Buy Generic Tiova Inhaler Online
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Generic Tiova Inhaler 9mg
Package | Price | Per Inhaler | Shipping | Order | |
9mg x 1 inhaler | S$76.46 | S$76.46 | Add to Cart | ||
9mg x 3 inhalers | S$197.52 | S$65.84 | Add to Cart | ||
9mg x 6 inhalers | S$344.14 | S$57.35 | Free Airmail shipping |
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Generic Tiova Inhaler Information
Introduction
Tiova Inhaler is an inhaled medication indicated for the long‑term management of asthma in adults. It contains the anticholinergic agent tiotropium bromide, a bronchodilator that relaxes airway smooth muscle and improves airflow. In the United Kingdom, Tiova Inhaler is prescribed as a maintenance therapy for patients whose asthma is not adequately controlled with inhaled corticosteroids alone or who require additional bronchodilation. The inhaler is supplied as a ready‑to‑use, breath‑actuated device, and it is approved for regular, once‑daily use.
Although the product name “Tiova” is relatively new, the active compound tiotropium bromide has been available for many years under well‑known brand names such as Spiriva Respimat and Spiriva HandiHaler. Tiova Inhaler therefore provides a familiar pharmacological profile while offering a cost‑effective generic alternative.
What is Tiova Inhaler?
Tiova Inhaler is a prescription‑only inhalation product that delivers a measured dose of tiotropium bromide to the lungs. It belongs to the therapeutic class of long‑acting muscarinic antagonist (LAMA) inhalers used in the management of obstructive airway disease.
- Active ingredient: Tiotropium bromide (5 µg per inhalation).
- Device type: Soft‑mist, breath‑actuated inhaler (similar to the Respimat® platform).
- Formulation: The medication is supplied as a clear, colourless solution contained in a sealed cartridge that attaches to the inhaler body.
Tiova Inhaler is the generic version of Spiriva Respimat, containing the same active compound tiotropium bromide. Our online pharmacy provides this generic alternative as a cost‑effective treatment option, meeting the same regulatory standards for safety, quality, and efficacy as the branded product.
How Tiova Inhaler Works
Tiotropium bromide is a highly potent, reversible antagonist of muscarinic M3 receptors located on airway smooth muscle. By blocking the action of acetylcholine at these receptors, tiotropium prevents bronchoconstriction and sustains bronchodilation for up to 24 hours after a single inhalation.
Key pharmacological points:
- Onset of action: Typically within 30 minutes, with maximal bronchodilation occurring within 2–3 hours.
- Duration: The drug’s residence time on the M3 receptor is prolonged because tiotropium dissociates very slowly, providing a once‑daily dosing schedule.
- Elimination: Approximately 50 % of the inhaled dose is absorbed systemically; the majority is excreted unchanged in the urine. The plasma half‑life is about 5–6 hours, but the pharmacodynamic effect persists much longer due to receptor binding kinetics.
By maintaining airway calibre throughout the day, Tiova Inhaler reduces the frequency of asthma symptoms, improves lung function (measured as FEV₁), and decreases reliance on rescue short‑acting bronchodilators.
Conditions Treated with Tiova Inhaler
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Asthma (maintenance therapy): Tiova Inhaler is approved for adults with moderate‑to‑severe persistent asthma who require additional bronchodilation beyond inhaled corticosteroids (ICS) and long‑acting β₂‑agonists (LABA). In the UK, roughly 5 % of the adult population lives with asthma, and a proportion of those patients experience uncontrolled disease despite standard therapy. Adding a LAMA such as tiotropium has been shown to improve asthma control scores and reduce exacerbation rates.
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Off‑label use in chronic obstructive pulmonary disease (COPD): While the primary indication in this article is asthma, tiotropium bromide is also licensed for COPD. Some clinicians prescribe Tiova Inhaler to patients with mixed asthma‑COPD features (asthma‑COPD overlap) when guideline‑directed therapy is insufficient.
The therapeutic benefit in asthma derives from the drug’s ability to provide a steady, background bronchodilation, thereby decreasing airway hyperresponsiveness and allowing better response to anti‑inflammatory agents.
Who is Tiova Inhaler For?
Tiova Inhaler is suitable for adult patients (≥ 18 years) who meet one or more of the following criteria:
- Persistent asthma despite optimal inhaled corticosteroid therapy (with or without a LABA).
- Frequent reliance on short‑acting bronchodilator rescue inhalers (e.g., more than two puffs per week).
- Documented airflow limitation (post‑bronchodilator FEV₁ < 80 % predicted) that improves with anticholinergic therapy.
- History of asthma exacerbations requiring oral corticosteroids, emergency department visits, or hospitalization in the past year.
Contraindications / situations where Tiova Inhaler may not be appropriate
- Known hypersensitivity to tiotropium bromide or any excipients in the inhaler.
- Severe renal impairment (creatinine clearance < 30 mL/min) – dose adjustment or avoidance is recommended.
- Acute narrow‑angle glaucoma or urinary retention, where anticholinergic effects could exacerbate the condition.
Physicians should evaluate each patient’s comorbidities, inhaler technique, and adherence before initiating therapy.
Risks, Side Effects, and Interactions
Common
- Dry mouth
- Cough or mild throat irritation after inhalation
- Upper respiratory tract infection (viral)
These events are usually transient and do not require discontinuation unless they persist or worsen.
Rare
- Dysuria or urinary hesitancy (due to anticholinergic activity)
- Constipation
- Skin rash or pruritus
Patients experiencing these symptoms should report them to their healthcare provider for assessment.
Serious
- Severe allergic reaction (anaphylaxis) presenting with rash, swelling, dizziness, or breathing difficulty.
- Paradoxical bronchospasm (worsening wheeze or dyspnoea immediately after inhalation).
- Acute narrow‑angle glaucoma attacks.
Any serious adverse event warrants immediate medical attention and discontinuation of the inhaler.
Drug–Drug Interactions
- Combination with other anticholinergics (e.g., ipratropium bromide) may increase anticholinergic load, potentially intensifying dry mouth or urinary retention.
- Beta‑blockers (non‑selective) can diminish bronchodilator response; caution is advised in patients using topical or systemic beta‑blockers.
- Renal‑clearing drugs (e.g., metformin, diuretics) do not have documented pharmacokinetic interactions but require monitoring of renal function, especially in patients with existing impairment.
No significant interactions with inhaled corticosteroids or LABA have been observed, allowing Tiova Inhaler to be co‑prescribed as part of combination asthma regimens.
Practical Use: Dosing, Missed Dose, Overdose
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Standard dosing: One inhalation (5 µg) once daily, preferably at the same time each day. The inhaler delivers a consistent dose regardless of inspiratory flow, but correct technique—slow, deep inhalation followed by a breath‑hold for 5–10 seconds—is essential for optimal deposition.
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Missed dose: If a dose is missed and it has been less than 12 hours since the scheduled time, take the dose as soon as remembered. If more than 12 hours have elapsed, skip the missed dose and resume the regular dosing schedule; do not double‑dose.
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Overdose: Accidental administration of more than one inhalation in a 24‑hour period is unlikely to cause severe toxicity because systemic absorption is limited. Nonetheless, patients should contact a healthcare professional if they experience persistent anticholinergic symptoms (e.g., severe dry mouth, blurred vision, urinary retention).
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Precautions:
- Avoid using the inhaler with alcohol‑based mouthwashes immediately before or after dosing, as they may irritate the oral mucosa.
- No food restrictions are necessary, but taking the inhaler with a full glass of water can help alleviate throat irritation.
- Patients with severe renal impairment should have renal function assessed before initiation and periodically during therapy.
Proper storage: keep the inhaler at room temperature (15‑30 °C), protected from moisture and direct sunlight. Do not refrigerate or freeze.
Buying Tiova Inhaler from Our Online Pharmacy
Tiova Inhaler can be purchased safely and discreetly from our online pharmacy in the UK. Our service offers several advantages for patients seeking reliable, affordable access:
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Competitive pricing: We source Tiova Inhaler at near‑manufacturer cost, passing the savings on to you. The generic price is typically 30‑40 % lower than the branded Spiriva Respimat, making long‑term therapy more sustainable.
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Verified quality: All stock is obtained from licensed, GMP‑certified manufacturers and undergoes strict quality‑control testing before dispatch.
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Guaranteed delivery: Orders are packaged discreetly and shipped via 7‑day express courier or standard airmail (approximately 3 weeks). Tracking information is provided for every shipment.
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International medication access: As a pharmacy‑broker service, we work with reputable overseas suppliers, enabling patients who face limited local availability or insurance restrictions to obtain Tiova Inhaler without compromising safety.
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Privacy‑focused service: Our platform respects patient confidentiality; no personal health details are shared beyond the minimum required for order fulfillment.
By choosing our online pharmacy, you benefit from a trustworthy, cost‑effective channel for obtaining Tiova Inhaler, supporting consistent asthma control without the financial burden of brand‑name products.
FAQ
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Is Tiova Inhaler available in both brand‑name and generic forms in the UK?
Yes. The original brand‑name version is marketed as Spiriva Respimat, while Tiova Inhaler is the generic equivalent containing the same active ingredient, tiotropium bromide. Both meet the same regulatory standards for safety and efficacy. -
What is the best way to store Tiova Inhaler while traveling abroad?
Keep the inhaler in its original packaging, stored at ambient temperature (15‑30 °C), away from direct sunlight, humidity, and extreme temperatures. If you travel by air, place the device in your cabin baggage to avoid temperature fluctuations in the cargo hold. -
Does Tiova Inhaler contain any lactose or other common allergens?
The formulation is lactose‑free and does not contain soy, egg, or gluten. Inactive ingredients include propylene glycol, ethanol, and water, which are generally well tolerated. -
Can I use Tiova Inhaler if I have mild renal impairment?
Tiotropium bromide is primarily excreted unchanged via the kidneys. For patients with mild to moderate renal impairment (creatinine clearance ≥ 30 mL/min), standard dosing is usually appropriate, but clinicians may monitor renal function periodically. -
How does Tiova Inhaler differ from older anticholinergic inhalers such as ipratropium?
Tiotropium bromide has a longer receptor residence time, allowing once‑daily dosing, whereas ipratropium requires multiple daily administrations. Tiotropium also provides greater bronchodilation magnitude, making it more suitable for persistent asthma and COPD. -
Are there any restrictions on importing Tiova Inhaler for personal use into the UK?
Personal import of prescription medicines is permitted for a maximum three‑month supply, provided the product is for personal use, not for resale, and you hold a valid prescription. Our online pharmacy assists customers in complying with these regulations. -
Does the inhaler device require a power source or batteries?
No. Tiova Inhaler is a breath‑actuated soft‑mist device that generates a fine aerosol solely by the patient’s inhalation effort; it does not contain batteries or electronic components. -
What should I do if I experience a paradoxical bronchospasm after inhalation?
Stop using the inhaler immediately and seek urgent medical attention. Paradoxical bronchospasm is a rare but serious reaction that may require alternative bronchodilator therapy. -
Is Tiova Inhaler compatible with other inhalation devices such as spacer chambers?
The soft‑mist technology of Tiova Inhaler is designed for direct inhalation; using a spacer is neither necessary nor recommended, as it can alter aerosol characteristics and reduce delivery efficiency. -
How long does it take for lung function improvements to become measurable after starting Tiova Inhaler?
Clinical trials have shown statistically significant increases in FEV₁ within two weeks of daily use, with maximal effect typically observed after 4‑6 weeks of continuous therapy.
Glossary
- Long‑acting muscarinic antagonist (LAMA)
- A class of bronchodilators that block muscarinic receptors in the airways for 24 hours or longer, reducing bronchoconstriction.
- Bronchodilation
- The relaxation of airway smooth muscle, leading to widened airways and improved airflow.
- Paradoxical bronchospasm
- An unexpected worsening of airway narrowing shortly after inhalation of a medication, requiring immediate medical attention.
- Renal clearance
- The process by which the kidneys filter and eliminate a drug from the bloodstream; important for dosing considerations of renally excreted medications.
⚠️ Disclaimer
The information provided about Tiova Inhaler is for general knowledge only. It does not replace professional medical consultation. All treatment decisions should be made under the supervision of a qualified healthcare provider. We assume all readers are responsible adults capable of making informed decisions about their health. Our online pharmacy offers access to Tiova Inhaler for individuals who may have limited availability through traditional pharmacies, prescription‑based insurance schemes, or who are seeking affordable generic alternatives. Always consult your doctor before starting, changing, or discontinuing any medication.