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

Summary:

Drug interactions are reported among people who take Spiriva (tiotropium bromide monohydrate) and Akineton (biperiden hydrochloride). Common drug interactions include pneumonia among females and vomiting among males.

The phase IV clinical study analyzes what interactions people have when they take Spiriva and Akineton. It is created by eHealthMe based on reports of 19 people who take the same drugs from the FDA, and is updated regularly.

What is Spiriva?

Spiriva has active ingredients of tiotropium bromide monohydrate. It is often used in chronic obstructive pulmonary disease. eHealthMe is studying from 156,666 Spiriva users. Check the latest studies of Spiriva.

What is Akineton?

Akineton has active ingredients of biperiden hydrochloride. It is often used in parkinson's disease. eHealthMe is studying from 6,140 Akineton users. Check the latest studies of Akineton.



On Aug, 09, 2026

19 people who take Spiriva and Akineton together, and have interactions are studied.

Spiriva and Akineton drug interactions.

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

female:

  1. Pneumonia
  2. Cardiac arrest
  3. Cystitis (inflammation of the wall of the bladder)
  4. Device related infection
  5. Hyponatraemia (abnormally low level of sodium in the blood; associated with dehydration)
  6. Multi-organ failure (multisystem organ failure)
  7. Oedema peripheral (superficial swelling)
  8. Skin infection
  9. Syncope (loss of consciousness with an inability to maintain postural tone)
  10. Tendon injury

male:

  1. Vomiting
  2. Death
  3. Blood pressure fluctuation
  4. Hyperhidrosis (abnormally increased sweating)
  5. Ileus paralytic (obstruction of the intestine due to paralysis of the intestinal muscles)
  6. Leukocytosis (increased white blood cells)
  7. Musculoskeletal stiffness (stiffness of the body's muscles, joints, tendons, ligaments and nerves)
  8. Neuroleptic malignant syndrome (a life-threatening neurological disorder most often caused by an adverse reaction to neuroleptic or antipsychotic agents)
  9. Pyrexia (fever)
  10. Respiratory failure (inadequate gas exchange by the respiratory system)

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

0-1:

n/a

2-9:

n/a

10-19:

n/a

20-29:

n/a

30-39:

n/a

40-49:

n/a

50-59:

  1. Blood pressure fluctuation
  2. Hyperhidrosis (abnormally increased sweating)
  3. Leukocytosis (increased white blood cells)
  4. Musculoskeletal stiffness (stiffness of the body's muscles, joints, tendons, ligaments and nerves)
  5. Neuroleptic malignant syndrome (a life-threatening neurological disorder most often caused by an adverse reaction to neuroleptic or antipsychotic agents)
  6. Oedema peripheral (superficial swelling)
  7. Pneumonia
  8. Pyrexia (fever)
  9. Respiratory failure (inadequate gas exchange by the respiratory system)
  10. Skin infection

60+:

  1. Vomiting
  2. Death
  3. Pneumonia
  4. Psoriasis (immune-mediated disease that affects the skin)
  5. Syncope (loss of consciousness with an inability to maintain postural tone)
  6. Tendon injury
  7. Cardiac arrest
  8. Cystitis (inflammation of the wall of the bladder)
  9. Device related infection
  10. Drug intolerance (drug sensitivity)

What are the existing conditions these people have? *

  1. Schizophrenia (a mental disorder characterized by a breakdown of thought processes): 3 people, 15.79%
  2. Schizophrenia, Paranoid Type (delusions and auditory hallucinations but relatively normal intellectual functioning and expression of affect): 1 person, 5.26%
  3. Insomnia (sleeplessness): 1 person, 5.26%
  4. High Blood Pressure: 1 person, 5.26%
  5. Dyspnea (difficult or laboured breathing): 1 person, 5.26%
  6. Crohn's Disease (a condition that causes inflammation of the gastrointestinal tract): 1 person, 5.26%
  7. Cardiac Murmur (an heart sound in valve abnormality): 1 person, 5.26%
  8. Cardiac Failure: 1 person, 5.26%
  9. Akathisia (a movement disorder characterized by a feeling of inner restlessness): 1 person, 5.26%
  10. Adverse Drug Reaction: 1 person, 5.26%

* Approximation only. Some reports may have incomplete information.

Do you take Spiriva and Akineton?

- Personalize this study to your gender, age, symptoms and drugs
- Predict drug outcomes for up to one year with AI
- Get an AI agent to monitor your drugs continuously



Related studies:

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

Browse all drug interactions of Spiriva and Akineton:

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:

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 Akineton:

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 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 Akineton 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 monohydrate and biperiden hydrochloride (the active ingredients of Spiriva and Akineton, respectively), and Spiriva and Akineton (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.

If you use this eHealthMe study on publication, please acknowledge it with a citation: study title, URL, accessed date.



Recent studies on eHealthMe: