Tiovert Inhaler 200 mdi belongs to the group of anti-asthmatic medicines called bronchodilators used to treat asthma and Chronic Obstructive Pulmonary Disease (COPD). Asthma is a chronic (long-term) respiratory condition in which airways narrow, swell and produce extra mucus, leading to difficulty breathing. COPD is a group of lung diseases with emphysema (shortness of breath) and chronic bronchitis (inflammation of the lining of bronchial tubes).

Tiovert Inhaler 200 mdi contains ‘Tiotropium’ which works by blocking the receptors for acetylcholine which are released in the cholinergic nerve endings in the airways. Tiovert Inhaler 200 mdi relaxes and widens the airway's openings, making it easier for the air to get in and out of the lungs. Thereby, provides relief from asthma and COPD.

Tiovert Inhaler 200 mdi is meant for inhalation only; do not swallow Tiovert Inhaler 200 mdi. You are advised to use Tiovert Inhaler 200 mdi for as long as your doctor has prescribed it for you depending on your medical condition. In some cases, you may experience certain common side-effects such as dry mouth, stomach upset, constipation, blurred vision, chest pain and cold symptoms. Most of these side-effects do not require medical attention and will resolve gradually over time. However, you are advised to talk to your doctor if you experience these side-effects persistently.

Please do not stop taking Tiovert Inhaler 200 mdi on your own as it might cause worsening of symptoms. Consult your doctor before taking Tiovert Inhaler 200 mdi if you are pregnant or breastfeeding. Tiovert Inhaler 200 mdi may cause dizziness, so drive with caution. Avoid consuming alcohol as it might cause increased dizziness. Tiovert Inhaler 200 mdi is not recommended for children below 6years as the safety and effectiveness have not been established. Keep your doctor informed about your health condition and the medicines you are taking to avoid unpleasant side-effects.

Tiovert Inhaler 200 mdi belongs to the group of anti-asthmatic medicines called bronchodilators used to treat asthma and Chronic Obstructive Pulmonary Disease (COPD). Tiovert Inhaler 200 mdi works by blocking the receptors for acetylcholine which are released in the cholinergic nerve endings in the airways. Tiovert Inhaler 200 mdi relaxes and widens the airway's openings, making it easier for the air to get in and out of the lungs. Thereby helps in treating asthma and COPD. Regular use of Tiovert Inhaler 200 mdi can help with ongoing shortness of breath related to diseases like asthma. Daily use of Tiovert Inhaler 200 mdi can also help prevent sudden, short-term worsening of COPD symptoms that might last for several days. Tiovert Inhaler 200 mdi is also used as an adjunct to other medicines to treat asthma.

• Dry mouth
• Stomach upset
• Constipation
• Blurred vision
• Chest pain
• Cold symptoms 

Do not use Tiovert Inhaler 200 mdi if you are allergic to any of its contents. Inform your doctor before taking Tiovert Inhaler 200 mdi if you have narrow-angle glaucoma, prostate problems or difficulty in urination, kidney, liver disease, cystic fibrosis, or have suffered from myocardial infarction (heart attack) during the last 6 months, irregular heartbeat or heart failure. Consult your doctor before using Tiovert Inhaler 200 mdi if you are pregnant or breastfeeding. Tiovert Inhaler 200 mdi may cause dizziness, so drive with caution. Avoid consuming alcohol as it might cause increased dizziness. Tiovert Inhaler 200 mdi is not recommended for children below 6 years as safety and effectiveness have not been established. If wheezing or chest tightness worsens, please consult a doctor immediately. These might be signs indicating that your asthma is not controlled properly and requires an alternate or additional treatment.

Drug-Drug Interactions: Tiovert Inhaler 200 mdi may interact with anticholinergic drugs (ipratropium, oxitropium).

Drug-Food Interactions: No interactions found/established.

Drug-Disease Interactions: Inform your doctor if you have narrow-angle glaucoma, prostate problems or difficulty in urination, kidney disease, liver disease, angioedema, cystic fibrosis, myocardial infarction (heart attack), irregular heartbeat or heart failure.

• IPRATROPIUM
• OXITROPIUM

• Eat a healthy diet and exercise regularly to strengthen your breathing muscles and boost your immune system.
• Avoid foods such as cabbage, beans, garlic, onions, shrimp, pickled food, dried fruits, fried foods, carbonated drinks, wine, bottled lemon and lime juice as it may worsen asthma symptoms.
• Do meditation, deep breathing, regular exercise and try progressive muscle relaxation techniques to relieve stress and reduce the risk of an asthma attack.
• Quit smoking as it may reduce the effectiveness of the Tiovert Inhaler 200 mdi and irritate the lung, worsening breathing problems.
• Learn breathing exercises like pursed-lip breathing will help you move more air in and out of your lungs.

• You are advised to rinse your mouth with water after each dose of Tiovert Inhaler 200 mdi because it not only removes the taste of medicine inhaled but also helps to avoid fungal infections in the mouth and throat. After rinsing your mouth thoroughly, you may drink water, milk or any liquids.
• Your doctor may advise regular lung function tests while on treatment with Tiovert Inhaler 200 mdi.
• Your doctor may advise regular monitoring of electrolytes.

Asthma: It is a chronic (long-term) respiratory condition in which airways narrow, swell, and produce extra mucus, leading to difficulty breathing. The symptoms of asthma include wheezing (whistling sound while breathing), shortness of breath, chest tightness and cough, especially at night. The symptoms of mild persistent asthma may occur more than 2 times in a week and up to 4 nights in a month whereas, in case of severe persistent asthma, the symptoms occur several times every day and most nights. The treatment for asthma includes medication, breathing exercises and self-care.

Chronic Obstructive Pulmonary Disease (COPD): It is a group of lung diseases with emphysema (shortness of breath) and chronic bronchitis (inflammation of the lining of bronchial tubes). The major cause of COPD is smoking tobacco. Also, long-term exposure to fumes and chemicals may lead to COPD. The symptoms include chronic cough, shortness of breath or wheezing (whistle sound while breathing).