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Trimium Transhaler is used for the treatment of chronic obstructive pulmonary disorder (a lung disorder in which the flow of air to the lungs is blocked) and asthma. It helps in relaxing the muscles of the air passages and making it easier to breathe. It relieves coughing, wheezing and feeling short of breath.

Written By Dr. Sakshi Jain, MS, BDS,
Reviewed By Dr. Rajeev Sharma, MBA, MBBS,
Last updated on 08 May 2026 | 05:15 PM (IST)
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180 MDI Transhaler
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The content is shown in English
Trimium Transhaler image
Trimium Transhaler image
Trimium Transhaler image
Trimium Transhaler image

Product introduction

Your doctor will tell you how often you need to use your inhaler. The effect of this medicine may be noticeable after a few days but will only reach its maximum after a few weeks. This medicine must be used regularly to be effective, so go on taking it even if you don't have any symptoms.


This medicine should not be used to relieve sudden shortness of breath. If sudden shortness of breath occurs, use your rescue inhaler. To get the benefit from this medicine you need to make sure you get your inhaler technique right, otherwise, it Does not work as well.

The most common side effects are nausea, vomiting, dryness in the mouth, fungal infection of mouth, respiratory tract infection, bronchitis (inflammation of the airways), cough, sore throat, hoarseness of voice, and headache. If you get there, don’t stop taking it but do talk to your doctor. You can prevent some of these symptoms by rinsing your mouth and throat with water or brushing your teeth after using your inhaler. There are other, rarer side effects which can be serious. Talk to your doctor if you're worried about them.

Benefits of Trimium Transhaler

Chronic obstructive pulmonary disease (COPD)
Chronic obstructive pulmonary disease (COPD) is a long-term lung condition that makes it difficult to breathe due to narrowing of the airways and damage to lung tissue. Trimium Transhaler helps relax and open the airways, reduce inflammation, and improve airflow, making breathing easier and reducing flare-ups.
Asthma
Asthma is a condition where the airways become narrow and inflamed, making it hard to breathe. Trimium Transhaler helps by relaxing and opening up the airways, reducing swelling, and preventing sudden breathing difficulties. Together, they make breathing easier, reduce the frequency of asthma attacks, and improve overall lung function and quality of life.

Side effects of Trimium Transhaler

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 Trimium
  • Headache
  • Dryness in mouth
  • Urinary retention
  • Cough
  • Constipation
  • Dry throat
  • Increased heart rate
  • Blurred vision
  • Nasopharyngitis (inflammation of the throat and nasal passages)
  • Sinus inflammation
  • Stomach discomfort
  • Fungal infection of oropharynx
  • Tremors
  • Palpitations
  • Voice change
  • Dizziness
  • Insomnia (difficulty in sleeping)
  • Taste change

How to use Trimium Transhaler

Check the label for directions before use. Shake the inhaler. While you are breathing in from mouth, press down on the inhaler one time to release the medication and hold your breath for 10 seconds. Repeat until you have inhaled the number of puffs as suggested by the doctor.Afterwards, rinse your mouth thoroughly with water and spit it out.

How Trimium Transhaler works

Ciclesonide, formoterol and tiotropium. Ciclesonide is a corticosteroid. It acts by stopping the release of certain natural substances in body that are responsible for inflammation of the airways. Formoterol is a bronchodilator, while tiotropium is an anticholinergic. They work by relaxing the muscles in the airways and widen the airways. Together, they make breathing easier.

Quick tips

  • Trimium Transhaler helps relieve symptoms of severe chronic obstructive pulmonary disease (COPD) such as cough, wheez and breathlessness.
  • This medicine is for inhalation only. The tablet should not be swallowed.
  • Take it 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 of this medicine under medical supervision as it may cause wheezing or tightening of the airways (bronchospasm) immediately after using.
  • Very little amount of Trimium Transhaler may get absorbed into the bloodstream after inhalation. Hence, serious side effects are unlikely.
  • Do not stop taking it suddenly even if you don’t currently have any symptoms as that may cause your breathing problems to come back.
  • Trimium Transhaler helps relieve symptoms of severe chronic obstructive pulmonary disease (COPD) such as cough, wheez and breathlessness.
  • This medicine is for inhalation only. The tablet should not be swallowed.
  • Take it 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 of this medicine under medical supervision as it may cause wheezing or tightening of the airways (bronchospasm) immediately after using.
  • Very little amount of Trimium Transhaler may get absorbed into the bloodstream after inhalation. Hence, serious side effects are unlikely.
  • Do not stop taking it suddenly even if you don’t currently have any symptoms as that may cause your breathing problems to come back.

Safety advice

Alcohol

Alcohol

SAFE
Consuming alcohol with Trimium Transhaler does not usually cause any harmful side effects.
Pregnancy

Pregnancy

CONSULT YOUR DOCTOR
The safety of Trimium Transhaler during pregnancy has not been established. There are no adequate and well-controlled studies in pregnant women, and animal data on reproductive toxicity are insufficient. Your doctor will weigh the benefits and any potential risks before prescribing.
Breast feeding

Breast feeding

CAUTION
Trimium Transhaler should be used with caution during breastfeeding. Breastfeeding should be held until the treatment of the mother is completed and the drug is eliminated from the body.
Monitor the baby for dry mouth, constipation, and urinary problems.
Driving

Driving

UNSAFE
Trimium Transhaler may decrease alertness, affect your vision, or make you feel sleepy and dizzy. Do not drive if these symptoms occur.
Kidney

Kidney

No interaction found/established
Liver

Liver

No interaction found/established

Frequently asked questions

Trimium Transhaler is used for the long-term management of chronic obstructive pulmonary disease (COPD). This medicine helps to improve breathing, reduce flare-ups, and improve quality of life in people with severe COPD who still have symptoms despite regular treatment.
No, Trimium Transhaler should not be used as a rescue inhaler. It is a maintenance COPD inhaler meant for daily long-term treatment. For sudden attacks of breathlessness or wheezing, a fast-acting rescue inhaler should be used instead.
Individuals should not use Trimium Transhaler if they are allergic to ciclesonide, formoterol, tiotropium, or other ingredients present in it.
Trimium Transhaler should be used with caution in patients with glaucoma, prostate problems, bladder blockage, heart rhythm disorders, and kidney disease. It should not be taken more than once daily and must not be started during acute worsening of COPD symptoms.
Yes, if Trimium Transhaler accidentally gets into your eyes, it can cause blurred vision, eye pain, colored halos, or worsening of glaucoma. If you develop these symptoms, stop using the medicine and seek medical advice immediately.
Serious side effects of Trimium Transhaler may include sudden worsening of breathing (paradoxical bronchospasm), severe allergic reactions such as swelling of the face or throat (angioedema), irregular heartbeats, chest pain, and adrenal gland suppression after long-term use. If you notice these, seek urgent medical help.
Yes, formoterol, one of the medicines in Trimium Transhaler, may sometimes cause palpitations, chest pain, high or low blood pressure, or abnormal heart rhythms, especially if taken in higher doses or combined with certain other medicines. Patients with heart problems should use this medicine only under close medical supervision.
Yes, like other steroid inhalers, Trimium Transhaler can sometimes cause oral fungal infections (oral thrush). Rinsing your mouth with water after using the inhaler can reduce this risk.

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RESPIRATORY
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User feedback

Once A Day
100%
Chronic obstructive pulmonary disease (COPD)
64%
Others
18%
Asthma
18%
Average
57%
Excellent
24%
Poor
19%
No Side Effect
33%
Dryness in mouth
33%
Headache
33%
With or without food
100%
Expensive
100%
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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: Lupin Ltd
Address: 3rd floor Kalpataru Inspire, Off. W E Highway, Santacruz (East), Mumbai 400 055. India

Vendor Details

Country of origin: India
A licensed vendor partner from your nearest location will deliver Trimium Transhaler. 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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