Tiotropium Other names: Tiotropium bromide

Chemical formula: C₁₉H₂₂NO₄S₂  Molecular mass: 392.512 g/mol  PubChem compound: 5487427

Active ingredient description

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.

Medicine classification

This medicinal substance has been classified in the anatomical therapeutic chemical (ATC) classification according to its main therapeutic use as follows:

ATC code Group title Classification
R03BB04 Tiotropium bromide R Respiratory system → R03 Drugs for obstructive airway diseases → R03B Other drugs for obstructive airway diseases, inhalants → R03BB Anticholinergics
Discover more medicines within R03BB04

Product monographs

Competent medicine agencies globally have authorized commercialization of this active ingredient according to these medication package inserts (MPIs):

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

Structural formula

Graphic representation of the active ingredient's molecular structure

3D molecular structure

3D representation of the active ingredient's molecular structure

External identifiers

CAS Substance: 139404-48-1
DrugBank Drug: DB01409
PubChem Compound: 5487427
RxNorm Ingredient: 393575
SNOMED-CT Concept: 425812008
Tiotropium bromide (substance)
UNII Identifier: 0EB439235F
TIOTROPIUM

Medicines

Tiotropium is an active ingredient of these brands:

United States (US)

Australia (AU)

  • BRALTUS as TIOTROPIUM BROMIDE ANHYDROUS
  • SPIRIVA as TIOTROPIUM BROMIDE MONOHYDRATE

  • (combination) SPIOLTO as TIOTROPIUM BROMIDE MONOHYDRATE

Austria (AT)

  • BRALTUS as TIOTROPIUM BROMIDE ANHYDROUS
  • SPIRIVA as TIOTROPIUM BROMIDE MONOHYDRATE
  • SRIVASSO as TIOTROPIUM BROMIDE MONOHYDRATE
  • TIOGIVA as TIOTROPIUM BROMIDE ANHYDROUS

  • (combination) SPIOLTO as TIOTROPIUM BROMIDE MONOHYDRATE
  • (combination) YANIMO as TIOTROPIUM BROMIDE MONOHYDRATE

Brazil (BR)

  • SPIRIVA as TIOTROPIUM BROMIDE MONOHYDRATE

  • (combination) SPIOLTO as TIOTROPIUM BROMIDE MONOHYDRATE

Canada (CA)

Croatia (HR)

  • ACOPAIR as TIOTROPIUM BROMIDE ANHYDROUS
  • BRALTUS as TIOTROPIUM BROMIDE ANHYDROUS
  • PLUBIR as TIOTROPIUM BROMIDE ANHYDROUS
  • SPIRIVA as TIOTROPIUM BROMIDE MONOHYDRATE

  • (combination) SPIOLTO as TIOTROPIUM BROMIDE MONOHYDRATE

Cyprus (CY)

  • SPIRIVA as TIOTROPIUM BROMIDE MONOHYDRATE

  • (combination) SPIOLTO as TIOTROPIUM BROMIDE MONOHYDRATE

Ecuador (EC)

  • NEUMOTROPIO as TIOTROPIUM BROMIDE MONOHYDRATE
  • SPIRIVA as TIOTROPIUM BROMIDE MONOHYDRATE

  • (combination) SPIOLTO as TIOTROPIUM BROMIDE MONOHYDRATE

Estonia (EE)

  • BRALTUS as TIOTROPIUM BROMIDE ANHYDROUS
  • ONTIPRIA as TIOTROPIUM BROMIDE ANHYDROUS
  • SPIRIVA as TIOTROPIUM BROMIDE MONOHYDRATE

  • (combination) SPIOLTO as TIOTROPIUM BROMIDE MONOHYDRATE
  • (combination) YANIMO as TIOTROPIUM BROMIDE MONOHYDRATE

Finland (FI)

  • SIRKAVA as TIOTROPIUM BROMIDE ANHYDROUS
  • SPIRIVA as TIOTROPIUM BROMIDE MONOHYDRATE
  • SRIVASSO as TIOTROPIUM BROMIDE MONOHYDRATE
  • TIOGIVA as TIOTROPIUM BROMIDE ANHYDROUS

  • (combination) INSPIOLTO RESPIMAT as TIOTROPIUM BROMIDE MONOHYDRATE
  • (combination) YANIMO as TIOTROPIUM BROMIDE MONOHYDRATE

France (FR)

  • SPIRIVA as TIOTROPIUM BROMIDE MONOHYDRATE

  • (combination) SPIOLTO as TIOTROPIUM BROMIDE MONOHYDRATE

Hong Kong (HK)

  • SPIRIVA as TIOTROPIUM BROMIDE MONOHYDRATE

  • (combination) SPIOLTO as TIOTROPIUM BROMIDE MONOHYDRATE

Ireland (IE)

  • BRALTUS as TIOTROPIUM BROMIDE ANHYDROUS
  • SPIRIVA as TIOTROPIUM BROMIDE MONOHYDRATE
  • TIOGIVA as TIOTROPIUM BROMIDE ANHYDROUS

  • (combination) SPIOLTO as TIOTROPIUM BROMIDE MONOHYDRATE

Israel (IL)

  • SPIRIVA as TIOTROPIUM BROMIDE MONOHYDRATE

  • (combination) SPIOLTO as TIOTROPIUM BROMIDE MONOHYDRATE

Italy (IT)

  • SIRKAVA as TIOTROPIUM BROMIDE ANHYDROUS
  • SPIRIVA as TIOTROPIUM BROMIDE MONOHYDRATE

Japan (JP)

  • SPIRIVA as TIOTROPIUM BROMIDE MONOHYDRATE

  • (combination) SPIOLTO as TIOTROPIUM BROMIDE MONOHYDRATE

Lithuania (LT)

  • BRALTUS as TIOTROPIUM BROMIDE ANHYDROUS
  • FAVYND as TIOTROPIUM BROMIDE ANHYDROUS
  • ONTIPRIA as TIOTROPIUM BROMIDE ANHYDROUS
  • SPIRIVA as TIOTROPIUM BROMIDE MONOHYDRATE
  • SRIVASSO as TIOTROPIUM BROMIDE MONOHYDRATE

  • (combination) SPIOLTO as TIOTROPIUM BROMIDE MONOHYDRATE
  • (combination) YANIMO as TIOTROPIUM BROMIDE MONOHYDRATE

Malta (MT)

  • SIRKAVA as TIOTROPIUM BROMIDE ANHYDROUS
  • SPIRIVA as TIOTROPIUM BROMIDE MONOHYDRATE

  • (combination) SPIOLTO as TIOTROPIUM BROMIDE MONOHYDRATE

Mexico (MX)

  • SPIRIVA as TIOTROPIUM BROMIDE MONOHYDRATE

Netherlands (NL)

  • SPIRIVA as TIOTROPIUM BROMIDE MONOHYDRATE
  • TIOTRUS

  • (combination) SPIOLTO as TIOTROPIUM BROMIDE MONOHYDRATE

New Zealand (NZ)

  • BRALTUS as TIOTROPIUM BROMIDE ANHYDROUS
  • SPIRIVA as TIOTROPIUM BROMIDE MONOHYDRATE

  • (combination) SPIOLTO as TIOTROPIUM BROMIDE MONOHYDRATE

Poland (PL)

  • ACOPAIR as TIOTROPIUM BROMIDE ANHYDROUS
  • BRALTUS as TIOTROPIUM BROMIDE ANHYDROUS
  • ONTIPRIA as TIOTROPIUM BROMIDE ANHYDROUS
  • SPIRIVA as TIOTROPIUM BROMIDE MONOHYDRATE
  • SRIVASSO as TIOTROPIUM BROMIDE MONOHYDRATE

  • (combination) SPIOLTO as TIOTROPIUM BROMIDE MONOHYDRATE
  • (combination) YANIMO as TIOTROPIUM BROMIDE MONOHYDRATE

Romania (RO)

  • DILOCHOB as TIOTROPIUM BROMIDE ANHYDROUS
  • GREGAL as TIOTROPIUM BROMIDE ANHYDROUS
  • SPIRIVA as TIOTROPIUM BROMIDE MONOHYDRATE
  • SRIVASSO as TIOTROPIUM BROMIDE MONOHYDRATE

  • (combination) SPIOLTO as TIOTROPIUM BROMIDE MONOHYDRATE
  • (combination) YANIMO as TIOTROPIUM BROMIDE MONOHYDRATE

Singapore (SG)

  • SPIRIVA as TIOTROPIUM BROMIDE MONOHYDRATE
  • TIOSPIREX as TIOTROPIUM BROMIDE MONOMETHANOLATE

  • (combination) SPIOLTO as TIOTROPIUM BROMIDE MONOHYDRATE

South Africa (ZA)

Spain (ES)

  • BRALTUS as TIOTROPIUM BROMIDE ANHYDROUS
  • GREGAL as TIOTROPIUM BROMIDE ANHYDROUS
  • SPIRIVA as TIOTROPIUM BROMIDE MONOHYDRATE
  • TAVULUS as TIOTROPIUM BROMIDE ANHYDROUS

  • (combination) SPIOLTO as TIOTROPIUM BROMIDE MONOHYDRATE
  • (combination) YANIMO as TIOTROPIUM BROMIDE MONOHYDRATE

Tunisia (TN)

  • SPIRIVA as TIOTROPIUM BROMIDE MONOHYDRATE
  • XTIOVA as TIOTROPIUM BROMIDE MONOHYDRATE

  • (combination) SPIOLTO as TIOTROPIUM BROMIDE MONOHYDRATE

Turkey (TR)

  • AIRTIO as TIOTROPIUM BROMIDE ANHYDROUS
  • BRONTIO as TIOTROPIUM BROMIDE ANHYDROUS
  • CORIVA as TIOTROPIUM BROMIDE ANHYDROUS
  • DAYTIO as TIOTROPIUM BROMIDE ANHYDROUS
  • SPIRACT as TIOTROPIUM BROMIDE ANHYDROUS
  • SPIRIVA as TIOTROPIUM BROMIDE MONOHYDRATE
  • TIODAY CAPSAIR as TIOTROPIUM BROMIDE ANHYDROUS
  • TIOFIX as TIOTROPIUM BROMIDE ANHYDROUS
  • TIONEX as TIOTROPIUM BROMIDE ANHYDROUS
  • TIOTEK as TIOTROPIUM BROMIDE ANHYDROUS
  • TIOUMIT as TIOTROPIUM BROMIDE ANHYDROUS
  • TUTAST as TIOTROPIUM BROMIDE ANHYDROUS

  • (combination) AERODAY as TIOTROPIUM BROMIDE ANHYDROUS
  • (combination) DUESONIT as TIOTROPIUM BROMIDE ANHYDROUS
  • (combination) FEROMIS as TIOTROPIUM BROMIDE ANHYDROUS
  • (combination) FOXTIO as TIOTROPIUM BROMIDE ANHYDROUS
  • (combination) MOPINEX as TIOTROPIUM BROMIDE ANHYDROUS
  • (combination) SALTIF as TIOTROPIUM BROMIDE ANHYDROUS
  • (combination) TIOBUD as TIOTROPIUM BROMIDE ANHYDROUS
  • (combination) TIOFORM as TIOTROPIUM BROMIDE ANHYDROUS
  • (combination) TIOMOM as TIOTROPIUM BROMIDE ANHYDROUS
  • (combination) TIVENOS as TIOTROPIUM BROMIDE ANHYDROUS
  • (combination) TROFAS as TIOTROPIUM BROMIDE ANHYDROUS

United Kingdom (UK)

  • ACOPAIR as TIOTROPIUM BROMIDE ANHYDROUS
  • BRALTUS as TIOTROPIUM BROMIDE ANHYDROUS
  • SPIRIVA as TIOTROPIUM BROMIDE MONOHYDRATE
  • TIOGIVA as TIOTROPIUM BROMIDE ANHYDROUS

  • (combination) SPIOLTO as TIOTROPIUM BROMIDE MONOHYDRATE
  • (combination) YANIMO as TIOTROPIUM BROMIDE MONOHYDRATE

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

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