Description
Same active ingredient (tiotropium) as Spiriva®, the US brand. Tiova Rotacaps is an Indian brand, made and licensed in India. Compare all Generic Spiriva (Tiotropium) options.
About Tiova Rotacaps
Tiova Rotacaps from Cipla contain tiotropium bromide 18 mcg in capsules designed to be inhaled through a Rotahaler device. Tiotropium is a long-acting muscarinic antagonist (LAMA), a type of bronchodilator that keeps the airways open for a full 24 hours. It is mainly used as a once-daily maintenance treatment for chronic obstructive pulmonary disease (COPD), including chronic bronchitis and emphysema.
How it works
The nerves controlling the airways release acetylcholine, which makes the airway muscles tighten. Tiotropium blocks this signal, so the airways stay relaxed and wider, making breathing easier and reducing COPD flare-ups over time.
How to take Tiova Rotacaps
- Inhale the contents of one capsule once a day, at the same time each day.
- The capsule must be used in a Rotahaler. Never swallow the capsules.
- Insert the capsule, twist the device to open it, breathe out away from the mouthpiece, then breathe in deeply and steadily. Repeat with a second breath from the same capsule to empty it.
- Tiotropium is a maintenance treatment, not a rescue inhaler. Keep a quick-acting reliever for sudden breathlessness.
Pack sizes
Rotacaps come in packets of 15 and are sold in packs of 30, 60 or 90 capsules, from $14.
Side effects
The most common is a dry mouth, which is usually mild. Others include constipation, sore throat, cough, dizziness and blurred vision. Seek medical advice promptly for difficulty passing urine, painful red eyes with blurred vision or haloes, or a fast or irregular heartbeat.
Cautions
- Narrow-angle glaucoma: avoid getting powder in your eyes, and tell your doctor if you have this condition.
- Enlarged prostate or bladder outflow problems can worsen.
- Moderate to severe kidney problems need monitoring.
- Do not use with other LAMA medicines such as glycopyrronium or umeclidinium.
Getting the most from COPD treatment
Medicines work best alongside stopping smoking, staying active and pulmonary rehabilitation, which is an exercise and education program for people with lung disease. Annual flu vaccination and pneumococcal vaccination are also recommended. Tell your doctor if you have more flare-ups, as your treatment may need to be stepped up.
Storage
Keep capsules in their strip until use, below 86°F (30°C) and away from moisture. Keep the Rotahaler clean and dry.
Frequently asked questions
Can Tiova be used for asthma?
Tiotropium dry-powder capsules are mainly for COPD. Asthma use is limited to specific devices under specialist guidance.
Is there an inhaler version?
Yes, Tiova Inhaler.
Where can I find other COPD treatments?
Browse the COPD category.
General information only. Tiova Rotacaps is a prescription medicine; use it as directed by your doctor or respiratory nurse.
Helpful guides
- Tiova vs Spiriva: Tiotropium Inhalers for COPD ComparedTiova and Spiriva both contain tiotropium, a once-daily COPD inhaler. Compare devices, doses, technique, side effects and how to get the most…


