Tiotropium
Tiotropium is a long-acting bronchodilator used for maintenance treatment in chronic obstructive pulmonary disease and selected asthma regimens. It does not directly reduce inflammation and is not a rescue medicine.
Tiova Rotacap
Chronic Obstructive Pulmonary Disease
15caps
Tiova Rotacap is tiotropium in hard capsules loaded into a device, for chronic obstructive pulmonary disease. A long-acting M3 antagonist.
Tiova Inhaler
Chronic Obstructive Pulmonary Disease
9mcg
Tiova Inhaler is tiotropium 9mcg as an inhalation powder for chronic obstructive pulmonary disease, blocking muscarinic receptors in the airway.
Key points
- Tiotropium must be inhaled with the correct device and does not replace a fast-acting reliever during an acute attack.
- Narrow-angle glaucoma, urinary retention and kidney impairment require review.
- Sudden severe breathlessness after inhalation, eye pain with halos or inability to urinate needs urgent care.
Select a listed product and pack to order online. Supply depends on stock and destination rules; ask your doctor or pharmacist whether it suits you.
Important form differences
Mist inhalers and dry-powder capsule devices use different techniques. Capsules supplied for an inhaler must not be swallowed. Device instruction and demonstration are part of safe treatment.
Important safety checks
Technique, adherence, glaucoma risk, urinary symptoms, kidney function and other anticholinergic medicines require review. Avoid getting the medicine in the eyes. Dry mouth can increase dental risk over time.
When to seek urgent care
Use the respiratory action plan and seek emergency help for severe or rapidly worsening breathlessness, blue-grey lips or skin or poor response to the reliever. Seek urgent care for a painful red eye with halos or inability to urinate with severe lower-abdominal pain.
Further reading
What is tiotropium used for?
Tiotropium is a long-acting bronchodilator used as maintenance treatment in chronic obstructive pulmonary disease (COPD) and some asthma treatment plans.
How does tiotropium work?
Tiotropium blocks the M3 receptors in the smooth muscle of the airways, so the muscle cannot tighten and the airways stay open. This makes breathing easier over an extended period.
Which products contain tiotropium?
Products containing tiotropium on SGMeds include Spiriva, Tiova Rotacap and Tiova Inhaler. Compare their forms, strengths and pack sizes.
How long does tiotropium take to work?
Tiotropium starts to work within about 30 minutes and each dose lasts around 24 hours. Because it is a maintenance treatment, it does not replace a fast-acting reliever during an attack.
What are the side effects of tiotropium?
Dry mouth, constipation and dizziness are common. A sore throat, a hoarse voice and difficulty passing urine can also happen. Sudden tightening of the airways after a dose (paradoxical bronchospasm) or worsening glaucoma needs immediate medical attention.
Can tiotropium be taken with other medicines?
If you use ipratropium or another anticholinergic medicine, ask your doctor or pharmacist before using it together with tiotropium.
What brand names is tiotropium sold under?
In other countries, tiotropium is also sold as Tiova. Brand names vary between countries, so compare products by their active ingredient.
How much does tiotropium cost in Singapore?
Each product on this page shows a price for each strength and pack size in Singapore dollars, converted from US dollars, so the exchange rate can change the final amount.
Payment and prices →Do I need a prescription for tiotropium in Singapore?
No. SGMeds does not ask for a prescription to order tiotropium: we place the order with our pharmacy partner, which prepares it and arranges delivery on your behalf.
Ordering without a prescription →Where can I buy tiotropium in Singapore?
You can order tiotropium here on SGMeds: choose the product, strength and pack, then check out. We deliver to Singapore and Malaysia. Express shipping is tracked and takes up to 1 week, and Regular shipping takes up to 3 weeks.
How ordering works →