Tiotropium Bromide Inhaler 18 mcg: Uses, Dosage & Side Effects Explained

Sep 02, 2025

Living with COPD (Chronic Obstructive Pulmonary Disease), asthma, or emphysema can feel overwhelming, especially when breathlessness interrupts daily life. The tiotropium bromide inhaler 18 mcg offers long-lasting relief by keeping the airways open for 24 hours, helping patients breathe with ease.

R/C TIOTROPIN 18, containing Tiotropium Bromide (18 mcg), is a trusted treatment for patients suffering from chronic respiratory conditions. By improving airflow, reducing breathlessness, and preventing flare-ups, this inhaler makes day-to-day living more comfortable.

What is Tiotropium Bromide?

Tiotropium bromide is a long-acting bronchodilator belonging to the anticholinergic class of medicines. It is widely prescribed for:

  • Chronic Obstructive Pulmonary Disease (COPD)

  • Asthma (long-term management, when prescribed)

  • Chronic bronchitis

  • Emphysema

Unlike short-acting inhalers, the tiotropium bromide inhaler 18 mcg is taken once daily, providing continuous relief for up to 24 hours.

Tiotropium Bromide Mechanism of Action

Understanding the tiotropium bromide mechanism of action is key to knowing how it helps patients. Tiotropium blocks muscarinic receptors (M3 receptors) in the airway smooth muscle. Normally, these receptors cause the airway muscles to tighten, leading to narrowing and breathing difficulties.

By inhibiting these receptors, tiotropium bromide relaxes the airway muscles, keeping them open for a longer time. This improves airflow, reduces breathlessness, and allows patients to breathe more comfortably throughout the day.

Benefits of Tiotropium Bromide Inhaler 18 mcg

  • Provides 24-hour relief with one daily dose

  • Reduces COPD symptoms like breathlessness and wheezing

  • Improves lung function and airflow

  • Helps prevent COPD flare-ups and hospital visits

  • Increases exercise tolerance and daily activity capacity

  • Improves overall quality of life for patients with chronic lung disease

How to Use Tiotropium Bromide Inhaler

Correct usage of the tiotropium bromide inhaler 18 mcg is very important. Here’s a patient-friendly guide:

  1. Open the inhaler device and insert the capsule (18 mcg) in the chamber.

  2. Close the mouthpiece until it clicks.

  3. Press the piercing button to release the powder inside the capsule.

  4. Breathe out completely before using the inhaler.

  5. Place the mouthpiece in your mouth, inhale deeply and steadily until you hear the capsule vibrate.

  6. Hold your breath for 5–10 seconds, then exhale slowly.

  7. Remove and discard the used capsule.

 Never swallow the capsule. It is only for inhalation use.

Tiotropium Bromide Side Effects

While most patients tolerate this medicine well, some may experience mild tiotropium bromide side effects such as:

  • Dry mouth or throat

  • Mild cough or irritation

  • Headache or dizziness

  • Constipation

  • Blurred vision (rare)

  • Urinary difficulties (rare)

If severe allergic reactions, chest pain, or worsening breathing occur, consult a doctor immediately.

Safety Precautions

  • Use the tiotropium bromide inhaler 18 mcg only as prescribed by your doctor.

  • Not for sudden asthma or COPD attacks – use a rescue inhaler instead.

  • Inform your doctor if you have glaucoma, kidney disease, or urinary problems.

  • Pregnant or breastfeeding women should seek medical advice before use.

  • Keep the inhaler out of reach of children.

Why Choose Steris Healthcare for R/C TIOTROPIN 18?

Steris Healthcare is committed to providing patients with high-quality, affordable, and effective medicines. With WHO-GMP certified facilities and strong quality control, Steris ensures every product like R/C TIOTROPIN 18 is safe and reliable.

Patients prefer Steris Healthcare for:

  • Trusted pharmaceutical expertise

  • Affordable treatment options

  • Nationwide distribution across India

  • Commitment to patient safety and well-being

When you choose Steris Healthcare, you choose care, quality, and trust.

Frequently Asked Questions

Q1: How to use tiotropium bromide inhaler properly?
A1: Insert the capsule into the device, pierce it, inhale the powder deeply through the mouthpiece, and discard the capsule. Never swallow the capsule.

Q2: Can the tiotropium bromide inhaler 18 mcg be used daily?
A2: Yes, it is designed for once-daily use, giving 24-hour relief from COPD symptoms.

Q3: Does tiotropium bromide work for asthma?
A3: It is mainly for COPD but may be prescribed for long-term asthma management under medical supervision.

Q4: What are the common tiotropium bromide side effects?
A4: Dry mouth, cough, throat irritation, constipation, and mild headache are the most common side effects.

Q5: How long does it take for tiotropium bromide to work?
A5: Relief may begin within hours, but maximum benefit is usually seen after several days of regular use.

Conclusion

The tiotropium bromide inhaler 18 mcg (R/C TIOTROPIN 18) is one of the most effective medicines for managing COPD and chronic respiratory conditions. With its once-daily dose, 24-hour effect, and proven mechanism of action, it helps patients regain control over their breathing and live more actively.

If you or a loved one is struggling with COPD or chronic bronchitis, talk to your doctor about R/C TIOTROPIN 18 from Steris Healthcare – a trusted solution for long-term respiratory care.

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