Tiotropium Bromide also sold under the trade names Spiriva and Tiova (made by Cipla) among several other trade names is an anticholinergic bronchodilator. This nasal medication is used to ease breathing in people with diseases like asthma, emphysema (a serious condition that makes breathing difficult), and chronic obstructive bronchitis.
Tiotropium Bromide works by relaxing muscles of the air passages thereby increasing the flow of air to the lungs and hence improving breathing in people suffering from asthma and other breathing difficulties. It may also be used for treatment of other conditions not mentioned above.
Important Information about Tiotropium Bromide
Tiotropium Bromide medication (Spiriva, Tiova) will not work rapid enough in treating an asthma attack that has already started. In such a case, use only a fast acting inhalation medicine.
Do not use Tiotropium Bromide if you are allergic to Tiotropium or Ipratropium. Before using this medication, let your doctor know if you have narrow angle glaucoma, enlarged prostate, or urination problems (due to bladder obstruction).
What should I do before using Tiotropium Bromide?
For ensuring a safe use of this medication, tell your doctor before taking it if you have narrow angle glaucoma; enlarged prostate; bladder obstruction; or urination problems.
Take precaution if you are pregnant, plan to become pregnant or breast feeding your baby. Ask your doctor if it is safe to use Tiotropium Bromide without harming your baby. This medication is not recommended to use in children without doctor’s advice.
How should I take Tiotropium Bromide?
You must use Tiotropium Bromide medication (Spiriva, Tiova) exactly and strictly as advised by your doctor. Any changes or disobedience of your doctor’s prescription may lead to deterioration of your condition. All medications come with a patient leaflet which has complete information about them. Read it carefully for details.
Tiotropium Bromide is usually taken with an inhaler device. First pump 2 test sprays in the air for priming the inhaler. Remember to pump it away from your face. Then put the inhaler into one nostril of your nose and spray an appropriate amount of the medication. Breathe gently after spraying. Prime the inhaler if it has not been used for some time, say 3 days or more. Keep the inhaler clean always by following the cleaning directions which came with the medication.
Keep the medicine canister away from open flame and intense heat such as in direct sunlight on a hot day. The canister can explode if it gets too hot. Avoid puncturing or burning an empty inhaler canister.
Store the medication and inhaler device in a cool and dry place. Ensure that your children and pets don’t have access to any medication.
What happens if I miss a dose?
If you miss a dose due to some reasons, take it as soon as you remember it and if the time to take the next dose is not near. If the next dose is overdue within a short time, then forget about the missed dose and take the next dose as scheduled. Do not take double doses to compensate for the missed one.
What if I Overdose?
Don’t overdose on any medication. If you have taken an overdose and if you experience any worsening health condition, get emergency medical help or call Poison help line at 1.800.222.1222
Things to avoid while taking Tiotropium Bromide
Follow any restrictions as directed by your doctor.
Tiotropium Bromide Side Effects
Not all people have side effects due to Tiotropium Bromide (Spiriva, Tiova) but that may not be the case with you. Discontinue using Tiotropium Bromide if you witness any allergic reactions like hives, breathing difficulty, swelling in face, mouth, lips, tongue, or throat; bronchospasm (chest tightness, wheezing); blurred vision, pain in eye; witnessing halos around lights; painful or burning sensation while urinating as well as decreased urination; or deteriorating of original symptoms. These effects are rare but get urgent medical help.
Some less severe and more common side effects of Tiotropium Bromide are headache; runny nose; backache; sinus pain; cough; nausea; upset stomach; constipation; fever; chills; or fly symptoms.
The list above is not complete and there can be other side effects as well. You may also report your side effects to FDA by calling at 1.800.FDA.1088
Tiotropium Bromide Dosing Information
Take Tiotropium Bromide medication as prescribed by your doctor. Dosage may differ based on severity of condition, age, sex among several other factors.
Interaction with other drugs
Some drugs may interact with Tiotropium Bromide so tell your doctor about any medications which you may be taking at present, especially medications for bladder or urinary tract like fesoterodine, tolterodine, solfenacin or others; other bronchodilators medications like ipratropium; antihistamine medications used for cold or allergy; drugs for Parkinson’s disease; or medications for stomach like antacids, for ulcers or motion sickness. This list of drug interactions is non exhaustive and there may be other interactions. Share your entire medical history and list of drugs (prescription or OTC) or herbal products with your doctor.
|US Brand Name||Spiriva Rotacaps|
|Generic Name||Tiotropium Bromide|