Tiotrop 18mcg Rotacap – COPD and Asthma Maintenance Treatment

Tiotrop 18mcg Rotacap is an anticholinergic medication used for managing Chronic Obstructive Pulmonary Disease (COPD) and Asthma. It works by relaxing airway muscles, thus widening them and making breathing easier. This alleviates symptoms like shortness of breath, wheezing, coughing, and chest tightness.

Uses of Tiotrop 18mcg Rotacap:

• Chronic Obstructive Pulmonary Disease (COPD)
• Asthma

Mechanism of Action:

Tiotrop is an anticholinergic bronchodilator. It inhibits the action of acetylcholine on muscarinic receptors in the bronchial muscles, causing relaxation and dilation of the airways for improved airflow.

How to Use Tiotrop Rotacap?

• Rotacaps are for inhalation only – do not swallow.
• Insert the capsule at the base of the Rotahaler, not in the mouthpiece.
• Twist the mouthpiece until a click is heard – this pierces the capsule.
• Inhale deeply through the mouthpiece.
• Hold your breath for up to 10 seconds.
• If powder remains, repeat the inhalation process.

Dosage and Duration:

• Use only as prescribed by your doctor.
• First dose should be taken under medical supervision.
• Use at the same time every day for best results.
• This is a maintenance therapy, not a rescue inhaler.
• Always carry your emergency/rescue inhaler for sudden attacks.

Side Effects of Tiotrop Rotacap:

Most side effects are mild and self-limiting. Inform your doctor if they persist or worsen.

• Dry mouth (most common)

Management of dry mouth: Stay hydrated, use sugar-free lozenges, and maintain oral hygiene.

Drug Interactions:

Concurrent use with the following medications may enhance side effects:

• Clozapine: Risk of dry mouth, increased heart rate, constipation, nausea.
• Procyclidine: May cause tremors, blurred vision, urinary retention.
• Trihexyphenidyl (Oral/Injection): May cause confusion, gastrointestinal upset, dry mouth.

Consult your doctor if using these drugs. Dose adjustments may be necessary.

Safety Advice:

• Alcohol: UNSAFE – Avoid alcohol during treatment.
• Pregnancy: Consult your doctor – Potential risks in pregnancy.
• Breastfeeding: Consult your doctor – May pass into breast milk.
• Driving: Caution advised if dizziness or blurred vision occurs.
• Kidney/Liver: No specific interactions found; inform your doctor if you have any history.

Missed Dose?

• Take the missed dose as soon as you remember.
• If it’s near the time for the next dose, skip the missed one.
• Do not double the dose.

FAQs:

• When does Tiotrop Rotacap start working?
  Within 30 minutes; full benefits appear in 3–7 days.
• Is it a steroid?
  No. It is an anticholinergic bronchodilator.
• Can it help with breathing issues?
  Yes. It prevents airway narrowing, making breathing easier over the long term.
• What to avoid?
  Do not let the powder enter your eyes – may cause blurred vision or pupil dilation. Avoid heavy machinery if dizziness occurs.
• Is this lifelong therapy?
  Yes, in most COPD cases it is a long-term maintenance medication.
• What is the difference between rescue and maintenance treatment?
  Rescue treatments are used for sudden attacks (e.g., shortness of breath). Maintenance treatments like Tiotrop prevent such attacks with daily use.
• What is COPD?
  A chronic lung condition where airways become inflamed and narrow (e.g., chronic bronchitis and emphysema), making it hard to exhale air.
• How to prevent COPD from worsening?
  Stop smoking, follow prescribed treatments strictly, and avoid exposure to lung irritants.

Storage Instructions:

• Store in a dry place at room temperature.
• Protect from moisture and direct sunlight.
• Keep out of reach of children.