Tiotropium Bromide

What is Tiotropium Bromide?

Tiotropium Bromide is a long‑acting medicine used to help people with chronic breathing problems. It belongs to a group of drugs that relax and widen the airways in the lungs so you can breathe more comfortably. This inhaled medication works over a full day and is commonly prescribed for conditions like COPD and certain types of asthma.

Tiotropium Bromide Used For

• Maintenance treatment of Chronic Obstructive Pulmonary Disease (COPD), including chronic bronchitis and emphysema.

• Long-term maintenance therapy for Asthma in adults and children (6 years or older) when standard inhaled treatments are not enough.

Chemical Composition

Tiotropium Bromide is a quaternary ammonium compound — a muscarinic (anticholinergic) agent.

Tiotropium Bromide Mechanism

When inhaled, Tiotropium binds to muscarinic M3 receptors in the smooth muscles lining the airways. By blocking these receptors, it prevents acetylcholine-driven constriction of the airways. As a result, the air passages stay relaxed and open, improving airflow. Because Tiotropium dissociates slowly from M3 receptors, its bronchodilatory effect lasts over 24 hours — allowing once‑daily dosing.

How Does It Help You Breathe Better

By relaxing and dilating the bronchial smooth muscle, Tiotropium makes breathing easier. It reduces chest tightness, wheezing, and breathlessness — common symptoms in COPD and chronic asthma. Over time, it helps improve lung function, reduces flare-ups or exacerbations, and enhances daily comfort and quality of life.

What Are the Other Benefits?

• Once-daily inhalation — no frequent dosing required, which makes adherence simpler.

• Consistent symptom relief throughout the day and night because of its long-lasting effect.

• Reduced risk of acute breathing problems or flare-ups in chronic lung conditions when used as maintenance therapy.

Dosages

Available strengths or dosage

Tiotropium Bromide is typically available as:

• Dry powder inhalation capsules — 18 mcg (for use with a device such as HandiHaler or LupinHaler)

• Inhalation spray/solution — 1.25 mcg per actuation or 2.5 mcg per actuation (depending on device and indication)

How and when to take it

• For COPD (powder form): inhale the contents of one 18 mcg capsule once a day with the correct inhaler device. Do not swallow the capsule.

• For COPD (spray form): two actuations (total 5 mcg) once daily.

• For Asthma (spray form, in patients ≥ 6 years): two inhalations once daily (each actuation 1.25 mcg, total 2.5 mcg).

• Use the inhaler at roughly the same time each day to maintain steady control.

• Do not use Tiotropium as a rescue inhaler for sudden asthma attacks or acute bronchospasm — it is for maintenance therapy only.

Overdose caution

Using more than the prescribed dose — such as inhaling more than once per 24 hours — may increase risk of side effects. If an overdose is suspected, contact a doctor or poison control center immediately.

Who Can Use/Take Tiotropium Bromide?

Tiotropium is intended for:

• Adults with COPD (both chronic bronchitis and emphysema) needing daily maintenance therapy.

• Adults and children aged 6 years or older with asthma — when their asthma is not fully controlled with standard inhaled corticosteroids and long-acting bronchodilators.

Use caution or avoid use in:

• People with known hypersensitivity to tiotropium or similar anticholinergic drugs.

• Individuals with certain medical conditions such as narrow‑angle glaucoma, urinary retention, or prostate enlargement.

• Persons with severe kidney problems — only use if the expected benefit outweighs the risk.

Tiotropium Bromide: Side Effects & Precautions

What are the side effects?

Common side effects:

• Dry mouth

• Cough or sore throat

• Sinusitis or upper respiratory tract infection

• Headache, dizziness

Less common/serious side effects:

• Urinary problems (difficulty urinating or urinary retention)

• Eye issues: blurred vision, increased pressure in the eye — risk for glaucoma if powder enters the eyes

• Allergic reactions: rash, swelling of face/lips / throat (rare but serious)

• Paradoxical bronchospasm — where breathing becomes worse instead of better (rare, but critical)

What Precautions to Take to Avoid Side Effects?

• Do not swallow inhalation capsules — always use with the proper inhaler device.

• Do not let the powder or spray get into your eyes — if accidental contact occurs, rinse thoroughly and seek medical advice.

• Use exactly as prescribed — once daily, at the same time each day. Do not double dose if you miss one.

• Inform your doctor if you have glaucoma, urinary problems, prostate enlargement, kidney issues, or are pregnant / planning pregnancy.

• Keep regular checkups to monitor lung function and any possible side effects.

Tiotropium Bromide is a reliable once‑daily inhaled bronchodilator to improve breathing for chronic lung conditions and maintain lung health over time.

Always consult your doctor before use. If prescribed, you can order Tiotropium Bromide inhaler online safely from trusted pharmacy sources and ensure timely refills to maintain your treatment progress.