{"product_id":"tiovair-rota-capsules-18mcg","title":"Tiovair Rota Capsules 18mcg","description":"\u003cp\u003eMedicine Name: Tiovair Rota Capsules 18mcg\u003cbr\u003eTiovair Rotacaps – Product Specification\u003cbr\u003eRequires Prescription:\u003cbr\u003eYes\u003cbr\u003eGeneric Name:\u003cbr\u003eTiotropium Bromide\u003cbr\u003eUsed For:\u003cbr\u003eChronic Obstructive Pulmonary Disease (COPD) – including chronic bronchitis and\u003cbr\u003eemphysema\u003cbr\u003eHow It Works:\u003cbr\u003eTiotropium is a long-acting antimuscarinic (anticholinergic) agent that binds to muscarinic\u003cbr\u003ereceptors (M1 to M5) in the airway smooth muscles. Its primary therapeutic action occurs\u003cbr\u003ethrough M3 receptor inhibition, which leads to sustained bronchodilation. The\u003cbr\u003ebronchodilatory effect lasts over 24 hours due to slow dissociation from M3 receptors,\u003cbr\u003eproviding long-term symptom relief in COPD patients.\u003cbr\u003eDosage:\u003cbr\u003eContains Tiotropium Bromide\u003cbr\u003eDosage to be administered as prescribed by the physician.\u003cbr\u003eSide Effects:\u003cbr\u003e Common:\u003cbr\u003eo Dry mouth\u003cbr\u003e Uncommon:\u003cbr\u003eo Dizziness, headache, altered taste, blurred vision, cough, pharyngitis, dysphonia,\u003cbr\u003egastroesophageal reflux, constipation, oral thrush, urinary retention\u003cbr\u003e Rare:\u003cbr\u003eo Insomnia, glaucoma, increased intraocular pressure, arrhythmias, epistaxis,\u003cbr\u003ebronchospasm, nausea, rash, hypersensitivity, angioedema, UTI\u003cbr\u003e Not Known:\u003cbr\u003eo Dehydration, dental caries, skin ulcers, joint swelling, anaphylaxis\u003cbr\u003eDrug Interactions:\u003cbr\u003e Safe with:\u003cbr\u003eo Short-acting and long-acting β2-agonists, methylxanthines, corticosteroids\u003cbr\u003e Caution with:\u003cbr\u003eo Other anticholinergic drugs — avoid co-administration due to risk of increased\u003cbr\u003eanticholinergic adverse effects\u003cbr\u003eIndications:\u003cbr\u003eTiotropium is indicated for:\u003cbr\u003e Long-term, once-daily maintenance of bronchospasm in COPD\u003cbr\u003e Prevention of exacerbations in COPD patients\u003cbr\u003eWhen Not to Use:\u003cbr\u003e Contraindicated in:\u003cbr\u003eo Patients with known hypersensitivity to:\u003cbr\u003e Tiotropium\u003cbr\u003e Atropine or its derivatives (e.g., ipratropium, oxitropium)\u003cbr\u003e Any excipients in the formulation\u003cbr\u003ePrecautions:\u003cbr\u003e Not to be used for acute bronchospasm\u003cbr\u003e Intended for maintenance therapy only, not for emergency relief\u003cbr\u003eWarnings:\u003cbr\u003e1. May cause severe allergic reactions (e.g., urticaria, angioedema, bronchospasm). Discontinue\u003cbr\u003eimmediately if such reactions occur.\u003cbr\u003e2. Paradoxical bronchospasm can occur. If so, treat with a short-acting beta2-agonist and stop\u003cbr\u003etiotropium.\u003cbr\u003e3. Use with caution in patients with renal impairment (CrCl \u0026lt; 60 mL\/min); monitor for\u003cbr\u003eanticholinergic side effects.\u003cbr\u003ePregnancy Category:\u003cbr\u003eAlways consult your healthcare provider before use during pregnancy or breastfeeding.\u003cbr\u003eStorage:\u003cbr\u003eYes – Store at room temperature, away from direct light and heat.\u003c\/p\u003e","brand":"The Wellness Hospital","offers":[{"title":"Default Title","offer_id":53310224925003,"sku":null,"price":800.0,"currency_code":"PKR","in_stock":false}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0954\/5711\/6491\/files\/JA1_7245.jpg?v=1756967125","url":"https:\/\/wellnesspharmacy.pk\/products\/tiovair-rota-capsules-18mcg","provider":"The Wellness Hospital","version":"1.0","type":"link"}