Hi DianeH, Thank you so much for posting your question in our community. I hope some of our members can give you some of their personal experiences with Spiriva Respimat. If you are experiencing side effects I would definitely recommend speaking with your doctor if you haven't already since medications can affect us all differently. Please don't hesitate to reach out anytime, we are glad you are here. Warmly, Noel (COPD.net Team)