Description
Description
Tiovair-F is a fixed-dose combination inhalation medicine manufactured by Highnoon Laboratories, formulated with Tiotropium (as Bromide Monohydrate) 18mcg and Formoterol Fumarate (as Dihydrate) 12mcg in each Rotacap. This pack contains 30 Rotacaps, which are capsules containing a dry powder designed for inhalation through a Rotahaler device rather than being swallowed. Tiotropium is a long-acting anticholinergic bronchodilator that works by blocking muscarinic receptors in the airway smooth muscle, helping to keep the airways relaxed and open over an extended period. Formoterol is a long-acting beta-2 adrenergic agonist that works by relaxing the muscles around the airways, providing an additional bronchodilating effect. Together, these two complementary mechanisms are intended to provide more comprehensive and sustained relief from airway narrowing in patients with chronic respiratory conditions. Tiovair-F is primarily used in the maintenance treatment of chronic obstructive pulmonary disease and, in some cases, asthma, as determined by a physician, and is intended for regular, ongoing use rather than for immediate relief of a sudden breathing difficulty.
Ingredients
Each Rotacap of Tiovair-F contains two active pharmaceutical ingredients: Tiotropium (as Bromide Monohydrate) 18mcg, a long-acting anticholinergic bronchodilator, and Formoterol Fumarate (as Dihydrate) 12mcg, a long-acting beta-2 adrenergic agonist. The dry powder formulation within the capsule also contains standard inhalation-grade excipients that support consistent dosing and delivery of the active ingredients when used with a Rotahaler device.
Dosage Form
Tiovair-F is available in the form of Rotacaps, each containing a combined strength of 18mcg Tiotropium and 12mcg Formoterol Fumarate as a dry powder for oral inhalation. The pack contains 30 Rotacaps, designed for use exclusively with a Rotahaler inhalation device and not intended to be swallowed like a conventional capsule.
Uses
Tiovair-F is used in the maintenance treatment of chronic obstructive pulmonary disease, helping to relax the airway muscles, improve airflow, and reduce symptoms such as breathlessness over the long term. It may also be used in the management of asthma in certain patients, as determined by a physician. This medicine is intended for regular, ongoing use to help control chronic respiratory symptoms and is not intended for the relief of sudden or acute breathing difficulty, for which a separate fast-acting rescue inhaler is typically required.
How to Use
Tiovair-F Rotacaps are not intended to be swallowed and must be used exclusively with a Rotahaler inhalation device, generally once daily or as specifically directed by a physician. The Rotacap is loaded into the Rotahaler as instructed by the device guide, after which the patient breathes out fully, places the mouthpiece between the lips, and inhales deeply and forcefully to release and inhale the medicated powder. The prescribed dose should never be exceeded, and this medicine should be used consistently at the same time each day to help maintain steady symptom control. If a dose is missed, it should be taken as soon as remembered unless it is close to the time of the next scheduled dose, in which case the missed dose should be skipped rather than doubled.
Side Effects
As with most medications, Tiovair-F may cause side effects in some individuals, though not everyone experiences them. Commonly reported effects include dry mouth, headache, dizziness, increased heart rate, and throat irritation following inhalation. Some patients may also experience palpitations, nausea, or coughing. In rare cases, more serious effects such as significant worsening of respiratory symptoms immediately after use, urinary retention, or allergic reactions may occur, and these require immediate medical attention. Any unusual or persistent symptoms should be reported to a healthcare provider promptly, and use should be stopped under medical guidance if a serious reaction is suspected.
Pregnancy & Breastfeeding
Tiovair-F should be used with caution during pregnancy and only if a doctor determines that the potential benefits outweigh the possible risks, as safety data in pregnant women is limited. Women who are pregnant, planning pregnancy, or suspect they may be pregnant should inform their doctor before starting or continuing treatment. This medicine should also be used with caution during breastfeeding, and its use should only occur under medical guidance, with attention to any unusual effects in the nursing infant. Any decisions regarding use during pregnancy or breastfeeding should be made exclusively in consultation with a qualified healthcare provider.
Storage Instructions
Tiovair-F Rotacaps should be stored in a cool, dry place away from direct sunlight and moisture, as exposure to humidity can affect the dry powder formulation. Keep the medicine in its original packaging until the time of use, and ensure it is stored out of reach of children. Do not use the capsules beyond the expiry date printed on the pack, and dispose of any unused or expired medication safely according to local pharmaceutical disposal guidelines rather than discarding it in household trash.
FAQs
Can I swallow a Tiovair-F Rotacap like a normal capsule?
No, Rotacaps are not meant to be swallowed. They contain a dry powder that must be inhaled using a Rotahaler device to deliver the medicine directly to the airways.
Will Tiovair-F provide immediate relief during a sudden breathing episode?
No, this medicine is intended for regular maintenance treatment of chronic respiratory conditions and is not a fast-acting rescue medication for sudden symptoms.
Should I inform my doctor about other health conditions before using Tiovair-F?
Yes, conditions such as heart problems, high blood pressure, glaucoma, prostate enlargement, or bladder outflow obstruction should be discussed with your doctor before starting this medicine, as caution may be needed.
How often should Tiovair-F be used?
It is typically used once daily as directed by a physician, and it is important to use it consistently at the same time each day for the best symptom control.
Disclaimer
Always use this medicine strictly according to your doctor’s instructions and prescribed dosage.






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