The most common adverse reactions while taking SPIRIVA are: Dry mouth, Dyspepsia, Non-specific chest pain, Pharyngitis, Rhinitis, Sinusitis, Upper respiratory tract infection, Urinary tract infection The side effects may be different depending on whether you are treating asthma or COPD. Speak with your doctor or pharmacist for the entire list of side effects that applies to you. Dr. Sheehy (BSc Molecular Biology, PharmD) works a clinical pharmacist specializing in cardiology, oncology, and ambulatory care. He’s a board-certified pharmacotherapy specialist (BCPS), and his experience working one-on-one with patients to fine tune their medication and therapy plans for optimal results makes him a valuable subject matter expert for our pharmacy.Read More....