Tiotropium

Respiratory

Respiratory · Long-acting muscarinic antagonist

Tiotropium

Dose

18 mcg inhalation capsule OD, or 5 mcg (2 puffs) soft-mist OD.

Use

COPD maintenance; add-on in severe asthma.

Monitoring

Symptom score, exacerbation rate, inhaler technique.

Side effects

  • Dry mouth
  • Urinary retention
  • Constipation
  • Acute glaucoma if sprayed in eye

Related in WardRound

Always confirm dose against your local formulary / BNF before prescribing.

WardRound

WardRound

Clinical Decisions in Seconds