Spiriva

Tiotropium Bromide

Generic Spiriva is an anticholinergic agent. It works by enlarging the airways to allow easier breathing. Generic Spiriva is used to prevent bronchospasm (narrowing of the airways in the lungs) in people with bronchitis, emphysema, or COPD (chronic obstructive pulmonary disease).

9mcg

Package Size

3 inhaler Hot
2 inhaler Hot
1 inhaler Hot

Brand(s)

Tiova

Manufacturer

Cipla Limited

Disease(s)

Bronchospasm / Bronchitis / Emphysema / Or COPD (chronic Obstructive Pulmonary Disease)

Tiotropium inhaler

What is this medicine?

TITROPIUM is an anticholinergic agent. It works by enlarging the airways to allow easier breathing.

Tiotropium is used to prevent bronchospasm (narrowing of the airways in the lungs) in people with bronchitis, emphysema, or COPD (chronic obstructive pulmonary disease).

What should I tell my health care provider before I take this medicine?

You should not use Tiotropium if you are allergic to tiotropium or ipratropium (Atrovent, Combivent, DuoNeb).

To make sure you can safely take Tiotropium, tell your doctor if you have any of these other conditions:

narrow-angle glaucoma;
kidney disease;
enlarged prostate or urination problems; or
if you are allergic to milk.

FDA pregnancy category C. It is not known whether Tiotropium is harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment. It is not known if tiotropium passes into breast milk or if it could harm a nursing baby. Do not use Tiotropium without telling your doctor if you are breast-feeding a baby.

How should I take this medicine?

Use Tiotropium exactly as prescribed by your doctor. Do not use in larger or smaller amounts or for longer than recommended. Follow the directions on your prescription label.

Tiotropium is used to prevent bronchospasm attacks. Do not use this medication to treat a bronchospasm attack that has already begun. It will not work fast enough to reverse your symptoms. Use only a fast-acting inhalation medication to treat an attack.

Use Tiotropium regularly to get the most benefit. Get your prescription refilled before you run out of medicine completely.

Talk with your doctor if any of your medications do not seem to work as well in treating or preventing attacks.

To be sure Tiotropium is helping your condition, your lung function will need to be tested on a regular basis. Visit your doctor regularly.

What if I miss a dose?

Use the medication as soon as you remember. If it is almost time for the next dose, skip the missed dose and wait until your next regularly scheduled dose. Do not use extra medicine to make up the missed dose.

Do not use the Tiotropium inhaler more than 1 time in a 24-hour period.

What should I watch for while taking this medicine?

Avoid getting this medication in your eyes. If this does happen, rinse with water.

What side effects may I notice from this medicine?

Get emergency medical help if you have any of these signs of an allergic reaction to Tiotropium: hives; difficult breathing; swelling of your face, lips, tongue, or throat.

Call your doctor at once if you have a serious side effect such as:

wheezing, chest pain or tightness, trouble breathing;
pain or burning when you urinate;
blurred vision, eye pain or redness, seeing halos around lights;
rapid heart rate;
sores or white patches of your mouth, lips, or tongue; or
urinating less than usual or not at all.

Less serious Tiotropium side effects may include:

dry mouth;
constipation, upset stomach, vomiting;
cold symptoms such as stuffy nose, sneezing, sore throat;
nosebleed; or
muscle pain.

What may interact with this medicine?

Tell your doctor about all other medicines you use, especially:

atropine (Atreza, Sal-Tropine);
belladonna (Donnatal, and others)
benztropine (Cogentin);
dimenhydrinate (Dramamine);
methscopolamine (Pamine);
scopolamine (Transderm-Scop);
theophylline (Elixophyllin, Theo-24, Theochron, Uniphyl), and others;
bladder or urinary medications such as darifenacin (Enablex), flavoxate (Urispas), oxybutynin (Ditropan, Oxytrol), tolterodine (Detrol), or solifenacin (Vesicare);
cough, cold, or allergy medicine;
irritable bowel medications such as dicyclomine (Bentyl), hyoscyamine (Hyomax), or propantheline (Pro Banthine);
steroid medication such as prednisone (Deltasone, Sterapred), methylprednisolone (Medrol), fluticasone (Advair , Flonase, Flovent, Veramyst), beclomethasone (Qvar), budesonide (Pulmicort, Rhinocort, Symbicort), dexamethasone (Cortastat, Dexasone, Solurex, DexPak), mometasone (Asmanex, Nasonex), triamcinolone (Nasacort), and others; or
ulcer medications such as glycopyrrolate (Robinul) or mepenzolate (Cantil).

This list is not complete and other drugs may interact with Tiotropium. Tell your doctor about all medications you use. This includes prescription, over-the-counter, vitamin, and herbal products. Do not start a new medication without telling your doctor.

Where can I keep my medicine?

Store at room temperature away from moisture and heat.

Bestsellers

Generic Viagra — is the first and the most well-known remedy for male erection. Its active ingredient is called Sildenafil. It provides enhanced blood flow to the male genital area. The cavernous body is relaxed, then is filled with blood abundantly, whereby an erection appears, sufficient to perform an act of intimacy. Sildenafil has no effect on the brain. An erection is achieved only if there is a natural sexual arousal.

Generic Levitra - a drug designed for men with a reduced erectile function and sexual impotence. Thanks to the active ingredient vardenafil achieved by strengthening the potency and restored the health of the reproductive system. The product is made of components, non-addictive and harmless to the body. Designed for those who are contraindicated for Viagra because of allergies to its main component, or those who have diabetes. Just generic Levitra unlike Viagra can be taken with any food. Another advantage - less likelihood of side effects.

Kamagra® - an Indian brand from Ajanta Pharma, created to improve male potency. This product acts absolutely the same way as brand Viagra. A powerful and strong erection occurs within 40 -60 minutes after an intake and the effect lasts 4 hours. Same, it is available in the form of tablets with a shape of a rhombus. After a number of clinical trials, the addiction to this drug was not observed, so it may be used for preventive purposes as well.

Generic Synthroid is used for treating low thyroid activity and treating or suppressing different types of goiters. It is also used with surgery and other medicines for managing certain types of thyroid cancer. *The bottle of Synthroid 88 mcg contains 50 tablets in one. The rest of dosages are manufactured as 100 tablets in one bottle.

Generic Propecia is used for treating certain types of male pattern hair loss (androgenic alopecia) in men. It is also used to treat symptoms of benign prostatic hyperplasia (BPH) in men with an enlarged prostate.