ATC Group: R03BB04 Tiotropium bromide

The World Health Organization's ATC classification organizes medical drugs based on therapeutic properties, chemical composition, and anatomy. It helps make essential medicines readily available globally and is widely used in the pharmaceutical industry.

Position of R03BB04 in the ATC hierarchy

Level Code Title
1 R Respiratory system
2 R03 Drugs for obstructive airway diseases
3 R03B Other drugs for obstructive airway diseases, inhalants
4 R03BB Anticholinergics
5 R03BB04 Tiotropium bromide

Defined daily dose

The DDD is the assumed average maintenance dose per day for a drug used for its main indication in adults. The DDD is a unit of measurement and does not necessarily reflect the recommended or Prescribed Daily Dose. Therapeutic doses for individual patients and patient groups will often differ from the DDD as they will be based on individual characteristics (such as age, weight, ethnic differences, type and severity of disease) and pharmacokinetic considerations.

Code Route Amount Notes
RESPIR Respiratory (Inhalation) 10 ug (powder)
RESPIR Respiratory (Inhalation) 5 ug (solution)

Active ingredients in R03BB04

Active Ingredient

Tiotropium is a long-acting, specific, muscarinic receptor antagonist, in clinical medicine often called an anticholinergic. By binding to the muscarinic receptors in the bronchial smooth musculature, tiotropium inhibits the cholinergic (bronchoconstrictive) effects of acetylcholine, released from parasympathetic nerve endings.

Related product monographs

Document Type Information Source  
 BRALTUS Inhalation powder, hard capsule MPI, EU: SmPC Medicines & Healthcare Products Regulatory Agency (GB)
 SPIRIVA Inhalation powder, hard capsule MPI, EU: SmPC Medicines & Healthcare Products Regulatory Agency (GB)
 SPIRIVA RESPIMAT Inhalation solution MPI, EU: SmPC Medicines & Healthcare Products Regulatory Agency (GB)
 TIOGIVA Inhalation powder, hard capsule MPI, EU: SmPC Medicines & Healthcare Products Regulatory Agency (GB)

Medicines in this ATC group

United States (US)

Australia (AU)

Brazil (BR)

Canada (CA)

Croatia (HR)

Cyprus (CY)

Ecuador (EC)

Estonia (EE)

France (FR)

Hong Kong (HK)

Ireland (IE)

Israel (IL)

Italy (IT)

Japan (JP)

Malta (MT)

Mexico (MX)

Netherlands (NL)

New Zealand (NZ)

Singapore (SG)

South Africa (ZA)

Tunisia (TN)

United Kingdom (UK)

Note the following: The list of brand names is continuously updated, and thus does not include the total of products circulating worldwide.