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Tiomist Respicaps

Tiotropium (18mcg)

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Tiomist Respicaps is an anticholinergic medicine. It is used in the treatment of chronic obstructive pulmonary disease and asthma. It relaxes the airway muscles and makes it easier to breathe. This helps relieve symptoms such as chest tightness, shortness of breath, wheezing, and coughing.

Written By Dr. Lipika Khurana, PGDHHM, BDS,
Reviewed By Dr. Sachin Gupta, MD Pharmacology, MBBS,
Last updated on 14 Apr 2026 | 04:20 PM (IST)

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General Information

Contains

Tiotropium (18mcg)

Marketer

Zydus Cadila

Storage

Store below 25°C

The content is shown in English

Product introduction

Tiomist Respicaps is only for inhalational purpose, use it in the dose and duration as prescribed by your doctor. The first dose is given under medical supervision to prevent the side effects happen during first use. For better results, it is suggested to take it at the same time every day. The dose and how often you take it depends on what you are taking it for. Your doctor will decide how much you need to improve your symptoms. You should take this medicine for as long as it is prescribed for you. It does not prevent the already started breathing trouble or asthma attack, hence always carry your medical inhaler with you for an emergency.

The most common side effect of this medicine is dry mouth. If these bother you or appear serious, let your doctor know. To overcome dry mouth, it is advised to increase water intake, carry sugar candy, or maintain good oral hygiene. If you experience any other side effects, let your doctor know.

Before taking this medicine, let your doctor know if you have liver or kidney disease, or if you are pregnant or breastfeeding. Your doctor should also know about all other medicines you are taking as many of these may make this medicine less effective or change the way it works.

Uses of Tiomist Powder for Inhalation

Benefits of Tiomist Powder for Inhalation

Asthma
Asthma is a chronic lung condition where the airways become inflamed and narrow, causing breathing difficulties, coughing, and wheezing. Tiomist Respicaps helps keep the airways open, making it easier to breathe and reducing the frequency of asthma attacks.

Chronic obstructive pulmonary disease (COPD)
Chronic obstructive pulmonary disease (COPD) is a progressive lung disease often caused by long-term smoking, leading to breathing problems, chronic cough, and reduced lung function. Tiomist Respicaps helps to relax the airway muscles and prevent symptoms like breathlessness and flare-ups, improving daily breathing and quality of life.

Side effects of Tiomist Powder for Inhalation

Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them

Common side effects of Tiomist

Sinus inflammation
Headache
Bronchitis (inflammation of the airways)
Throat infection
Dryness in mouth
Cough

How to use Tiomist Powder for Inhalation

Use it as advised by your doctor or check the label for directions before use.

How Tiomist Powder for Inhalation works

Tiomist Respicaps is an anticholinergic medication. It works by relaxing the muscles in the airways and widens the airways. This makes breathing easier.

All substitutes for Tiomist Respicaps

For information purposes only. Consult a doctor before taking any medicine.

Tiate Transcaps

by Lupin Ltd

₹337.3/powder for inhalation

97% costlier

Tiobromis 18 DPI Capsule

by Tamis Pharma

₹161.25/powder for inhalation

6% cheaper

Quick tips

Tiomist Respicaps makes breathing easier for patients with chronic obstructive pulmonary disease (COPD) and asthma.
This medicine is for inhalation only. The tablet should not be swallowed.
It should be taken at the same time each day.
It does not work right away and should not be used to relieve sudden breathing problems. Use your rescue inhaler to control sudden difficulty in breathing.
Dry mouth may occur as a side effect. Frequent mouth rinses, good oral hygiene, increased water intake and sugarless candy may help.
Gargle with warm water after each inhalation to avoid any fungal infections in your mouth and throat.
Take the first dose under medical supervision as it may cause wheezing or tightening of the airways (bronchospasm) immediately after using.
Your doctor may monitor your blood potassium level regularly while taking this medication.
Only small amounts of Tiomist Respicaps may get absorbed into the bloodstream after inhalation. Hence, serious side effects are unlikely.

Safety advice

Alcohol

CONSULT YOUR DOCTOR

It is not known whether it is safe to consume alcohol with Tiomist Respicaps. Please consult your doctor.

Pregnancy

CONSULT YOUR DOCTOR

Information regarding the use of Tiomist Respicaps during pregnancy is not available. Please consult your doctor.

Breast feeding

CONSULT YOUR DOCTOR

Information regarding the use of Tiomist Respicaps during breastfeeding is not available. Please consult your doctor.
Monitor the baby for dry mouth, constipation, and urinary problems.

Driving

UNSAFE

Tiomist Respicaps may decrease alertness, affect your vision, or make you feel sleepy and dizzy. Do not drive if these symptoms occur.

Kidney

No interaction found/established

Liver

No interaction found/established

Interaction with drugs

Taking Tiomist with any of the following medicines can modify the effect of either of them and cause some undesirable side effects

Moderate

Clozapine (Oral Route)

Watch out for symptoms such as dry mouth, increased heart rate, urination difficulties, constipation, loss of appetite or nausea and consult your doctor if you experience them.

Moderate

Procyclidine (Oral Route)

If concurrent use is essential, watch out for symptoms such as dry mouth, nausea, diarrhea, acidity, or tremors, and consult your doctor if you experience them. They may adjust the doses as per the observations.

Moderate

Trihexyphenidyl (Injection Route)

Moderate

Trihexyphenidyl (Oral Route)

Frequently asked questions

How long does Tiomist Respicaps take to work?

Tiomist Respicaps starts working within 30 minutes of taking it and you may start breathing with ease after the first dose. The full benefits will be experienced within about 3 days to a week’s time.

Is Tiomist Respicaps a steroid?

No, Tiomist Respicaps is not a steroid, but it belongs to anticholinergic class of medicines. It works by relaxing the muscles of the small airways, helping them to open and remain open for 24 hours.

How can Tiomist Respicaps help me?

Tiomist Respicaps is a long-acting bronchodilator which opens the air passages and makes breathing easier. Using this medicine daily can help prevent sudden short-term worsening of your breathing problem. Regular use also helps relieve shortness of breath when you have ongoing shortness of breath.

What should I avoid while taking Tiomist Respicaps?

Use Tiomist Respicaps carefully to prevent it from getting into your eyes. If it gets into your eyes, your vision may get blurry and the pupil in your eye may become larger (dilate). If this happens, call your doctor. Tiomist Respicaps may also cause dizziness and blurred vision. Avoid driving or using heavy machinery if you experience these side effects.

How long do I need to take Tiomist Respicaps?

Your doctor may prescribe you to take this medicine for life long. The reason being, COPD is a chronic condition and requires long-term treatment.

What is the difference between rescue treatment and maintenance treatment?

Rescue treatment is used to treat the sudden attack of disease. On the other hand, maintenance treatment are medicines that you take daily to help you manage the symptoms of disease. For example, when you have sudden shortness of breath due to COPD, you may be prescribed corticosteroids. Whereas, to help prevent these sudden attacks from happening, you may be prescribed Tiomist Respicaps.

What is chronic obstructive pulmonary disease (COPD)?

COPD is a serious lung disease in which the airways become narrow, so the air moves out of your lungs slowly and makes it hard to breathe. Examples of chronic obstructive pulmonary disease include chronic bronchitis (swelling of the air passages leading to lungs) and emphysema (damage to air sacs in the lungs).

Can I prevent my COPD from getting worse?

If you smoke, then quitting smoking is one of the most important things you can do to slow the progression of COPD. In fact, keep taking the medicine as advised by your doctor. Following the prescribed dose for the recommended duration may stop the progression of COPD.

How should Tiomist Respicaps be stored?

Store Tiomist Respicaps at room temperature 68°F to 77°F (20°C to 25°C). Keep it away from heat and cold and do not refrigerate it. Keep it in a dry place.

Fact Box

Chemical Class

Morpholines

Habit Forming

Therapeutic Class

RESPIRATORY

Action Class

Anticholinergics- COPD

Related lab tests

Absolute Eosinophil Count

Complete Blood Count

References

Brown JH, Laiken N. Muscarinic Receptor Agonists and Antagonists. In: Brunton LL, Chabner BA, Knollmann BC, editors. Goodman & Gilman’s: The Pharmacological Basis of Therapeutics. 12th ed. New York, New York: McGraw-Hill Medical; 2011. pp. 230-31.
Boushey HA. Drugs Used in Asthma. In: Katzung BG, Masters SB, Trevor AJ, editors. Basic and Clinical Pharmacology. 11th ed. New Delhi, India: Tata McGraw Hill Education Private Limited; 2009. p. 347.
Briggs GG, Freeman RK, editors. A Reference Guide to Fetal and Neonatal Risk: Drugs in Pregnancy and Lactation. 10th ed. Philadelphia, PA: Wolters Kluwer Health; 2015. pp. 1367-68.
Tiotropium. Ingelheim am Rhein Germany: Boehringer Ingelheim International GmbH; 2017 [revised Mar. 2018]. [Accessed 01 Apr. 2019] (online) Available from:
Central Drugs Standard Control Organisation (CDSCO). [Accessed 01 Apr. 2019] (online) Available from:
CiplaMed. Tiotropium Bromide [Prescribing Information]. [Accessed 20 Feb. 2024] (online) Available from:
Tiotropium bromide inhalation spray. Prescribing Information. Boehringer Ingelheim International GmbH; 2025. [Accessed 12 Sep 2025] (online) Available from:

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Disclaimer

Tata 1mg's sole intention is to ensure that its consumers get information that is expert-reviewed, accurate and trustworthy. However, the information contained herein should NOT be used as a substitute for the advice of a qualified physician. The information provided here is for informational purposes only. This may not cover everything about particular health conditions, lab tests, medicines, all possible side effects, drug interactions, warnings, alerts, etc. Please consult your doctor and discuss all your queries related to any disease or medicine. We intend to support, not replace, the doctor-patient relationship.

Marketer details

Name: Zydus Cadila
Address: Zydus Tower, Satellite Cross Roads,Ahmedabad – 380015 Gujarat, India.

Vendor Details

Country of origin: India
A licensed vendor partner from your nearest location will deliver Tiomist Respicaps. Once the pharmacy accepts your order, the details of the pharmacy will be shared with you. Acceptance of your order is based on the validity of your doctor's ℞ and the availability of this medicine.

In case of any issues, contact us

Email ID: [email protected]
Phone Number: 0124-4166666
Address: 5th Floor Tower - B of the Presidency Building, 46/4 Mehrauli Gurgaon Road, Sector 14, Gurugram, Haryana-122001, India

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Tiomist Respicaps

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General Information

Contains

Marketer

Storage

Product introduction

Uses of Tiomist Powder for Inhalation

Benefits of Tiomist Powder for Inhalation

Side effects of Tiomist Powder for Inhalation

How to use Tiomist Powder for Inhalation

How Tiomist Powder for Inhalation works

All substitutes for Tiomist Respicaps

Tiate Transcaps

Tiobromis 18 DPI Capsule

Quick tips

Safety advice

Alcohol

Pregnancy

Breast feeding

Driving

Kidney

Liver

Interaction with drugs

Clozapine (Oral Route)

Procyclidine (Oral Route)

Trihexyphenidyl (Injection Route)

Trihexyphenidyl (Oral Route)

Frequently asked questions

How long does Tiomist Respicaps take to work?

Is Tiomist Respicaps a steroid?

How can Tiomist Respicaps help me?

What should I avoid while taking Tiomist Respicaps?

How long do I need to take Tiomist Respicaps?

What is the difference between rescue treatment and maintenance treatment?

What is chronic obstructive pulmonary disease (COPD)?

Can I prevent my COPD from getting worse?

How should Tiomist Respicaps be stored?

Fact Box

Chemical Class

Habit Forming

Therapeutic Class

Action Class

Related lab tests

Absolute Eosinophil Count

Complete Blood Count

References

Want to know more

Have issue with the content

Disclaimer

Marketer details

Vendor Details

In case of any issues, contact us

Lab tests offered by us

Related/Popular tests