Not medical advice. This information is for educational purposes only. Always consult a qualified doctor or pharmacist before taking any medicine. Tiotropium requires a valid prescription.
Tiotropium
Generic Name: TIOTROPIUM BROMIDE AND OLODATEROL
11 DESCRIPTION STIOLTO RESPIMAT is a combination of tiotropium, an anticholinergic, and olodaterol, a long-acting beta 2 -adrenergic agonist (LABA).
Data last updated: 30 March 2026 · Source: openFDA.gov, DailyMed (NLM/NIH)
Common Brand Names in India:
What is Tiotropium Used For?
- Asthma
- Chronic obstructive pulmonary disease (COPD)
- Respiratory infections
How Does It Work?
It has similar affinity to the subtypes of muscarinic receptors, M 1 to M 5 .
Side Effects
Common Side Effects
Serious Side Effects (seek immediate medical attention)
Warnings & Precautions
- 5 WARNINGS AND PRECAUTIONS LABA as monotherapy (without an inhaled corticosteroid) for asthma increases the risk of serious asthma-related events. Do not initiate STIOLTO RESPIMAT in acutely deteriorating COPD patients. Do not use for relief of acute symptoms.
- Concomitant short-acting beta 2 -agonists can be used as needed for acute relief. Do not exceed the recommended dosage.
- Discontinue STIOLTO RESPIMAT immediately. Use with caution in patients with cardiovascular or convulsive disorders, thyrotoxicosis, or sensitivity to sympathomimetic drugs. ( 5.6 , 5.7 ) Worsening of narrow-angle glaucoma may occur.
- Use with caution in patients with narrow-angle glaucoma and instruct patients to consult a physician immediately if this occurs. Worsening of urinary retention may occur.
- Use with caution in patients with prostatic hyperplasia or bladder-neck obstruction and instruct patients to consult a physician immediately if this occurs. Be alert to hypokalemia and hyperglycemia. 5.1 Serious Asthma-Related Events – Hospitalizations, Intubations, Death The safety and efficacy of STIOLTO RESPIMAT in patients with asthma have not been established.
Who Should NOT Take This?
- STIOLTO RESPIMAT is not indicated for the treatment of asthma.
- In clinical trials and postmarketing experience with tiotropium, immediate hypersensitivity reactions, including angioedema (including swelling of the lips, tongue, or throat), itching, or rash have been reported.
- Hypersensitivity reactions were also reported in clinical trials with STIOLTO RESPIMAT.
- Use of a LABA, including STIOLTO RESPIMAT, without an inhaled corticosteroid is contraindicated in patients with asthma. ( 4 ) Hypersensitivity to tiotropium, ipratropium, olodaterol, or any component of this product. ( 4 )
Drug Interactions
Tiotropium may interact with the following medicines. Always inform your doctor about all medications you are taking.
Storage Instructions
Storage Store at 20°C to 25°C (68°F to 77°F); excursions permitted to 15°C to 30°C (59°F to 86°F) [see USP Controlled Room Temperature].
Speak to a pulmonologist on Zospital
Consult a pulmonologist on Zospital before starting Tiotropium. Verified Indian specialists available for in-clinic and online consultations.
Other Respiratory & Asthma Medicines
Sources: openFDA.gov · dailymed.nlm.nih.gov · nlm.nih.gov (RxNorm). Information is for educational purposes only. Consult a doctor before use.
FAQS
Tiotropium – Frequently Asked Questions
Common questions about Tiotropium, its uses, dosage and safety.
Tiotropium is commonly prescribed in India for: Asthma, Chronic obstructive pulmonary disease (COPD), Respiratory infections. Always confirm the indication with a registered medical practitioner before starting any course.
Tiotropium is sold in India under brand names such as Spiriva, Tiova, Tiotropium, Stiolto Respimat. You can also find it on online pharmacies like 1mg, Pharmeasy and Apollo Pharmacy.
Tiotropium is a prescription-only (Schedule H) medicine in India. You will need a valid prescription from a registered MBBS / MD doctor to purchase it from a licensed pharmacy.
Common side effects of Tiotropium can include: Constipation, Dizziness, Dry mouth, Insomnia, Rash, Cough, Back pain. Less common but serious side effects can include: Serious. Stop the medicine and contact your doctor immediately if any of these appear.
It has similar affinity to the subtypes of muscarinic receptors, M 1 to M 5 .
Tiotropium can interact with: Xanthine, Monoamine, Olodaterol. Tell your doctor about every medicine, supplement and herbal product you take — including ayurvedic and homeopathy preparations — before starting Tiotropium.
Indian guidelines often recommend lower starting doses of Tiotropium for patients above 60-65, since kidney and liver function decline with age. A doctor should review the dose, especially if the patient already takes BP, sugar or heart medicines.
Pregnancy safety of Tiotropium depends on the trimester and individual case. Indian gynaecologists usually avoid Category C/D drugs unless benefit clearly outweighs risk. Speak to your obstetrician before taking Tiotropium during pregnancy or while planning conception.
Prices in India typically range from ₹30 – ₹500 per strip / vial depending on brand. Generic versions tend to cost 30-60% less than branded ones, and Jan Aushadhi outlets often stock the lowest-priced equivalents. Check 1mg or Pharmeasy for live MRP.
If you remember within a few hours of the missed dose, take it. If it is nearly time for the next dose, skip the missed one — never double up. Frequent missed doses reduce Tiotropium's effectiveness, so consider setting a reminder or speaking to your doctor about a simpler schedule.
You can book an in-person or online consultation with a verified Indian specialist on Zospital — visit the doctor directory at https://zospital.com/doctor to find one near you.
Medical Disclaimer
The content provided on Zospital is for general informational and educational purposes only. It is not intended as a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified healthcare provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website. If you think you may have a medical emergency, call your doctor or emergency services immediately.