Tiotropium, Inhalation Powder

Tiotropium Capsules: How Much Should You Take?

The amount of tiotropium you need to take depends on your age, weight, health status and other factors. The recommended dosage range is 0.5 mg/kg bodyweight (0.25mg/lb) or 1 capsule daily for adults over 18 years old and 0.1 mg/kg bodyweight (0.05mg/lb).

You may want to start with lower doses first and gradually increase them until you feel well enough to take higher dosages. If you are taking any medications, it’s best not to exceed the maximum recommended dosage for those drugs. For example, if you’re taking prednisone for arthritis, then don’t go above 3 grams per day of tiotropium.

If you have asthma, high blood pressure, heart disease or liver problems, consult your doctor before starting a new regimen. Taking too much tiotropium could cause severe breathing difficulties. If you experience symptoms such as shortness of breath or chest pain while taking tiotropium, stop using it immediately and contact your physician.

Side Effects of Tiotropium: What Are They?

There are no known long term adverse effects from taking tiotropium powder. However, there are a number of common side effects that may occur which include:



Stomach pain



If you experience any of these side effects or others, contact your physician immediately. If you stop taking tiotropium suddenly, you may experience withdrawal symptoms such as muscle aches and pains. If you’re concerned about any of these side effects, talk to your doctor first.

How to Use Tiotropium

Taking tiotropium is easy. The tiotropium inhaler is very simple to use and only takes a few minutes each day. All you have to do is:

Spray the tiotropium into your mouth. Place it between your lips and exhale allowing the drug to dissolve in your mouth without swallowing it.

The tiotropium inhaler is designed not to release any powder until it reaches a person’s mouth so there is no danger of inhaling it before you’re ready. It’s important that the tiotropium doesn’t get wet as this could ruin the medication and make it less effective.

You should place your tiotropium inhaler in a safe place at room temperature away from moisture and direct sunlight. You shouldn’t wash it in water or allow it to get wet as this could damage the inhaler.

Don’t Swallow the Tiotropium

After you’ve inhaled the tiotropium, you shouldn’t swallow it. The tiotropium works by getting absorbed into your bloodstream through the tissues in your mouth so swallowing it is a waste of medication and doesn’t help your condition.

Storage and Expiration

You should store your tiotropium inhaler in a dry place at room temperature. You shouldn’t leave it in the sun or in really hot conditions and don’t store it in a bathroom or other area with high moisture. The tiotropium inhaler contains dry air so it shouldn’t be affected by humidity but to be on the safe side, keep it away from areas with excess moisture.

Check the expiration date of the tiotropium inhaler before using it and replace it if it’s expired.

The plastic part of the inhaler isn’t designed to be thrown away so you can dispose of it along with your regular trash. The dry air inside the inhaler shouldn’t cause any issues if it gets into the regular waste stream.

Sources & references used in this article:

Tiotropium bromide inhalation powder by GM Keating – Drugs, 2012 – Springer

Efficacy of tiotropium inhalation powder in african-american patients with chronic obstructive pulmonary disease by GJ Criner, A Sharafkhaneh, R Player… – COPD: Journal of …, 2008 – Taylor & Francis

Long-acting bronchodilation with once-daily dosing of tiotropium (Spiriva) in stable chronic obstructive pulmonary disease by MR Littner, JS Ilowite, DP Tashkin… – American journal of …, 2000 – atsjournals.org

A long-term evaluation of once-daily inhaled tiotropium in chronic obstructive pulmonary disease by R Casaburi, DA Mahler, PW Jones… – European …, 2002 – Eur Respiratory Soc