Tiova Inhaler 9 mcg

Tiova Inhaler 9 mcg is a tiotropium inhalation product used for asthma control in people who need a long-acting maintenance medicine. Each dose delivers 9 mcg of tiotropium, an inhaled anticholinergic bronchodilator. It helps keep the airways open and reduce breathing symptoms over time, but it is not a rescue inhaler for sudden asthma attacks. Tiova Inhaler 9 mcg should be used exactly as prescribed by a clinician familiar with your asthma history.

How it works: Tiotropium works by blocking muscarinic receptors in the airways, which helps relax the muscles around the breathing tubes and keeps them from tightening as easily. In inhaler form, Tiova Inhaler 9 mcg delivers the medicine directly to the lungs so it can work locally to improve airflow.

Tiova Inhaler 9 mcg is a fixed-dose inhaler strength, so it is not meant to be split or adjusted for a smaller dose. Because this is a maintenance-strength inhaled medicine, a doctor may choose it for a patient who needs regular asthma control rather than quick relief. If your symptoms are worse right after inhalation or you have not used tiotropium before, your prescriber will decide whether this strength and device are appropriate for you.

• Asthma maintenance treatment
• Long-term control of airway narrowing
• Help reduce wheezing and shortness of breath
• Preventive therapy, not rescue treatment

• Use Tiova Inhaler 9 mcg exactly as your doctor prescribed and follow the inhaler technique shown by your pharmacist or clinician.
• Do not use it to treat sudden breathing problems or an active asthma attack; keep a fast-acting rescue inhaler available if prescribed.
• Breathe the dose in through the mouthpiece as directed, then hold your breath briefly if instructed by the device directions.
• Do not swallow the medicine or use extra doses to feel better faster.
• Use it at the same time each day if your prescriber has placed you on a regular schedule.
• If you miss a dose, take it when you remember unless it is almost time for the next dose; do not double up.

Tiova Inhaler 9 mcg delivers 9 mcg of tiotropium per dose. The exact schedule and maximum daily use depend on your prescription, but this medicine is generally taken once daily and should not be taken more often than your doctor directs. Your clinician decides the dose and duration based on your asthma control, other medicines, and how you respond to treatment.

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
• Headache
• Nasal irritation or runny nose
• Constipation
• Hoarseness

• Do not use Tiova Inhaler 9 mcg for sudden asthma symptoms; it is not a rescue inhaler.
• Tell your doctor if you have glaucoma, enlarged prostate, urinary retention, kidney disease, or urinary problems.
• Use caution if you have heart rhythm problems or other heart disease.
• Avoid spraying the inhalation mist into your eyes, because it can worsen glaucoma symptoms or cause eye irritation.
• Dry mouth is common, so good oral hygiene and water intake may help.
• Tell your clinician if you are pregnant, breastfeeding, or planning pregnancy.
• Do not increase how often you use this inhaler unless your doctor tells you to.

• Other anticholinergic medicines, which can increase dry mouth, constipation, or urinary retention
• Inhaled or oral medicines with similar anticholinergic effects
• Other asthma medicines that may be used together only under medical supervision
• Medicines that can affect heart rhythm, if you have a heart condition
• CYP-related interactions are less common, but your prescriber should review your full medication list

Store Tiova Inhaler 9 mcg at room temperature in a dry place, away from moisture and direct heat, and keep the strip/box closed until use.