Tiova Cfc Free 9 Mcg Inhaler 200 Mdi

Tiova Inhaler 200mdi

Cipla Ltd.

Bottle of 200 MDI

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Composition

Tiotropium (0.009 Mg)

Tiova Inhaler is primarily used for the long-term management of chronic obstructive pulmonary disease (COPD) and asthma. It falls under the category of medicines known as long-acting anticholinergic bronchodilators.

Apart from COPD and asthma, this medicine is also recommended for the maintenance treatment of bronchospasm associated with chronic bronchitis and emphysema. It is particularly effective in managing persistent airflow obstruction in COPD patients. Additionally, it can be used in combination with other medicines for the maintenance treatment of asthma in patients aged 6 years and above.

You should use this inhaler as directed by your doctor. Before starting this medication, it's crucial to inform your doctor about any pre-existing health conditions or ongoing medications. If you experience any side effects while using Tiova Inhaler, notify your doctor immediately. For optimal results, you should continue using the inhaler for the duration prescribed by your doctor.

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Tiova Inhaler is used for the following:

Long-term management of chronic obstructive pulmonary disease (COPD), which includes conditions like chronic bronchitis and emphysema.
Daily maintenance of airflow obstruction in patients suffering from COPD.
Combination therapy for asthma management in patients aged 6 years and above.

Directions for Use of Tiova Inhaler 200mdi

For effective use of Tiova Inhaler, follow these instructions:

Prime the inhaler before the first use, as per the instructions provided.
Administer two inhalations once daily. For adequate dosage, consult your doctor.
Clean the inhaler on a regular basis to ensure optimal medicine delivery.

Tiova Inhaler is administered via inhalation.

When using Tiova Inhaler, you may experience the following common side effects:

Dry mouth
Cough
Sore throat
Sinusitis: This refers to inflammation or swelling of the tissue lining the sinuses, which can cause symptoms like a runny nose and facial pain.
Headache
Constipation
Dizziness
Paradoxical bronchospasm: This is when your airways suddenly narrow instead of opening up, causing breathing difficulties.
Glaucoma or blurred vision: Glaucoma is a condition that damages your eye's optic nerve. It's often associated with a buildup of pressure inside your eye.
Urinary retention: This is when you cannot fully empty your bladder.

Managing the Side Effects:

Most side effects are temporary and generally harmless, which resolve on discontinuing the use of Tiova Inhaler. However, if you experience any serious side effects or worsening of any of the symptoms, please consult your doctor.

To manage some of the common side effects:

Dry mouth: Try sipping water frequently or chewing sugar-free gum to stimulate saliva production.
Constipation: Ensure you maintain a diet high in fibre and keep yourself well hydrated.

Tiova Inhaler contains Tiotropium (0.009 mg). It acts on the body via the following mechanisms:

Antimuscarinic agent: Tiotropium is a long-acting, antimuscarinic agent. This means that it works by blocking certain types of nerve signals in your body. In particular, it blocks the action of acetylcholine on M3 receptors, which are found on smooth muscle cells in your airways.
Bronchodilation: By inhibiting the action of acetylcholine on M3 receptors, Tiotropium causes relaxation of the airways, a process known as bronchodilation. This helps to reduce airflow obstruction and hyperinflation, thereby improving your breathing capacity.
Symptom reduction: The bronchodilation effect of tiotropium also leads to a reduction in COPD symptoms, helping to improve your quality of life.

Pregnancy

Caution is advised while using Tiova Inhaler if you are pregnant. It is best to consult your doctor before using this medicine.

Breastfeeding

If you are breastfeeding, it's important to discuss the use of Tiova Inhaler with your doctor to understand any potential risks and benefits.

Alcohol

There is no known interaction between Tiova Inhaler and alcohol. However, it is always best to consult your doctor if you regularly consume alcohol.

Liver

In case of existing liver conditions, it's advised to consult your doctor before using Tiova Inhaler. The impact of this medicine on liver function may need further evaluation.

Kidney

Caution is advised before using Tiova Inhaler if you have a history of kidney issues. Do consult your doctor before starting this medicine.

Using Machines & Driving

Using Tiova Inhaler does not typically affect your ability to drive or operate machinery. However, if you feel dizzy after using the inhaler, avoid such activities until you feel better.

Allergy

Tiova Inhaler is contraindicated for individuals who have a known allergy to Tiotropium or any other components of the inhaler. If you have a history of allergies, please inform your doctor.

Children

Tiova Inhaler is not recommended for use in children under 6 years of age. Always consult your doctor before giving any medicine to a child.

Older Patients

Older patients should use Tiova Inhaler under medical supervision as they may be more susceptible to its side effects. Always discuss any potential concerns with your doctor before starting this medicine.

Drug-Drug Interactions

Tiova Inhaler interacts with the following medicines:

Anticholinergic medications: Combining Tiova Inhaler with other anticholinergic medications like ipratropium can intensify the anticholinergic effects, leading to potential side effects such as dry mouth and urinary retention.
Beta-2 agonists: Medicines like albuterol, when used with Tiova Inhaler, may enhance bronchodilatory effects.
Methylxanthines: Consuming Tiova Inhaler alongside medicines like theophylline might lead to an increased risk of side effects, including nausea and irregular heartbeat.

Drug-Food Interactions

There are no known food interactions with Tiova Inhaler.

Drug-Disease Interactions

Tiova Inhaler interacts with the following diseases:

Narrow-angle glaucoma: Tiova Inhaler could potentially induce or worsen symptoms of this eye condition.
Prostatic hyperplasia or bladder-neck obstruction: In patients suffering from this condition, Tiova Inhaler may cause urinary retention.
Severe renal impairment: People with severe renal impairment should use Tiova Inhaler cautiously as it might worsen their condition.

Daily Dose

The daily dose of Tiova Inhaler should be administered as instructed by your doctor. Your dosage may be adjusted based on factors such as the severity of your condition and your response to the medication. Please follow your doctor's instructions strictly and never alter your dosage without consulting them.

Over Dose

If you accidentally administer more than the prescribed dose of Tiova Inhaler, you may experience dry mouth, cough, or dizziness. Should these or any other unusual symptoms occur, please inform your doctor.

Missed Dose

In case you forget to administer Tiova Inhaler at the scheduled time, do so as soon as you remember. However, if it's nearly time for the next dose, skip the missed one and continue with your regular schedule. Never take extra doses without consulting your doctor.

Always store your Tiova Inhaler at room temperature, between 15°C to 25°C. Do not freeze.
Please keep it away from direct sunlight and moisture.
It's best to keep this inhaler out of reach of children, as it's meant for adult use only.
Be sure to use the inhaler before the expiry date mentioned on its packaging.

If you're living with COPD or asthma, it's advisable to avoid exposure to dust, smoke or any allergens that could trigger your symptoms. This includes staying indoors on days when air pollution levels are high.
Maintain a balanced diet rich in fruits, vegetables and whole grains. These foods are loaded with antioxidants which can help improve lung health and enhance your body's ability to fight off infections.

Fact Box

Drug Category	Long-Acting Anticholinergic
Therapeutic Category	Bronchodilator
Available Dosage Types	Inhaler
Habit Forming	No
Ailment	COPD, Asthma

Is Tiova Inhaler used for managing sudden bronchospasm incidents?

No, Tiova Inhaler isn't designed to manage sudden bronchospasm incidents. For acute symptoms, short-acting beta-2 agonists are typically recommended.

How long will it take for Tiova Inhaler to start working?

Tiova Inhaler can begin improving lung function within 30 minutes of use, but maximum bronchodilation effect may take up to 4-8 weeks.

Can Tiova Inhaler be used during pregnancy or while breastfeeding?

Tiova Inhaler should only be used in pregnancy after consulting a doctor. It's unknown if Tiotropium passes into breast milk. Consult your doctor before use if pregnant or breastfeeding.

What should I do if I forget to use my Tiova Inhaler?

If a dose is missed, take it as soon as you remember. If it's nearly time for the next dose, skip the missed one and continue with your regular schedule.

What are the common side effects of using Tiova Inhaler?

Common side effects include dry mouth, cough, sore throat, sinusitis, headache, constipation, and dizziness. Consult your doctor if these persist or bother you.

Are there any conditions where caution is needed while using Tiova Inhaler?

Yes, caution is advised in cases of narrow-angle glaucoma, prostatic hyperplasia or bladder-neck obstruction, severe renal impairment and hypersensitivity to Tiotropium.

Can Tiova Inhaler interact with other medications?

Yes, interactions may occur with other anticholinergic medications, beta-2 agonists and methylxanthines. Always inform your doctor about all the medicines you are currently taking.

Last Updated On 15 Nov. 2024 | 9:10AM (IST)

Certified Content

Written by

Ashmita Borgohain

Medical Content Writer & Editor | 12 years

MSc (Applied Genetics)

Reviewed by

Dr. Meenakshi Maruwada

Medical Content Writer & Strategist | 8 years

BDS, PGCAD, GMHE (IIM-B)

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Manufacturer details

Cipla House, Peninsula Business Park, Ganpatrao Kadam Marg, Lower Parel, Mumbai-400013

Country of origin: INDIA

References

Food and Drug Administration Label. Retrieved 1 April 2024, from https://www.accessdata.fda.gov/drugsatfda_docs/label/2008/021395s027lbl.pdf
Kim, V., Criner, G. J., Pinto-Plata, V., Leone, F., Mennella, S., Scichilone, N., ... & Nava, S. (2021). Chronic obstructive pulmonary disease and lung cancer: From a clinical perspective. Oncotarget, 12(4), 312–328. Retrieved 1 April 2024, from https://pmc.ncbi.nlm.nih.gov/articles/PMC7824634/
Tiotropium oral inhalation: MedlinePlus drug information. (n.d.). https://medlineplus.gov/druginfo/meds/a604018.html

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