Tiotropium Bromide (18mcg), marketed under the brand name Tiotropin 18, is a long-acting bronchodilator used to manage respiratory conditions such as chronic obstructive pulmonary disease (COPD) and asthma. This medication helps improve breathing and reduces the frequency of exacerbations, making it a vital component of maintenance therapy for patients with chronic respiratory issues.

How Does Tiotropium Bromide Work?

Tiotropium Bromide functions as an anticholinergic agent. It targets the muscarinic receptors in the airways, specifically the M3 receptors, which play a crucial role in smooth muscle contraction. By blocking these receptors, Tiotropium Bromide helps to relax the bronchial muscles, leading to widened airways and easier breathing. This mechanism of action provides long-lasting relief, making it suitable for once-daily dosing.

Uses of Tiotropium Bromide (18mcg)

Tiotropium Bromide is primarily prescribed for:

• Chronic Obstructive Pulmonary Disease (COPD): Including chronic bronchitis and emphysema, Tiotropium Bromide helps manage symptoms and improve lung function.
• Asthma Maintenance: For patients with asthma, it aids in long-term control and prevention of exacerbations.

What Tiotropium Bromide (18mcg) Is Not For

• Acute Bronchospasm: It is not intended for the relief of acute bronchospasm or sudden breathing problems. Patients should use a fast-acting inhaler for such emergencies.

Side Effects of Tiotropium Bromide

Like all medications, Tiotropium Bromide can cause side effects, although not everyone experiences them. Common side effects include:

• Dry Mouth: A frequently reported side effect due to the anticholinergic properties of the medication.
• Throat Irritation: Some patients may experience throat discomfort or a sore throat.
• Cough: An increase in coughing can occur, especially during the initial period of use.
• Constipation: Gastrointestinal side effects like constipation can be observed.
• Urinary Retention: Rarely, it may cause difficulty in urination, especially in patients with existing bladder conditions.

Severe Side Effects

• Allergic Reactions: Although rare, severe allergic reactions such as rash, itching, swelling, severe dizziness, and trouble breathing require immediate medical attention.
• Paradoxical Bronchospasm: In rare instances, it can cause paradoxical bronchospasm, a condition where breathing difficulties worsen after using the medication.

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