How does tiotropium work?
Tiotropium blocks muscarinic receptors in the airways, which prevents the muscles around the airways from tightening. This helps open up the airways and improves breathing.
What is tiotropium used to treat?
Tiotropium is commonly prescribed for:
- Chronic obstructive pulmonary disease (COPD) (to reduce flare-ups and improve breathing)
- Asthma (in adults and some children over 6 years old) (as an add-on treatment for severe asthma)
Who can take tiotropium?
Tiotropium is suitable for most adults and some children with COPD or asthma, as prescribed by a doctor.
Who might not be able to take tiotropium?
Tiotropium may not be suitable if you:
- Have glaucoma
- Have prostate problems or difficulty urinating
- Have severe kidney disease
- Are allergic to tiotropium or similar medications
Can I take tiotropium if I’m pregnant or breastfeeding?
Tiotropium may be used during pregnancy and breastfeeding, but your doctor will assess the benefits and risks before prescribing it.
What if I miss a dose?
If you forget a dose, take it as soon as you remember. If it’s close to your next dose, skip the missed one—do not take extra doses to make up for it.
How effective is tiotropium?
Tiotropium is highly effective at improving lung function and reducing flare-ups when used regularly.
What should I do if I take too much?
Taking too much tiotropium can cause dry mouth, blurred vision, or a fast heartbeat. If symptoms persist, seek medical advice.
What dose of tiotropium is usually taken?
- For COPD: One inhalation (18mcg) once daily using a HandiHaler or Respimat inhaler
- For asthma: One inhalation (1.25mcg or 2.5mcg) once daily using a Respimat inhaler
Your doctor will determine the correct dose based on your condition.
Powered by pharmacies
With over 1,700 pharmacy partners across the UK, you can get the help you need, wherever you are based.
Our website and mobile app make it easy and convenient to manage your health needs and book services at a pharmacy nearby.
What are the side effects of tiotropium?
Common side effects include:
- Dry mouth
- Sore throat or cough
- Dizziness
- Blurred vision
Serious side effects, such as difficulty breathing, severe eye pain, or allergic reactions, require urgent medical attention.
How should I take tiotropium?
- Tiotropium is available as an inhaler or capsules for inhalation. Follow these steps for proper use:
- HandiHaler: Insert the capsule into the device, pierce it, and inhale deeply.
- Respimat Inhaler: Prime the inhaler if it’s new, then inhale the prescribed dose once daily.
Do not swallow the capsules—they are for inhalation only.
When should tiotropium be taken?
Tiotropium should be taken once daily at the same time each day.
What are the brand names for tiotropium?
Tiotropium is available as a generic medicine, but some branded versions include:
- Spiriva HandiHaler
- Spiriva Respimat
Final thoughts
Tiotropium is an effective treatment for COPD and asthma, but it should be used exactly as prescribed for the best results. If symptoms persist or side effects occur, speak to your doctor or pharmacist.
