Tiova Rotacaps (30 Cap)

TIOVA ROTACAPS (30 CAP) by CIPLA LTD.

Tiova Rotacaps is a medication manufactured by Cipla Ltd., primarily used for the long-term maintenance treatment of chronic obstructive pulmonary disease (COPD).

• Name:

  • Common Name: Tiotropium
  • Brand Name: Tiova Rotacaps

• Composition:

  • Each Rotacap contains 18 mcg of Tiotropium as the active ingredient. Tiotropium is an anticholinergic agent.

• Uses: Tiova Rotacaps is prescribed for the maintenance treatment of COPD, including chronic bronchitis and emphysema. It works by relaxing and widening the airways, which helps to ease breathing and relieve symptoms such as wheezing, shortness of breath, and chest tightness. It may also be used as an add-on therapy for some patients with severe asthma. This medicine is not intended for the relief of sudden breathing problems or acute asthma attacks.

• Dosage and Administration: Tiova Rotacaps are administered by inhalation using a special inhaler device, such as the Cipla Rotahaler. The typical recommended dosage for adults is one Rotacap (18 mcg) inhaled once daily, preferably at the same time each day. The capsules are for inhalation only and must not be swallowed. After use, rinsing the mouth with water is recommended to reduce the risk of infections.

• Side Effects:

  • Common: Dry mouth, sinusitis, pharyngitis (sore throat), non-specific chest pain, urinary tract infection, dyspepsia (indigestion), rhinitis (runny nose), headache, constipation, blurred vision, dizziness, and cough.
  • Serious (seek medical attention): Severe allergic reactions (e.g., skin rash, itching, swelling of face/tongue/throat), increased heart rate/palpitations, urinary retention or difficulty urinating, worsening of respiratory symptoms, or eye pain with blurred vision.

• Precautions: Tiova Rotacaps should not be used if you are allergic to tiotropium, atropine, or related medications like ipratropium. Caution is advised for patients with narrow-angle glaucoma, prostatic hyperplasia/bladder neck obstruction, or moderate to severe kidney impairment. It is important to avoid getting the powder into the eyes, as it can lead to blurred vision or eye pain. Pregnant or breastfeeding individuals should consult their doctor before using this medicine. Since it may cause dizziness or blurred vision, exercise caution when driving or operating machinery. Concurrent use with other anticholinergic medicines or Beta-2 Agonists may increase the risk of side effects. Tiova Rotacaps is not recommended for children under 18 years of age.

• Storage: Store Tiova Rotacaps in a cool, dry place, ideally below 30°C, and protect it from direct sunlight and excessive heat. Keep the medicine in its original packaging and out of the reach and sight of children.

Here are the most frequently asked questions about TIOVA ROTACAPS, along with their answers:

What is TIOVA ROTACAPS used for?

TIOVA ROTACAPS is an anticholinergic medicine primarily used for the long-term maintenance treatment of Chronic Obstructive Pulmonary Disease (COPD), which includes chronic bronchitis and emphysema. It is also used to manage asthma symptoms. It helps to relax and widen the airways, making breathing easier and relieving symptoms like chest tightness, wheezing, and shortness of breath. It is not intended for use as a quick-relief inhaler for sudden breathing problems or acute asthma attacks.

How does TIOVA ROTACAPS work?

TIOVA ROTACAPS contains Tiotropium, which works by blocking specific receptors (M3 receptors) found on the smooth muscles of the airways. By inhibiting these receptors, Tiotropium causes the muscles around the airways to relax and widen, a process known as bronchodilation. This action helps to improve airflow into and out of the lungs, facilitating easier breathing.

What is the usual dosage for TIOVA ROTACAPS?

The recommended dosage for TIOVA ROTACAPS is one Rotacap inhaled once daily using a Cipla Rotahaler or Revolizer device. It is crucial to use this medicine only by inhalation and not to swallow the capsules. Your doctor will determine the exact dose and duration of treatment based on your condition. The first dose is typically administered under medical supervision.

What are the possible side effects of TIOVA ROTACAPS?

Common side effects may include dry mouth, sinusitis, pharyngitis (sore throat), non-specific chest pain, urinary tract infection, dyspepsia (indigestion), rhinitis (runny nose), headache, constipation, blurred vision, dizziness, and cough. If you experience any severe or persistent side effects, or signs of an allergic reaction (e.g., rash, hives, difficulty breathing, swelling of the face/tongue/throat), seek immediate medical attention.

Is TIOVA ROTACAPS safe during pregnancy or breastfeeding?

Caution is advised when using TIOVA ROTACAPS during pregnancy. Its safety in pregnant women has not been adequately studied, and animal studies have shown potential harmful effects on the developing baby. TIOVA ROTACAPS is generally not recommended during breastfeeding. Limited human data suggests the drug may pass into breastmilk and potentially harm the baby. Always consult your doctor before using this medicine if you are pregnant or breastfeeding.

Can TIOVA ROTACAPS be taken with other medications?

TIOVA ROTACAPS can interact with other medications. Taking it with other anticholinergic medicines (e.g., ipratropium) can increase the risk of side effects like dry mouth or blurred vision. Beta-2 agonists (e.g., albuterol, salmeterol) used concurrently may increase the risk of cardiovascular side effects, especially at higher doses. It is important to inform your doctor about all prescription and non-prescription medicines, herbal preparations, and dietary supplements you are currently taking to avoid potential interactions.

What precautions should be taken while using TIOVA ROTACAPS?

Do not use TIOVA ROTACAPS for sudden breathing difficulties or acute asthma attacks; always carry your rescue inhaler. Avoid getting the powder in your eyes, as it can cause blurred vision, eye pain, or pupil dilation. Use with caution if you have conditions such as narrow-angle glaucoma, prostate problems, difficulty urinating, kidney or liver disease, cystic fibrosis, or a history of heart attack, irregular heartbeat, or heart failure. TIOVA ROTACAPS may cause dizziness or blurred vision, so avoid driving or operating heavy machinery until you know how it affects you. It is not recommended for children under 18 years of age. Rinse your mouth with water after each inhalation to help prevent fungal infections in the mouth and throat. Consuming alcohol with TIOVA ROTACAPS may increase dizziness and is generally advised against.

What happens if a dose of TIOVA ROTACAPS is missed?

If you miss a dose of TIOVA ROTACAPS, inhale it as soon as you remember. However, if it is almost time for your next scheduled dose, skip the missed one and continue with your regular dosing schedule. Do not take a double dose to make up for the missed one.

How should TIOVA ROTACAPS be stored?

Store TIOVA ROTACAPS in its original packaging in a cool, dry place where the temperature stays below 30°C. Protect it from direct sunlight, excessive heat, and moisture. Keep the medicine out of the reach and sight of children. Do not remove a capsule from its packaging until you are ready to use it.