Tiova Rotacap
Tiova Rotacap is a once-daily tiotropium bromide inhalation powder for COPD and chronic bronchitis, sold as bottles of 15 capsules loaded into a dry-powder inhaler.
- Category
- Respiratory Health
- Active ingredient
- Tiotropium Bromide
- Route
- Inhalation
- Form
- Inhalation powder/capsule
- Strengths
- 15caps
Shipped in a discreet, unmarked envelope.
Details
- Conditions
- COPD · Chronic bronchitis
- Brands with the same ingredient
- Spiriva
- Therapeutic Class
- Anticholinergic, Bronchodilator
- Pharmacological Class
- Muscarinic receptor antagonist
- Minor Side Effects
- Dry mouth, throat irritation
- Moderate Side Effects
- Cough, sinusitis
- Dosage Forms
- Inhalation powder/capsule
- Administration Route
- Inhalation
- Manufacturer
- Cipla Ltd
- Onset Time
- 30 minutes
- Duration
- 24 hours
- Storage Instructions
- Store below 25°C in a dry place.
- Drug Interactions
- Ipratropium, Aclidinium
- Age Restrictions
- Not for paediatric use.
FAQ
Can I order Tiova Rotacap in more than one bottle?
Tiova Rotacap comes as bottles of 15 capsules of tiotropium bromide, and you can order a single bottle or a pack of three. Larger packs cost less per bottle.
How are Tiova Rotacap bottles delivered to Hong Kong?
Because a course of Tiova Rotacap runs for a while, most customers choose tracked courier, which takes 5 to 9 business days with online tracking. Standard airmail is untracked and takes 14 to 21 business days, 30 at most. Every parcel arrives in plain, unbranded packaging.
What are the alternative names for Tiova Rotacap and tiotropium bromide?
Tiova Rotacap is a branded generic of tiotropium bromide, the ingredient in Spiriva. Tiotropium bromide is also sold as Braltus. Here, tiotropium bromide can be bought online as Tiova Rotacap, and also as generic Spiriva. These are generics, not the original brand.
How long does a bottle of Tiova Rotacap last?
Each bottle holds 15 capsules and you use one a day, so a single bottle covers a fortnight. The three-bottle pack lasts about six weeks. Keep spare bottles closed until you need them.
Can Tiova Rotacap be used for an asthma attack?
No. Tiotropium works slowly and is taken on a daily schedule to keep the airways open, so it cannot open them in the middle of an attack. A short-acting reliever inhaler is what you reach for when breathlessness flares. Tiova is for long-term control of COPD and chronic bronchitis.
Does Tiova Rotacap interact with other medicines?
Yes, with other anticholinergics. Ipratropium, oxybutynin for the bladder and antidepressants such as amitriptyline can make dry mouth, constipation and slow urine flow worse.
What if I swallow a Tiova capsule instead of inhaling it?
A swallowed capsule gives you very little of the medicine, because the powder is meant for the airways. Load a new capsule at your next scheduled dose. Do not inhale two in one day to make up for it.
Why does Tiova Rotacap cause a dry mouth?
Tiotropium blocks the nerve signals that tell the salivary glands to keep the mouth wet. The dry mouth is usually mild and often eases over the first few weeks. Sips of water and sugar-free gum help.
About Tiova Rotacap
A powder capsule you inhale, not a tablet you swallow
Tiova Rotacap is tiotropium bromide as a dry powder in a small capsule. You drop one capsule into the inhaler, the device pierces it, and you breathe the powder in. Nothing is swallowed. Take one capsule a day at the same time. First breathe out fully, then close your lips round the mouthpiece, breathe in slowly and deeply, hold for a moment and breathe out. Each bottle holds 15 capsules, and you use a fresh capsule every day. The inhaler itself is reused.
It is a maintenance inhaler. It will not clear sudden breathlessness the way a short-acting reliever does.
What it does in COPD and chronic bronchitis
Chronic obstructive pulmonary disease (COPD) is long-term damage to the airways and lungs, usually after years of smoking. Chronic bronchitis is the form with a lasting cough and mucus. In both, the muscle around the airways stays tight and breathing out is hard work. Tiotropium blocks the signal that keeps that muscle tight, and it stays on its receptors long enough for one dose to cover a day. Used daily, it cuts the number of flare-ups and makes ordinary activity easier.
Side effects worth knowing
Dry mouth is the one most people meet, and sips of water through the day help. Some get a cough, a sore throat or a hoarse voice right after inhaling. Constipation and headache are less common.
Breathing that suddenly gets worse or a chest that tightens within minutes of a dose needs urgent help. So does swelling of the lips, tongue or face. Eye pain, redness or blurred vision, and trouble passing urine, need to be looked at too. Keep the powder out of your eyes.
Ipratropium, oxybutynin and other anticholinergic medicines add to the dry mouth, constipation and urinary effects.
Tiova Rotacap or Spiriva?
Both contain tiotropium bromide, so they do the same thing in the airways. What differs is the brand and the device. Tiova is a capsule you load into a capsule inhaler, 15 to a bottle. Spiriva comes as a ready-loaded inhaler. Both are used once a day, and both are on the tiotropium page. Keep the capsules in a capped bottle. Damp makes the powder clump, and clumped powder does not reach the lungs.