Skip Ribbon Commands
Skip to main content


Drug Class: Commonly Known As: Category:
Anticholinergic bronchodilator Spiriva® Respimat® Adult, Children

Tiotropium - What is it for

Tiotropium is a long-acting inhaled anticholinergic bronchodilator for long-term maintenance treatment in asthma. It is used once daily to control symptoms of asthma by relaxing and keeping your airways open so that you can breathe more easily.

Do note that Tiotropium does not treat acute asthma symptoms, such as a sudden asthma attack. Your doctor should have given you another inhaler as a rescue medication for relieving acute asthma symptoms.

Tiotropium - Side Effects, Precautions, and Contraindications

What side effects can Tiotropium cause?

Generally, tiotropium is well-tolerated. Common side effects include:

  • Dry mouth

  • Upper respiratory tract infection

  • Bronchitis (airway inflammation, pharyngitis (throat inflammation) and sinusitis (swelling and inflammation of the naval cavities), cough

  • Headache

Inform your doctor immediately if the side effects above become severe and bothersome.​

There are some potentially serious but rare side effects that may be experienced:

  • Inflammation of the tongue, oral mouth ulcers and difficulty swallowing

  • Blurred vision, seeing halos around lights or coloured images in association with red eyes and increased pressure in the eyes (Refer to “Special Instructions” below)

  • Urinary retention and inability to urinate

  • Irregular heartbeat, palpitations

Stop the medication and inform your doctor immediately if the side effects above occur, or if you experience any other side effects and allergic reactions (e.g. rash, swelling of the eyes and lips, difficulty breathing).

Before taking Tiotropium , what precautions must I follow?

What food or medicine must I avoid when I take Tiotropium ?

Tiotropium - Dosage and How to Use

How should Tiotropium be used?

Tiotropium Respimat® is for inhalation use only.

Please follow the instructions provided in the Tiotropium Respimat® Inhalation Guide.

Tiotropium is effective for 24 hours so you only need to administer it once a day.

What should I do if I miss a dose?

Take the missed dose as soon as you remember it. If you remember a missed dose at the time of your next dose, omit the missed dose and take only your regularly scheduled dose. Do not take a double dose to make up for the missed one.

What should I do if I overdose?

Tiotropium - Handling and Storage

How should I handle Tiotropium safely?

How should I store Tiotropium ?

Keep away from children;#Keep in a cool, dry place, away from direct sunlight;#Store at room temperature;#Others;#​Discard within 3 months of opening

How should I dispose of Tiotropium safely?

Tiotropium - Additional Information

Dry mouth which has been commonly observed with Tiotropium may in the long term be associated with dental caries. Therefore, please remember to pay attention to your oral hygiene and regularly follow-up with the dentist.

If you have been prescribed Tiotropium for your asthma it should be added on to inhaled corticosteroids and long-acting β2 agonists. Continue taking the inhaled corticosteroids as prescribed by your doctor, even if you feel better.

When administering Tiotropium Respimat®, take care not to let any spray enter your eyes as this may result in eye pain or discomfort, blurred vision, seeing halos around lights or coloured images in association with red eyes (i.e. narrow angle glaucoma). Eye symptoms may be accompanied by headache, nausea or vomiting. If the medication accidentally enters your eyes, wash your eyes with warm water, stop using tiotropium and immediately consult your doctor for further advice.

  • Updated on Monday, February 6, 2017
  • Article contributed by Pharmacy Department KK Women's and Children's Hospital

    The information provided is not intended as medical advice. Terms of use. Information provided by SingHealth


    Find Your Medicines