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MD (Pharmacology), MBBS
Last updated
15 Mar 2024 | 04:25 PM (IST)

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TIOVA 18MCG MULTIHALER

Prescription Required
Marketer
SALT COMPOSITION
Storage
Store below 30°C

Product introduction

TIOVA 18MCG MULTIHALER 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.

TIOVA 18MCG MULTIHALER 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.


Benefits of Tiova Multihaler

In Treatment of Chronic obstructive pulmonary disease (COPD)

TIOVA 18MCG MULTIHALER helps the airways in your lungs stay open. It relaxes the muscles of these airways. This makes it easier for air to get in and out. It will relieve symptoms such as tightness in your chest, shortness of breath, wheezing, and coughing and help you carry out your daily activities more easily. This medicine is safe and effective. It usually starts to work within a few minutes and the effects can last up to several hours. Do not stop using it unless you are advised to by your doctor.

Side effects of Tiova Multihaler

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 Tiova

  • Dryness in mouth

How to use Tiova Multihaler

Check the label for directions before use. Hold the multihaler by the base and open the mouth piece cover. Slide the knob until you a hear a click. Place the mouthpiece between your lips and breath in deeply. Remove the multihaler and hold your breath for 10 seconds. Afterwards, rinse your mouth thoroughly with water and spit it out.

How Tiova Multihaler works

TIOVA 18MCG MULTIHALER is an anticholinergic medication. It works by relaxing the muscles in the airways and widens the airways. This makes breathing easier.

Safety advice

Alcohol
UNSAFE
It is unsafe to consume alcohol with TIOVA 18MCG MULTIHALER.
Pregnancy
CONSULT YOUR DOCTOR
TIOVA 18MCG MULTIHALER may be unsafe to use during pregnancy. Although there are limited studies in humans, animal studies have shown harmful effects on the developing baby. Your doctor will weigh the benefits and any potential risks before prescribing it to you. Please consult your doctor.
Breast feeding
CONSULT YOUR DOCTOR
TIOVA 18MCG MULTIHALER is probably unsafe to use during breastfeeding. Limited human data suggests that the drug may pass into the breastmilk and harm the baby.
Monitor the baby for dry mouth, constipation, and urinary problems.
Driving
No interaction found/established
Kidney
No interaction found/established
Liver
No interaction found/established

What if you forget to take Tiova Multihaler?

If you miss a dose of TIOVA 18MCG MULTIHALER, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular schedule. Do not double the dose.

All substitutes

For informational purposes only. Consult a doctor before taking any medicines.
No substitutes found for this medicine

Quick tips

  • TIOVA 18MCG MULTIHALER 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 TIOVA 18MCG MULTIHALER may get absorbed into the bloodstream after inhalation. Hence, serious side effects are unlikely.

Fact Box

Chemical Class
Morpholines Derivative
Habit Forming
No
Therapeutic Class
RESPIRATORY

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FAQs

Q. How long does TIOVA 18MCG MULTIHALER take to work?

TIOVA 18MCG MULTIHALER 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.

Q. Is TIOVA 18MCG MULTIHALER a steroid?

No, TIOVA 18MCG MULTIHALER 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.

Q. How can TIOVA 18MCG MULTIHALER help me?

TIOVA 18MCG MULTIHALER 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.

Q. What should I avoid while taking TIOVA 18MCG MULTIHALER?

Use TIOVA 18MCG MULTIHALER 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. TIOVA 18MCG MULTIHALER may also cause dizziness and blurred vision. Avoid driving or using heavy machinery if you experience these side effects.

Q. How long do I need to take TIOVA 18MCG MULTIHALER?

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.

Q. 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 TIOVA 18MCG MULTIHALER.

Q. 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).

Q. 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.

Q. How should TIOVA 18MCG MULTIHALER be stored?

Store TIOVA 18MCG MULTIHALER 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.

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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.

References

  1. 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.
  2. 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.
  3. 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.
  4. Tiotropium. Ingelheim am Rhein Germany: Boehringer Ingelheim International GmbH; 2017 [revised Mar. 2018]. [Accessed 01 Apr. 2019] (online) Available from:External Link
  5. Central Drugs Standard Control Organisation (CDSCO). [Accessed 01 Apr. 2019] (online) Available from:External Link
  6. CiplaMed. Tiotropium Bromide [Prescribing Information]. [Accessed 20 Feb. 2024] (online) Available from: External Link

Marketer details

Name: Cipla Ltd
Address: Cipla House, Peninsula Business Park, Ganpatrao Kadam Marg, Lower Parel, Mumbai-400013
Country of origin: India

DISCONTINUED
We do not facilitate sale of this product at present

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