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Lupin-Tiotropium

This product is manufactured by Lupin Pharma Canada Ltd using the ingredient tiotropium bromide monohydrate.

This product is taken via oral inhalation.

Why is it prescribed?

It is used as a long-acting bronchodilator for the maintenance treatment of chronic obstructive pulmonary disease (COPD) and for add-on therapy in the treatment of asthma.

The capsules should only be used with the LupinHaler. Follow the enclosed instructions for use.  Do not use the LupinHaler with any other medications.   Discard the LupinHaler 12 months after first use.  Always store the capsules in the blister strips and only remove immediately before use. If more than one capsule is exposed to air, discard the exposed capsules that is not used.

Store the capsules and LupinHaler device between 15-25°C. Do not freeze. Protect from moisture.
 


Alternatives

Other products that have the same ingredient as Lupin-Tiotropium are •Inspiolto® Respimat® •Spiriva® Handihaler® •Spiriva® Respimat® •

See other products used in the treatment of •bronchospasm associated with COPD •chronic bronchitis (COPD) •COPD •emphysema (COPD) •

Inhale the contents of one capsule (18 mcg) by mouth once daily using the LupinHaler
inhalation device. Do not swallow the capsule.


Tiotropium is a long-acting bronchodilator. It opens up narrowed breathing passages to help relieve symptoms of asthma and COPD.


Along with its needed effects, tiotropium may cause some unwanted or undesirable effects. Often, tiotropium users who use their medication properly, never experience any unwanted effects. The severity and duration of these effects are dependant on many factors including duration of therapy, dose, route of administration and individual response. Possible unwanted effects include:

  • dry mouth
  • chest pain
  • sinusitus
  • constipation
  • stomach pain

Less common:

  • allergic reactions
  • leg pain
  • tingling sensation
  • increase blood glucose
  • increase cholesterol levels

Rare:

  • difficulty urinating
  • rapid heart beat

Many of these unwanted effects, especially the most common ones, may disappear with continued use. Check with the doctor or pharmacist if any of them continue or become bothersome.

 


  • Tiotropium is used as a once daily maintenance bronchodilator.  It should not be used for acute episodes of bronchospasm. It is not a rescue medication.
  • Immediate hypersensitivity reactions (e.g. skin rash, swelling of the lip, tongue and face) may occur after administration of tiotropium.
  • Inhaled medicines may cause inhalation-induced bronchospasm.
  • Precautions should be taken to prevent getting the drug powder in the eyes. Getting tiotropium in the eye may cause eye pain or discomfort, temporary blurring of vision, visual halos or coloured images and may cause or worsen narrow-angle glaucoma.
  • Tiotropium should not be used more frequently than once daily.
  • This medication should not be used in people with an allergy to tiotropium or to atropine and its derivatives (e.g. ipratropium), or to lactose.
  • Tiotropium should be used with caution in people with narrow angle glaucoma, enlarged prostate, bladder obstruction, kidney disease.

Use in pregnancy: No human data available. Consult your doctor or pharmacist before use.

Use while breastfeeding: No human data available. Consult your doctor or pharmacist before use.