Tiova Rotacaps

Tiotropium (18mcg)

Marketed by Cipla Ltd

Prescription required30 rotacaps in 1 packet
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Product introduction

Tiova Rotacaps contain tiotropium, a long-acting inhaled medicine used to keep airways open in chronic obstructive pulmonary disease and, in some cases, asthma. Each rotacap is a powder-filled capsule meant to be used with a dedicated inhalation device rather than swallowed. It is intended for once-daily maintenance therapy to reduce the frequency of breathlessness episodes, not for treating a sudden attack. Because it acts over roughly 24 hours, it helps provide steady airway support between doses.

Storage: Store below 25°C

Uses of Tiova Rotacaps

  • COPD maintenance treatment
  • Long-term asthma management
  • Reduces breathlessness and wheezing

Benefits of Tiova Rotacaps

Regular use can reduce the day-to-day burden of breathlessness and improve exercise tolerance in people with COPD. Its once-daily dosing schedule makes it easier to fit into a routine compared with medicines needing multiple daily doses. Long-acting bronchodilation also tends to lower the frequency of flare-ups when used consistently as prescribed.

Side effects of Tiova Rotacaps

Most side effects do not require medical attention and go away as your body adjusts. Consult your doctor if they persist.

  • Dry mouth
  • Headache
  • Sinus inflammation
  • Sore throat
  • Cough
  • Bronchitis

How to use Tiova Rotacaps

The rotacap is pierced and inhaled using the specific Rotahaler device provided with the medicine, following the technique demonstrated by your doctor or pharmacist. It is not to be swallowed as a tablet, since the powder must be inhaled directly into the lungs to work. Rinsing the mouth with water after inhaling can help reduce dryness and throat irritation.

How Tiova Rotacaps works

Tiotropium blocks specific receptors (muscarinic receptors) on airway smooth muscle that would otherwise cause the airway to tighten. By blocking this signal, it allows the muscles around the airways to stay relaxed, keeping air passages wider for a longer period. Its long duration of action is what allows once-daily rather than multiple-times-daily dosing.

Substitutes for Tiova Rotacaps

No other medicine with the same composition is listed in our catalogue yet. Message us on WhatsApp and our pharmacist will help you find a suitable alternative.

Safety advice

AlcoholSAFE

No significant interaction between alcohol and tiotropium is generally reported, though moderation is always sensible for overall lung health.

PregnancyCONSULT YOUR DOCTOR

Data in pregnancy is limited, so this medicine should only be used if a doctor decides the benefit outweighs any potential risk.

BreastfeedingCONSULT YOUR DOCTOR

Whether tiotropium passes into breast milk is not well established, so a doctor's advice is recommended before use while nursing.

DrivingCAUTION

Blurred vision or dizziness can occur in some users, so caution is warranted until you know how it affects you.

KidneyCAUTION

People with significant kidney impairment may need dose review since the drug is cleared through the kidneys.

LiverSAFE

Tiotropium has minimal involvement with liver metabolism, so it is generally considered low-risk for people with liver conditions, though your doctor should still be informed.

Quick tips

  • Use only with the Rotahaler device supplied for this medicine, never swallow the capsule
  • Take it at the same time each day to build consistent airway protection
  • Rinse your mouth after use to reduce dryness and throat discomfort
  • Keep a separate fast-acting inhaler on hand for sudden breathlessness, as this is not a rescue medicine
  • Store the rotacaps in their sealed strip and only remove one just before use to protect it from moisture

Fact box

Chemical classMorpholines
Habit formingNo
Therapeutic classRespiratory
Action classAnticholinergics - COPD

Frequently asked questions

Can Tiova Rotacaps be swallowed like a normal capsule?

No, the rotacap must never be swallowed; it is designed to be pierced and inhaled through the Rotahaler device so the powder reaches the lungs directly.

How long does it take to feel the benefit?

Since it is a maintenance medicine, noticeable improvement in breathing often builds over days to weeks of regular use rather than immediately.

Can this be used for a sudden asthma attack?

No, it is a long-acting maintenance treatment and does not act fast enough for sudden symptoms; a rescue inhaler should be used for acute breathlessness.

What if I accidentally get the powder in my eyes?

Rinse your eyes with clean water immediately and seek medical advice if irritation, blurred vision, or discomfort continues.

Do I need to clean the Rotahaler device regularly?

Yes, keeping the device clean and dry as instructed helps ensure consistent, effective dosing with each use.

Disclaimer: This information is for general awareness only and is not a substitute for professional medical advice. Always consult a doctor or our pharmacist before starting, stopping or changing any medicine. Medicines are dispensed only against a valid prescription where required.
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