Spiriva

Tiotropium

This inhaler is indicated to relieve chronic obstructive pulmonary disease and is developed to support improved respiratory function.

Active ingredient
Tiotropium
Supply
Pharmacy
Route
Inhalation use
Form
Inhalation powder, hard capsule
Strengths
9mcg

Spiriva details

Alternative names
Tiova Rotacap; Tiova
Therapeutic class
Anticholinergic
Pharmacological class
Muscarinic Antagonist
Known off-label uses
asthma
Contraindications
hypersensitivity to tiotropium or ipratropium
Minor side effects
dry mouth; constipation; dizziness
Moderate side effects
pharyngitis; dysphonia; urinary retention
Dosage forms
Inhalation powder, hard capsule
Administration route
Inhalation use
Supply category
Pharmacist only, dispensed without a prescription
Manufacturer
Boehringer Ingelheim
Onset Time
30 minutes
Duration
24 hours
Storage instructions
Store at room temperature in a dry place.
Drug interactions
ipratropium
Age restrictions
Adults.
Pregnancy and breastfeeding
Pregnancy: No data, use with caution. Breastfeeding: Consult physician.
Precautions and warnings

avoid getting powder in eyes; use with caution in narrow-angle glaucoma; inform doctor of urinary retention

Serious side effects

paradoxical bronchospasm, requires immediate medical attention; glaucoma exacerbation, requires immediate medical attention

Patient summary

This inhaler is indicated to relieve chronic obstructive pulmonary disease and is developed to support improved respiratory function.

Mechanism of action

Tiotropium is a long-acting muscarinic antagonist (LAMA). It inhibits the M3-receptors in the smooth muscle of the airway, preventing contraction and resulting in bronchodilation, which facilitates easier breathing over an extended period.

Where this medicine is registered

  • Singapore
  • Hong Kong
  • Thailand
  • Malaysia
  • Philippines
  • Indonesia
  • Taiwan
  • South Korea
  • Japan
  • Australia
  • New Zealand
  • UAE
  • South Africa

About Spiriva

Spiriva is the primary clinical inhaler for Chronic Obstructive Pulmonary Disease containing tiotropium, a respiratory bronchodilator. The same active ingredient is also sold under brand names including Tiova Rotacap and Tiova. Boehringer Ingelheim supplies this treatment as an inhaler in the 9mcg strength, which supports long term airway health for those managing respiratory challenges.

Buying Spiriva online

Spiriva is registered across 14 markets including Hong Kong, Thailand and Malaysia, with availability also in the Philippines, Indonesia and Taiwan. Generic tiotropium, much of it made in India, remains significantly more affordable than the original brand for patients seeking cost effective respiratory care. Many expats and individuals who lack immediate local access choose to order online for delivery across the region to ensure consistent, reliable use of their maintenance equipment.