Tiotropium bromide (soft mist inhaler): brand names and study card

Tiotropium bromide (soft mist inhaler) — Long-acting muscarinic antagonist (LAMA). Study the mechanism, listed uses and warnings from the US label on one sourced card.

Generic name
Tiotropium bromide (soft mist inhaler)
Brands
Spiriva
Class
Long-acting muscarinic antagonist (LAMA)
Mechanism
Long-acting antimuscarinic; inhibits M3 receptors on airway smooth muscle, causing bronchodilation.
Used for
COPD bronchospasm maintenance and reduction of COPD exacerbations; Asthma maintenance from age 6, for the cited Spiriva Respimat inhalation spray
Common side effects
Pharyngitis; Cough; Dry mouth; Sinusitis; Headache
Warnings
Not a rescue medication; Worsening narrow-angle glaucoma; Worsening urinary retention
Interactions
Other anticholinergic drugs
Read the source label ↗

Label date: 20260817 · For learning, not clinical decisions. US label and brand information; always consult the current source.

Source snapshot checked: 2026-10-21. The source document and selected fields were compared. The complete card has not had an independent clinical review.

Pronunciation

Tiotropium bromide (soft mist inhaler): tye-oh-TROE-pee-um

Pronunciation is shown for the US English generic name.

Body system

Respiratory · 19 Drug cards

Compare with related cards

Fluticasone

Same body system: Respiratory

Mechanism: A synthetic trifluorinated corticosteroid with anti-inflammatory activity. High glucocorticoid-receptor binding affinity is shown in vitro, but its clinical significance and the precise mechanism of rhinitis symptom relief are unknown.

On both cards: Common side effects — Pharyngitis; Cough; Headache

Only on the Fluticasone card: Used for — Nasal symptoms of perennial nonallergic rhinitis in adults and children aged 4 or older · Common side effects — Epistaxis; Nasal burning / irritation · Warnings — Epistaxis, nasal ulceration, septal perforation; Glaucoma and cataracts; Hypercorticism and adrenal suppression · Interactions — Strong CYP3A4 inhibitors (e.g. ritonavir, ketoconazole)

Montelukast

Same body system: Respiratory

Mechanism: Binds with high affinity and selectivity to the CysLT1 receptor, inhibiting physiologic actions of leukotriene D4 in the airway.

On both cards: Common side effects — Pharyngitis; Cough; Headache

Only on the Montelukast card: Used for — Asthma prophylaxis and chronic treatment in patients aged 15 years and older; Prevention of exercise-induced bronchoconstriction in patients aged 15 years and older; Seasonal or perennial allergic rhinitis in patients aged 15 years and older only when alternative therapies are ineffective or not tolerated · Common side effects — Upper respiratory infection; Fever · Warnings — Not for acute asthma attacks; Systemic eosinophilia / Churg-Strauss; Aspirin sensitivity persists

Fluticasone propionate

Same body system: Respiratory

Mechanism: A synthetic trifluorinated corticosteroid with anti-inflammatory activity and high glucocorticoid-receptor affinity in vitro. It affects inflammatory cells and mediators, but the precise mechanism of rhinitis symptom relief and the clinical significance of receptor-binding findings are unknown.

On both cards: Common side effects — Pharyngitis; Cough; Headache

Only on the Fluticasone propionate card: Used for — Nasal symptoms of perennial nonallergic rhinitis in adults and children aged 4 or older · Common side effects — Epistaxis; Nasal burning / irritation · Warnings — Epistaxis, nasal ulceration, septal perforation; Glaucoma and cataracts; Hypercorticism / adrenal suppression · Interactions — Strong CYP3A4 inhibitors (e.g., ritonavir, ketoconazole)

An item counts as shared only when both cards use the same wording. If a card does not list an item, that is not a statement that the effect never occurs.