Tiova 18mcg Rotacap

Manufacturer: Cipla Ltd

Salt Composition : Tiotropium(18mcg)


Tiova Rotacap is only for inhalational purpose, use it in the dose and duration as prescribed by your doctor. The first dose is given under medical supervision to prevent the side effects happen during first use. For better results, it is suggested to take it at the same time every day. The dose and how often you take it depends on what you are taking it for. Your doctor will decide how much you need to improve your symptoms. You should take this medicine for as long as it is prescribed for you. It does not prevent the already started breathing trouble or asthma attack, hence always carry your medical inhaler with you for an emergency.

The most common side effect of this medicine is dry mouth. If these bother you or appear serious, let your doctor know. To overcome dry mouth, it is advised to increase water intake, carry sugar candy, or maintain good oral hygiene. If you experience any other side effects, let your doctor know.

Before taking this medicine, let your doctor know if you have liver or kidney disease, or if you are pregnant or breastfeeding. Your doctor should also know about all other medicines you are taking as many of these may make this medicine less effective or change the way it works.


Basic Information

Mechanism Of Action

Tiova Rotacap is an anticholinergic medication. It works by relaxing the muscles in the airways and widens the airways. This makes breathing easier.


Pharmacokinets

Tiotropium is a long-acting, antimuscarinic bronchodilator used in the management of chronic obstructive pulmonary disease (COPD) and asthma. Tiotropium acts mainly on M3 muscarinic receptors located in the airways to produce smooth muscle relaxation and bronchodilation.

Side Effects

Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them

Common side effects of Tiova

Dryness in mouth

Contra Indications

Blockage of urinary bladder

Cannot empty bladder

Closed angle glaucoma

Enlarged prostate

Hypersensitivity

Lactation

Moderate to severe kidney impairment

Pregnancy

Pregnancy Related Information

Tiova Rotacap may be unsafe to use during pregnancy. Although there are limited studies in humans, animal studies have shown harmful effects on the developing baby. Your doctor will weigh the benefits and any potential risks before prescribing it to you. Please consult your doctor.


Product And Alcohol Interaction

It is not known whether it is safe to consume alcohol with Tiova Rotacap. Please consult your doctor.


Breast Feeding Related Information

Tiova Rotacap is probably safe to use during breastfeeding. Limited human data suggests that the drug does not represent any significant risk to the baby.

Monitor the baby for dry mouth, constipation, and urinary problems.

Children Related Information

Use with caution

Below 9years: Contraindicated

Indications

Tiotropium is used to prevent wheezing, shortness of breath, coughing, and chest tightness in patients with chronic obstructive pulmonary disease (COPD, a group of diseases that affect the lungs and airways) such as chronic bronchitis (swelling of the air passages that lead to the lungs) and emphysema (damage to air sacs in the lungs).

Interactions

Potassium chloride

Pramlintide

Secretin

Trimethobenzamide

Triprolidine

Typical Dosage

Check the label for directions before use. Place the capsule at the base of rotahaler, not in the mouthpiece. Twist the mouthpiece completely until your hear a click and breathe in deeply through the mouthpiece. Hold your breath for up to 10 seconds. If some powder remains in the rotahaler repeat the process.

Storage Requirements

Store below 30°C


Effects Of Missed Dosage

If you miss a dose of Tiova Rotacap, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular schedule. Do not double the dose.


Effects Of Overdose

Consult a doctor before taking any medicines.

Expert Advice

Tiova Rotacap makes breathing easier for patients with chronic obstructive pulmonary disease (COPD) and asthma.

This medicine is for inhalation only. The tablet should not be swallowed.

It should be taken at the same time each day.

It does not work right away and should not be used to relieve sudden breathing problems. Use your rescue inhaler to control sudden difficulty in breathing.

Dry mouth may occur as a side effect. Frequent mouth rinses, good oral hygiene, increased water intake and sugarless candy may help.

Gargle with warm water after each inhalation to avoid any fungal infections in your mouth and throat.

Take the first dose under medical supervision as it may cause wheezing or tightening of the airways (bronchospasm) immediately after using.

Your doctor may monitor your blood potassium level regularly while taking this medication.

Only small amounts of Tiova Rotacap may get absorbed into the bloodstream after inhalation. Hence, serious side effects are unlikely.

How To Use

Rotacaps must not be swallowed. Check the label for directions before use. Place the capsule at the base of rotahaler, not in the mouthpiece. Twist the mouthpiece completely until your hear a click and breathe in deeply through the mouthpiece. Hold your breath for up to 10 seconds. If some powder remains in the rotahaler repeat the process.


FAQs

Q. How long does Tiova Rotacap take to work?

Tiova Rotacap starts working within 30 minutes of taking it and you may start breathing with ease after the first dose. The full benefits will be experienced within about 3 days to a week’s time.

Q. Is Tiova Rotacap a steroid?

No, Tiova Rotacap is not a steroid, but it belongs to anticholinergic class of medicines. It works by relaxing the muscles of the small airways, helping them to open and remain open for 24 hours.

Q. How can Tiova Rotacap help me?

Tiova Rotacap is a long-acting bronchodilator which opens the air passages and makes breathing easier. Using this medicine daily can help prevent sudden short-term worsening of your breathing problem. Regular use also helps relieve shortness of breath when you have ongoing shortness of breath.

Q. What should I avoid while taking Tiova Rotacap?

Use Tiova Rotacap carefully to prevent it from getting into your eyes. If it gets into your eyes, your vision may get blurry and the pupil in your eye may become larger (dilate). If this happens, call your doctor. Tiova Rotacap may also cause dizziness and blurred vision. Avoid driving or using heavy machinery if you experience these side effects.

Q. How long do I need to take Tiova Rotacap?

Your doctor may prescribe you to take this medicine for life long. The reason being, COPD is a chronic condition and requires long-term treatment.

Q. What is the difference between rescue treatment and maintenance treatment?

Rescue treatment is used to treat the sudden attack of disease. On the other hand, maintenance treatment are medicines that you take daily to help you manage the symptoms of disease. For example, when you have sudden shortness of breath due to COPD, you may be prescribed corticosteroids. Whereas, to help prevent these sudden attacks from happening, you may be prescribed Tiova Rotacap.

Q. What is chronic obstructive pulmonary disease (COPD)?

COPD is a serious lung disease in which the airways become narrow, so the air moves out of your lungs slowly and makes it hard to breathe. Examples of chronic obstructive pulmonary disease include chronic bronchitis (swelling of the air passages leading to lungs) and emphysema (damage to air sacs in the lungs).

Q. Can I prevent my COPD from getting worse?

If you smoke, then quitting smoking is one of the most important things you can do to slow the progression of COPD. In fact, keep taking the medicine as advised by your doctor. Following the prescribed dose for the recommended duration may stop the progression of COPD.

Q. How should Tiova Rotacap be stored?

Store Tiova Rotacap at room temperature 68°F to 77°F (20°C to 25°C). Keep it away from heat and cold and do not refrigerate it. Keep it in a dry place.