Tiomist CFC Free 9 mcg Inhaler

Tiomist CFC Free 9 mcg Inhaler is an inhaled medicine that contains tiotropium 9 mcg per inhaler. It belongs to the long-acting anticholinergic (LAMA) class, which helps relax the airways so breathing is easier. Tiomist CFC Free 9 mcg Inhaler is used for the maintenance treatment of asthma and to help prevent symptoms such as wheeze, chest tightness, and shortness of breath. It is a prescription inhaler for ongoing control, not a rescue inhaler for sudden breathing problems.

How it works: Tiotropium works by blocking muscarinic receptors in the airways, which helps the muscles around the breathing tubes stay relaxed. In inhaler form, Tiomist CFC Free 9 mcg Inhaler delivers the medicine directly to the lungs so it can help keep the airways open over time.

Tiomist CFC Free 9 mcg Inhaler is a higher-strength presentation of tiotropium, so it is generally chosen only after a doctor has assessed that this dose is appropriate. Compared with lower-strength tiotropium options used in some markets, the 9 mcg inhaler is intended for patients who need regular maintenance therapy and are able to use an inhaler correctly; it is not meant for quick relief during an attack.

• Maintenance treatment of asthma
• Prevention of asthma symptoms
• Help with chronic bronchospasm control
• Reduction of wheezing and chest tightness
• Long-term airway opening support

• Use Tiomist CFC Free 9 mcg Inhaler exactly as your doctor prescribed; do not use it for sudden wheezing or trouble breathing.
• Follow the inhaler-specific instructions on the label and package insert for loading, priming, and inhalation technique.
• Inhale the dose through the mouth, not the nose, and try to breathe in slowly and deeply if directed by the device instructions.
• Do not swallow the inhaler contents or use extra doses if you miss one; do not double up unless your prescriber tells you to.
• Use it at the same time each day if it has been prescribed daily for maintenance control.
• If you still need a rescue inhaler often, contact your doctor because Tiomist CFC Free 9 mcg Inhaler is not a replacement for quick-relief medicine.

Each Tiomist CFC Free 9 mcg Inhaler provides a 9 mcg tiotropium dose per inhaler as labeled, and the exact dosing schedule depends on the prescriber’s instructions and the device directions. Some patients use tiotropium once daily for maintenance, but the doctor decides whether this strength is appropriate and how often it should be used. Do not exceed the prescribed daily amount, and do not use it more often than directed.

Do not change your dose or stop the medicine without speaking to your doctor.

Common side effects of Tiotropium may include:

• Dry mouth
• Throat irritation
• Cough
• Hoarseness
• Constipation
• Mild headache
• Nasal symptoms or runny nose

• Do not use Tiomist CFC Free 9 mcg Inhaler as a rescue inhaler during an asthma attack.
• Use caution if you have glaucoma, enlarged prostate, bladder-neck obstruction, or trouble urinating.
• Tell your doctor if you have a history of heart rhythm problems or other heart disease.
• Avoid getting the inhaler medicine into your eyes, because it can worsen eye symptoms.
• Report any new wheezing immediately, especially after the first doses.
• Use exactly as directed because this is a higher-strength tiotropium inhaler for patients a clinician has already assessed.
• If you are pregnant, breastfeeding, or planning pregnancy, ask your doctor before use.

• Other anticholinergic medicines may increase side effects such as dry mouth, constipation, or urinary retention.
• Combining with similar inhaled antimuscarinic drugs can raise the risk of anticholinergic effects.
• Other asthma medicines may still be needed, but Tiomist CFC Free 9 mcg Inhaler should not replace rescue inhalers.
• Medicines that can affect heart rate may deserve extra monitoring if you have heart disease.
• Tell your prescriber about all prescription, over-the-counter, and herbal products you use.

Store Tiomist CFC Free 9 mcg Inhaler at room temperature in a dry place, away from moisture, heat, and direct sunlight, and keep it in the original strip/box until use.