Tiova 18 mcg Multihaler

Tiova 18 mcg Multihaler is a tiotropium inhalation product used as a long-acting bronchodilator for maintenance treatment of asthma symptoms. Each Tiova 18 mcg Multihaler delivers 18 mcg of tiotropium per inhaler dose, and it is used to help keep the airways open over time. Tiotropium belongs to the long-acting anticholinergic (LAMA) class and is not a rescue inhaler for sudden breathing problems. It is prescribed to help reduce wheezing, shortness of breath, and chest tightness in people whose asthma needs ongoing controller therapy.

How it works: Tiotropium works by blocking muscarinic receptors in the airways, which helps relax the muscles around the bronchial tubes. In Tiova 18 mcg Multihaler form, this helps keep the air passages more open so breathing is easier throughout the day.

Tiova 18 mcg Multihaler is a standard maintenance strength, not a quick-relief product, and it is intended for patients a doctor has assessed for long-term control. Because it contains 18 mcg per inhaler dose, it is not meant to be used more often just because symptoms feel worse; the exact schedule should match your prescriber’s plan. If asthma is not controlled well enough with this strength, a doctor may adjust therapy rather than using extra doses.

• Maintenance treatment of asthma
• Long-acting bronchodilation
• Help reduce wheezing
• Help reduce shortness of breath
• Help reduce chest tightness

• Use Tiova 18 mcg Multihaler exactly as prescribed; it is an inhaled powder product, not a tablet you swallow.
• Follow the device instructions to load and inhale the dose correctly through the Multihaler.
• Do not take extra doses for sudden symptoms; use a rescue inhaler if your doctor has prescribed one.
• Try to use it at the same time each day for steady symptom control.
• Rinse your mouth after use if your clinician instructs you to do so.
• Do not let powder get into your eyes, because tiotropium can irritate them.

Tiova 18 mcg Multihaler provides 18 mcg of tiotropium per inhaled dose. The usual schedule is once daily, and the maximum dose is generally one inhalation in 24 hours unless your doctor specifically tells you otherwise. Your prescriber decides whether this strength is appropriate based on your asthma control and other medicines.

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

Common side effects of Tiotropium may include:

• Dry mouth
• Sore throat
• Cough
• Hoarseness
• Constipation
• Stuffy nose
• Mild dizziness

• Do not use Tiova 18 mcg Multihaler for sudden asthma attacks; keep a rescue inhaler available if prescribed.
• Tell your doctor if you have glaucoma, enlarged prostate, urinary retention, kidney disease, or a history of narrow-angle eye problems.
• Use caution if you have heart rhythm problems or significant cardiovascular disease.
• Keep the powder away from the eyes to avoid pain, blurred vision, or glaucoma-related symptoms.
• Dry mouth can be more noticeable with this strength, so good oral hygiene and hydration may help.
• If you are pregnant or breastfeeding, ask your clinician whether Tiova 18 mcg Multihaler is appropriate for you.
• Alcohol does not have a known direct interaction, but heavy use can worsen dehydration and dry mouth.

• Other inhaled anticholinergics such as ipratropium or aclidinium
• Other medicines that can cause dry mouth or constipation, including some antihistamines and antidepressants
• Anticholinergic bladder medicines such as oxybutynin
• Certain antidepressants or antipsychotics with anticholinergic effects
• Beta-agonist rescue inhalers may be used together if prescribed, but they do not replace Tiova 18 mcg Multihaler

Store Tiova 18 mcg Multihaler in a dry place at room temperature, protected from moisture and heat, and keep the inhaler closed until use.