.3236 11.3407 20.4915 11.5085C20.6593 11.6764 20.8731 11.7906 21.1059 11.8369C21.3387 11.8832 21.5799 11.8595 21.7992 11.7687C22.0185 11.6778 22.2059 11.524 22.3378 11.3267C22.4696 11.1293 22.54 10.8973 22.54 10.66C22.54 10.3417 22.4136 10.0365 22.1885 9.81147C21.9635 9.58643 21.6583 9.46 21.34 9.46ZM25.94 11.88C25.9206 11.0503 25.7652 10.2294 25.48 9.45C25.2257 8.78313 24.83 8.17928 24.32 7.68C23.8248 7.16743 23.2196 6.77418 22.55 6.53C21.7727 6.23616 20.9508 6.07721 20.12 6.06C19.06 6 18.72 6 16 6C13.28 6 12.94 6 11.88 6.06C11.0492 6.07721 10.2273 6.23616 9.45 6.53C8.78168 6.77665 8.17693 7.16956 7.68 7.68C7.16743 8.17518 6.77418 8.78044 6.53 9.45C6.23616 10.2273 6.07721 11.0492 6.06 11.88C6 12.94 6 13.28 6 16C6 18.72 6 19.06 6.06 20.12C6.07721 20.9508 6.23616 21.7727 6.53 22.55C6.77418 23.2196 7.16743 23.8248 7.68 24.32C8.17693 24.8304 8.78168 25.2234 9.45 25.47C10.2273 25.7638 11.0492 25.9228 11.88 25.94C12.94 26 13.28 26 16 26C18.72 26 19.06 26 20.12 25.94C20.9508 25.9228 21.7727 25.7638 22.55 25.47C23.2196 25.2258 23.8248 24.8326 24.32 24.32C24.8322 23.8226 25.2283 23.2182 25.48 22.55C25.7652 21.7706 25.9206 20.9497 25.94 20.12C25.94 19.06 26 18.72 26 16C26 13.28 26 12.94 25.94 11.88ZM24.14 20C24.1327 20.6348 24.0178 21.2637 23.8 21.86C23.6403 22.2952 23.3839 22.6884 23.05 23.01C22.7256 23.3405 22.3332 23.5964 21.9 23.76C21.3037 23.9778 20.6748 24.0927 20.04 24.1C19.04 24.15 18.67 24.16 16.04 24.16C13.41 24.16 13.04 24.16 12.04 24.1C11.3809 24.1123 10.7246 24.0109 10.1 23.8C9.68578 23.6281 9.31136 23.3728 9 23.05C8.66809 22.7287 8.41484 22.3352 8.26 21.9C8.01586 21.2952 7.88044 20.6519 7.86 20C7.86 19 7.8 18.63 7.8 16C7.8 13.37 7.8 13 7.86 12C7.86448 11.3511 7.98295 10.7079 8.21 10.1C8.38605 9.67791 8.65626 9.30166 9 9C9.30381 8.65617 9.67929 8.3831 10.1 8.2C10.7096 7.98004 11.352 7.86508 12 7.86C13 7.86 13.37 7.8 16 7.8C18.63 7.8 19 7.8 20 7.86C20.6348 7.86728 21.2637 7.98225 21.86 8.2C22.3144 8.36865 22.7223 8.64285 23.05 9C23.3777 9.30718 23.6338 9.68273 23.8 10.1C24.0223 10.7089 24.1373 11.3518 24.14 12C24.19 13 24.2 13.37 24.2 16C24.2 18.63 24.19 19 24.14 20ZM16 10.87C14.9858 10.872 13.995 11.1745 13.1527 11.7394C12.3103 12.3043 11.6544 13.1062 11.2676 14.0438C10.8809 14.9813 10.7807 16.0125 10.9798 17.0069C11.1789 18.0014 11.6682 18.9145 12.3861 19.631C13.1039 20.3474 14.018 20.835 15.0129 21.0321C16.0077 21.2293 17.0387 21.1271 17.9755 20.7385C18.9123 20.35 19.7129 19.6924 20.2761 18.849C20.8394 18.0056 21.14 17.0142 21.14 16C21.1413 15.3251 21.0092 14.6566 20.7512 14.033C20.4933 13.4093 20.1146 12.8428 19.6369 12.3661C19.1592 11.8893 18.5919 11.5117 17.9678 11.2549C17.3436 10.9982 16.6749 10.8674 16 10.87ZM16 19.33C15.3414 19.33 14.6976 19.1347 14.15 18.7688C13.6023 18.4029 13.1755 17.8828 12.9235 17.2743C12.6714 16.6659 12.6055 15.9963 12.734 15.3503C12.8625 14.7044 13.1796 14.111 13.6453 13.6453C14.111 13.1796 14.7044 12.8625 15.3503 12.734C15.9963 12.6055 16.6659 12.6714 17.2743 12.9235C17.8828 13.1755 18.4029 13.6023 18.7688 14.15C19.1347 14.6976 19.33 15.3414 19.33 16C19.33 16.4373 19.2439 16.8703 19.0765 17.2743C18.9092 17.6784 18.6639 18.0454 18.3547 18.3547C18.0454 18.6639 17.6784 18.9092 17.2743 19.0765C16.8703 19.2439 16.4373 19.33 16 19.33Z\"\/>\n  <\/g>\n<\/svg>\t\t\t\t\t\t\t\t<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Do you know: When is the best time to take Spiriva? in 2025 Key takeaways Spiriva can be taken either in the morning or at night, but morning doses may be easier to remember for some patients. You can take Spiriva with or without food, but to reduce the risk of side effects, you should [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-7725","post","type-post","status-publish","format-standard","hentry","category-health-news"],"blocksy_meta":[],"_links":{"self":[{"href":"https:\/\/healthmedicinet.com\/review\/wp-json\/wp\/v2\/posts\/7725","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/healthmedicinet.com\/review\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/healthmedicinet.com\/review\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/healthmedicinet.com\/review\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/healthmedicinet.com\/review\/wp-json\/wp\/v2\/comments?post=7725"}],"version-history":[{"count":0,"href":"https:\/\/healthmedicinet.com\/review\/wp-json\/wp\/v2\/posts\/7725\/revisions"}],"wp:attachment":[{"href":"https:\/\/healthmedicinet.com\/review\/wp-json\/wp\/v2\/media?parent=7725"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/healthmedicinet.com\/review\/wp-json\/wp\/v2\/categories?post=7725"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/healthmedicinet.com\/review\/wp-json\/wp\/v2\/tags?post=7725"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}