Can Spiriva cause vomiting and diarrhea?

Yes, Spiriva (tiotropium) can cause gastrointestinal side effects, including vomiting and diarrhea, although these are not the most common reactions. Some patients may experience these symptoms as part of the medication's side effects. If you experience severe or persistent vomiting or diarrhea while taking Spiriva, it’s important to consult your healthcare provider for guidance.