Spiriva respimat and Ativan drug interactions - a phase IV clinical study of FDA data

Summary:

Drug interactions are reported among people who take Spiriva respimat (tiotropium bromide) and Ativan (lorazepam). Common drug interactions include speech disorder among females and apathy among males.

The phase IV clinical study analyzes what interactions people have when they take Spiriva respimat and Ativan. It is created by eHealthMe based on reports of 54 people who take the same drugs from the FDA, and is updated regularly.

What is Spiriva respimat?

Spiriva respimat has active ingredients of tiotropium bromide. It is often used in chronic obstructive pulmonary disease. eHealthMe is studying from 9,788 Spiriva respimat users. Check the latest studies of Spiriva respimat.

What is Ativan?

Ativan has active ingredients of lorazepam. It is often used in stress and anxiety. eHealthMe is studying from 78,506 Ativan users. Check the latest studies of Ativan.

eHealthMe: drug outcomes in the real world

eHealthMe runs one of the largest post-marketing drug safety studies in the world. We study millions of patients and 5,000 more each day. Our data-driven phase IV clinical trials have been referenced on 800+ peer-reviewed medical publications including The Lancet, Mayo Clinic Proceedings, and Nature. Tools to study our phase IV findings are available to the public, anonymous and free >>>.



On Aug, 31, 2026

54 people who take Spiriva respimat and Ativan together, and have interactions are studied.

Spiriva respimat and Ativan drug interactions.

What are the common drug interactions of Spiriva Respimat and Ativan, by gender? *:

female:

  1. Speech disorder
  2. Urinary tract infection
  3. Visual impairment
  4. Application site discolouration
  5. Asthmatic crisis
  6. Cd4 lymphocytes decreased
  7. Cerebrospinal fluid leakage
  8. Chronic kidney disease
  9. Cough
  10. Diverticulitis (digestive disease which involves the formation of pouches (diverticula) within the bowel wall)

male:

  1. Apathy
  2. Diarrhoea
  3. Haemorrhagic anaemia (anaemia due to excessive bleeding)
  4. Lethargy (tiredness)
  5. Adverse drug reaction
  6. Aggression
  7. Agitation (state of anxiety or nervous excitement)
  8. Amnesia (deficit in memory caused by brain damage, disease, or psychological trauma)
  9. Asthenia (weakness)
  10. Balance disorder

What are the common drug interactions of Spiriva Respimat and Ativan, by age (0-1 to 60+)? *:

0-1:

n/a

2-9:

n/a

10-19:

  1. Blood pressure increased
  2. Delusion (a false belief or opinion)
  3. Encephalitis (inflammation of the brain)
  4. Gastrooesophageal reflux disease (stomach contents (food or liquid) leak backwards from the stomach into the oesophagus)
  5. Headache (pain in head)
  6. Muscle spasms (muscle contraction)
  7. Pain
  8. Paraesthesia (sensation of tingling, tickling, prickling, pricking, or burning of a person's skin with no apparent long-term physical effect)
  9. Urinary incontinence (inability to control the flow of urine and involuntary urination)
  10. Vertigo

20-29:

  1. Device failure
  2. Drug ineffective
  3. Pneumonia aspiration (bronchopneumonia that develops due to the entrance of foreign materials into the bronchial tree)

30-39:

  1. Abdominal infection
  2. Anaphylactic reaction (serious allergic reaction)
  3. Back disorder
  4. Cardiac failure
  5. Dyspnoea (difficult or laboured respiration)
  6. Fall
  7. Gait disturbance
  8. Monoplegia (a paralysis of a single limb)
  9. Urinary tract infection

40-49:

  1. Adverse drug reaction
  2. Clostridium difficile colitis (inflammation of colon by clostridium difficile bacteria infection)
  3. Infusion site bruising
  4. Infusion site pain
  5. Pneumonia
  6. Post procedural discharge
  7. Sinusitis (inflammation of sinus)
  8. Bronchitis (inflammation of the mucous membrane in the bronchial tubes)
  9. Disability
  10. Dyspnoea (difficult or laboured respiration)

50-59:

  1. Cognitive disorder (mental health disorders affects learning, memory, perception, and problem solving)
  2. Diplopia (double vision)
  3. Dysphagia (a condition in which swallowing is difficult or painful)
  4. Infusion site bruising
  5. Speech disorder
  6. Visual impairment
  7. Herpes zoster
  8. Injection site bruising
  9. Adverse drug reaction
  10. Application site discolouration

60+:

  1. Psychotic disorder
  2. Apathy
  3. Rash erythematous (redness of the skin)
  4. Chronic kidney disease
  5. Diverticulitis (digestive disease which involves the formation of pouches (diverticula) within the bowel wall)
  6. Dysphonia (speech disorder attributable to a disorder of phonation)
  7. Fall
  8. Gallbladder disorder
  9. Gastritis (inflammation of stomach)
  10. Haemorrhagic anaemia (anaemia due to excessive bleeding)

What are the existing conditions these people have? *

  1. Immunodeficiency: 9 people, 16.67%
  2. Immunodeficiency Common Variable: 8 people, 14.81%
  3. Asthma: 8 people, 14.81%
  4. Type 2 Diabetes: 4 people, 7.41%
  5. Multiple Myeloma (cancer of the plasma cells): 4 people, 7.41%
  6. High Blood Pressure: 4 people, 7.41%
  7. Atrial Fibrillation/flutter (atrial fibrillation and flutter are abnormal heart rhythms in which the atria, or upper chambers of the heart, are out of sync with the ventricles): 4 people, 7.41%
  8. Rheumatoid Arthritis (a chronic progressive disease causing inflammation in the joints): 3 people, 5.56%
  9. Insomnia (sleeplessness): 3 people, 5.56%
  10. Helicobacter Infection (helicobacter pylori (h. pylori) infects stomach): 3 people, 5.56%

* Approximation only. Some reports may have incomplete information.

Do you take Spiriva respimat and Ativan?

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Related studies:

Effectiveness of, side effects of, and alternative drugs to the 2 drugs:

Browse all drug interactions of Spiriva respimat and Ativan:

a b c d e f g h i j k l m n o p q r s t u v w x y z

Sub-studies by gender and age:

Female: 0-1 2-9 10-19 20-29 30-39 40-49 50-59 60+

Male: 0-1 2-9 10-19 20-29 30-39 40-49 50-59 60+

Browse all side effects of Spiriva respimat:

a b c d e f g h i j k l m n o p q r s t u v w x y z

Browse all side effects of Ativan:

a b c d e f g h i j k l m n o p q r s t u v w x y z

Browse all interactions between Spiriva respimat and drugs from A to Z:

a b c d e f g h i j k l m n o p q r s t u v w x y z

Browse all interactions between Ativan and drugs from A to Z:

a b c d e f g h i j k l m n o p q r s t u v w x y z

How the study uses the data?

The study uses data from the FDA. It is based on tiotropium bromide and lorazepam (the active ingredients of Spiriva respimat and Ativan, respectively), and Spiriva respimat and Ativan (the brand names). Other drugs that have the same active ingredients (e.g. generic drugs) are not considered. Dosage of drugs is not considered in the study.

How to use the study?

DO NOT STOP MEDICATIONS without first consulting your doctor. If there are any serious or long term adverse effects discovered in the study, discuss the study with your doctor to ensure that proper medication management will be in place if applicable.

Who is eHealthMe?

With medical big data and proven AI/ML algorithms, eHealthMe provides a platform for everyone to run phase IV clinical trials. We study millions of patients and 5,000 more each day. Results of our real-world drug study have been referenced on 800+ peer-reviewed medical publications, including The Lancet, Mayo Clinic Proceedings, and Nature. Our analysis results are available to researchers, health care professionals, patients (testimonials), and software developers (open API).

WARNING, DISCLAIMER, USE FOR PUBLICATION

WARNING: Please DO NOT STOP MEDICATIONS without first consulting a physician since doing so could be hazardous to your health.

DISCLAIMER: All material available on eHealthMe.com is for informational purposes only, and is not a substitute for medical advice, diagnosis, or treatment provided by a qualified healthcare provider. All information is observation-only. Our phase IV clinical studies alone cannot establish cause-effect relationship. Different individuals may respond to medication in different ways. Every effort has been made to ensure that all information is accurate, up-to-date, and complete, but no guarantee is made to that effect. The use of the eHealthMe site and its content is at your own risk.

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