Everything You Need to Know About Tiotropium Bromide (18 mcg)
Mar 05, 2025
Introduction
R/C TIOTROPIN 18 is a bronchodilator medication used to manage and relieve symptoms of chronic respiratory conditions such as Chronic Obstructive Pulmonary Disease (COPD) and chronic bronchitis. It contains Tiotropium Bromide (18 mcg), which belongs to the class of long-acting muscarinic antagonists (LAMA). By relaxing the muscles in the airways, it helps improve breathing and reduces airflow obstruction.
This medication is commonly prescribed for individuals who experience shortness of breath, wheezing, and chronic cough due to persistent respiratory conditions. Unlike short-acting bronchodilators, Tiotropium Bromide provides 24-hour relief, making it a once-daily maintenance therapy for respiratory patients.
Key Ingredients
Tiotropium Bromide (18 mcg)
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Mechanism of Action: Tiotropium is an anticholinergic agent that blocks muscarinic receptors (M3 receptors) in the lungs, leading to bronchodilation. This action helps prevent airway constriction, allowing smooth and effortless breathing.
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Duration of Action: It provides long-lasting bronchodilation for 24 hours, ensuring effective control of respiratory symptoms.
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Selective Activity: Tiotropium selectively acts on M3 receptors, which are responsible for airway smooth muscle contraction, leading to prolonged relaxation of the airways.
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Minimal Systemic Absorption: As an inhaled medication, it works locally in the lungs with minimal systemic side effects, reducing the risk of adverse reactions.
Key Benefits of R/C TIOTROPIN 18
1. Long-Lasting Bronchodilation
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Provides 24-hour relief from bronchoconstriction.
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Reduces symptoms like shortness of breath and wheezing.
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Improves lung function over time.
2. Enhances Quality of Life for COPD Patients
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Allows individuals to engage in daily activities with ease.
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Reduces morning symptoms and breathlessness.
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Improves exercise tolerance.
3. Reduces COPD Exacerbations
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Helps prevent flare-ups and hospitalizations related to COPD.
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Lowers the risk of respiratory infections.
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Enhances overall lung health with consistent use.
4. Convenient Once-Daily Dosage
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Easy to use and fits into daily routines effortlessly.
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Ensures steady medication levels in the lungs.
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Reduces the need for multiple inhalations throughout the day.
5. Minimizes Systemic Side Effects
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Acts locally in the lungs, reducing unwanted side effects.
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Lessens the risk of cardiovascular and neurological complications compared to other bronchodilators.
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Safe for long-term use under medical supervision.
How Does R/C TIOTROPIN 18 Work?
R/C TIOTROPIN 18 targets the root cause of airflow limitation by blocking the M3 muscarinic receptors in the lungs. Here’s how it works:
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Inhalation of Tiotropium Bromide → The medication reaches the lungs directly.
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Blocks M3 Receptors → Prevents the action of acetylcholine, a neurotransmitter that causes airway constriction.
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Bronchodilation → Airways stay open longer, making it easier to breathe.
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Long-Acting Effect → The effects last for 24 hours, providing sustained relief from symptoms.
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Improves Lung Function → Reduces resistance in the airways, improving oxygen flow.
Directions for Use
1. How to Use R/C TIOTROPIN 18?
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Administered through an inhaler or a dry powder inhalation device.
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It is a once-daily medication taken at the same time each day.
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Follow proper inhalation techniques to ensure maximum drug absorption.
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Do not swallow the capsule—it should be used with an appropriate inhalation device.
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Always rinse the mouth after inhalation to avoid oral irritation or infections.
2. Recommended Dosage
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Usual dose: One inhalation (18 mcg) per day.
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Do not exceed the prescribed dose.
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Use regularly for long-term management of COPD and bronchospastic conditions.
3. Missed Dose Instructions
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If a dose is missed, take it as soon as you remember.
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If it is close to the next scheduled dose, skip the missed dose and continue with the regular schedule.
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Never double dose to make up for a missed inhalation.
4. Storage Information
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Store at room temperature (below 30°C).
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Keep the inhaler dry and away from moisture.
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Avoid direct sunlight and heat exposure.
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Keep out of reach of children and pets.
Possible Side Effects of R/C TIOTROPIN 18
Although Tiotropium Bromide is well-tolerated, some users may experience mild to moderate side effects, including:
Common Side Effects
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Dry mouth
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Throat irritation
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Hoarseness
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Mild cough
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Headache
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Dizziness
Less Common but Serious Side Effects
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Difficulty urinating (especially in individuals with prostate issues)
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Blurred vision
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Increased heart rate
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Chest pain or palpitations
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Allergic reactions (rash, swelling, breathing difficulties)
Precautions to Minimize Side Effects
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Drink plenty of water to prevent dry mouth.
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Use a spacer if throat irritation occurs.
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Report persistent or severe side effects to a doctor immediately.
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Avoid touching the eyes after handling the inhaler to prevent eye irritation.
Precautions and Warnings
1. Who Should Avoid R/C TIOTROPIN 18?
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Patients with severe allergies to Tiotropium Bromide or atropine derivatives.
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Individuals with glaucoma, as the medication may increase eye pressure.
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Those with urinary retention issues.
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Patients with severe kidney disease (use with caution under medical supervision).
2. Drug Interactions
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Avoid combining with other anticholinergic medications.
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Use caution with beta-blockers and diuretics.
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Inform your doctor about any ongoing heart or neurological medications.
3. Special Considerations for Certain Patients
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Pregnant and breastfeeding women should consult a doctor before use.
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Elderly patients should be monitored for cardiovascular effects.
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Not recommended for acute bronchospasm relief—use a short-acting inhaler if needed.
Price and Availability in India
The price of R/C TIOTROPIN 18 varies depending on the brand and pharmacy location. In India, the approximate price ranges from ₹600 to ₹1200 per pack. It is available at leading pharmacies and can be obtained with a doctor’s prescription.
Conclusion
R/C TIOTROPIN 18 (Tiotropium Bromide 18 mcg) is a highly effective long-acting bronchodilator designed to manage COPD, chronic bronchitis, and emphysema. Its once-daily dosage, long-lasting effect, and minimal side effects make it a preferred choice for individuals needing continuous respiratory relief. When used correctly, it significantly enhances lung function, quality of life, and overall well-being.
Always consult a healthcare professional before starting this medication to ensure safe and effective use. With proper adherence and medical guidance, R/C TIOTROPIN 18 can help individuals breathe better and lead a more active life.
About The Author
Steris Healthcare Pvt Ltd, known as Sterispharma, was founded in February 2018 by a team of experienced professionals in the pharmaceutical industry. Headquartered in Navi Mumbai, the company holds certifications from WHO, GMP, and ISO, reflecting its dedication to maintaining high standards of quality and safety. Sterispharma’s mission is to provide affordable, high-quality medications across India, strictly adhering to WHO guidelines. With the convenience of an online pharmacy, customers can easily order medicines with home delivery options.
For further information
Email: info@sterispharma.com / contact@sterispharma.com
Call/WhatsApp: 8209542042 , 8824175417
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