Tiotropium bromide this is the drug that is involved in making breathing easier for the people suffering from, chronic obstructive pulmonary disorder. It is available in the dosage form of capsules containing a dry powdered formulation of Tiotropium that is intended for the oral inhalation only with the help of an inhalation product.

Tiotropium bromide is an anticholinergic bronchodilator that relieves the discomfort caused by COPD i.e. chronic obstructive pulmonary disease (chronic bronchitis and emphysema).

The ailments it is used for:

This medicine is commonly used to control COPD, but it is not used for acute exacerbation

Understanding the drug:

How it works?

It acts as a bronchodilator, producing the dilatory effect on smooth muscles and increases the mucus secretion from the nasal passage and bronchioles.

When should you avoid it?

You should not take this drug if you:

§  Are pregnant, the doctor must be consulted in an urgency to take the medicine to avoid any harm to the fetus

§  Hypersensitivity to Ipratropium or Tiotropium

§  Are younger than 10 years of age, as the safety of the medicine is not yet established in children

§  Have any  type of renal or hepatic impairment

§  Having angioderma(swelling of lips, throat and tongue)

How much to take?

The dose intake is prescribed by the Doctor depending upon the severity and demand of the disease condition. Always follow doctor’s instructions. 

What are the strengths available?

The drug Tiotropium bromide is available in the following strengths and brands names:

Tiova Rotacaps 18mcg

Tiova Rota caps with Rota halers 18 mcg

Who is the manufacturer?

This drug Tiova and its various dosage forms are manufactured by a well known pharmaceutical company, Cipla. It is available on our websites in various pack sizes.

How to use?

Do not swallow Rotacaps. This is intended to be taken by inhalation only, using your Rota haler. Rinse your mouth after using as it helps to avoid any kind of throat irritation and dry mouth like conditions. Open the Rota haler capsule by holding it in a horizontal position by keeping white spot up and lighter colored end in opposite direction. Then gently breathe out and seal your lips around the mouth piece. Take a full deep breath in your mouth and hold your breath for up to ten seconds. After that take normal breath and throw away the empty capsule shell.

When to take?

Take your drug dose at the same time every day as this will become a habit and will be less forgotten by the patient. Take your doctor’s advice about the time of dosage if there is any confusion about the dosage time.

For how long should it be taken?

This medicine controls your condition, but does not cure it. It is thus advised to take the drug as long as recommended by the doc tor even in the case you find yourself well. Do not stop the drug without doctor’s advice.

What if you take too much (overdose)?

Too much this drug may be disturbing or serious in many cases. Due to the overdose of the drug you may have a fast or irregular heartbeat; dry mouth or blurred vision. In such a case visit nearest healthcare center or call your doctor.

What if you miss the dose?

In case you forget to take the dose, take it as soon as you remember, as long as it is at least 12 hours before your next dose. Do not double up the dose for the missed one.

What are the side effects?

Tell your doctor as soon as possible if you notice any of the following:

§  Breathing difficulty  or worsening of your breathing problems

§  Bilateral conjunctivitis

§  Dry mouth

§  Pounding heart beat

§  Wheezing or troubled breathing

§  Stuffy nose, nosebleed

§  Drowsiness

§  White patches in your mouth or throat.

In such cases you must go for immediate medical help. Do not get alarmed by the list. You may /may not experience all of them.

Are there any possible drug interactions?

You should ask your doctor about the full list of the drugs to be avoided or that you should be careful of while taking this drug. There are very few adverse drug interactions encountered with this drug yet the co-administration of this drug with other may cause harmful sideffects to other people.

What are the things to be taken care of?

§  Rinse your mouth after using the inhaler to prevent dry mouth and throat irritation.

§  Do not swallow these Rota caps by mouth

§  Clean the device once in a month with water

§  This medication must be used regularly to be effective