Stiolto Respimat (Tiotropium Bromide / Olodaterol)

Also Known as Spiolto Respimat, Inspiolto Respimat

Prescription medicineOnly Available By Prescription
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2.5mcg/2.5mcg (60 puffs/30 doses/inhaler)
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Strength
2.5mcg/2.5mcg (60 puffs/30 doses/inhaler)
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Description

Stiolto Respimat (tiotropium bromide and olodaterol inhalation spray) is used in adults for long-term maintenance of chronic obstructive pulmonary disease (COPD).

Stiolto Respimat contains two medications that help open up the airways to allow for easier breathing: tiotropium bromide, an anticholinergic, and olodaterol, a long-acting beta2-adrenergic agonist.

Stiolto Respimat is not used for treating acute deterioration of COPD.

Stiolto Respimat is not used to treat asthma.


Fact Table

Formula

C21H26N2O5

License

US FDA

Bioavailability

~30%

Legal status

Rx-Only

Chemical Name

Tiotropium Bromide / Olodaterol

Elimination half-life

7.5 hours

Dosage (Strength)

2.5mcg/2.5mcg (60 puffs/30 doses/inhaler)

Pregnancy

Consult Doctor

Brands

Stiolto Respimat

Protein binding

~60%

PubChem CID

11504295

MedlinePlus

a615019

ChEBI

82700

ATC code

R03AC19

DrugBank

DB09080

KEGG

D10145

Routes of administration

Inhalation

Directions

Follow the instructions that come with your Stiolto Respimat prescription. Don't hesitate to talk to your doctor or pharmacist about any questions or concerns you have about your prescription.

Stiolto Respimat comes in an inhalation spray for inhalation use. 2.5 mcg of tiotropium and 2.5 mcg of olodaterol is provided in each puff. 

Recommended dosage:

Inhale two puffs by mouth one time a day at the same time each day. 

Ingredients

Tiotropium bromide, an anticholinergic, and olodaterol, a beta2-adrenergic agonist, are the active ingredients in Stiolto Respimat. 

Water for injection, benzalkonium chloride, edetate disodium, and hydrochloric acid are the inactive ingredients contained in Stiolto Respimat.

Contraindications

Using Stiolto Respimat without an inhaled corticosteroid is not recommended in patients with asthma.

Avoid using Stiolto Respimat if you are allergic to tiotropium, ipratropium, olodaterol, or any of the other ingredients in Stiolto Respimat.

Cautions

  • Before starting COPD treatment with Stiolto Respimat, talk to your doctor:
    • About your allergies
    • About your medical conditions
    • About all the medications you take
    • About your pregnancy or breastfeeding status
  • Patients who have acutely deteriorating COPD, a serious and potentially life-threatening condition, should not use Stiolto Respimat. Discuss your COPD with your doctor. 
  • Do not use Stiolto Respimat to relieve sudden breathing problems.
  • The recommended dose of Stiolto Respimat should not be exceeded. 
  • Severe and potentially life-threatening cardiovascular problems can occur by using Stiolto Respimat with other medications that have long-acting beta2-adrenergic agonists.
  • Severe allergic reactions can occur with the use of Stiolto Respimat. Stop using Stiolto Respimat and get emergency care right away if you have swelling, itching, rash, difficulty breathing, bronchospasm, or any other effects.
  • Paradoxical bronchospasm that may be life-threatening can occur with the use of Stiolto Respimat.
  • If you have cardiovascular or convulsive issues, problems with your thyroid, or if you are unable to take sympathomimetic drugs, use Stiolto Respimat with caution. 
  • Glaucoma can be worsened with the use of Stiolto Respimat. If you have glaucoma, use the medication with caution.
  • Urinary retention can worsen with the use of Stiolto Respimat. If you have prostatic hyperplasia or bladder-neck obstruction, use the medication with caution.
  • Low potassium and high blood sugar levels can occur with the use of Stiolto Respimat. 

Side Effects

Stiolto Respimat can cause nasopharyngitis, cough, and back pain. The medication can also cause other side effects, so call your doctor right away if you have side effects that get worse or won't go away.

Reference:

Stiolto Respimat (tiotropium bromide and olodaterol inhalation spray), for oral inhalation use. Ridgefield, CT: Boehringer Ingelheim Pharmaceuticals, Inc.; 2021.


Frequently Asked Questions about Stiolto Respimat


What is Stiolto Respimat used for?

Stiolto Respimat helps adults with COPD breathe better and control symptoms. It's a spray with two medications: tiotropium and olodaterol. Take 2 puffs daily.


How to use Stiolto Respimat?

Follow the instructions to prepare the inhaler. Press the button to release the mist and breathe it in. Take 2 puffs once a day at the same time.


How long does it take for Stiolto Respimat to work?

It starts working in 5 minutes after inhaling and lasts for 24 hours.


Is Stiolto Respimat a steroid?

No, it's steroid-free. It contains tiotropium and olodaterol instead.


Does Stiolto Respimat cause weight gain?

Studies did not find that it causes weight gain.


What are the disadvantages of Respimat?

Common side effects include cough, sore throat, and chest tightness. Serious side effects like chest pain need immediate medical attention.


Who should not use Stiolto?

Stiolto Respimat is not for treating asthma. It is intended only for COPD. Always keep a rescue inhaler handy for sudden symptoms.


What drugs interact with Stiolto?

Stiolto Respimat has major interactions with albuterol and certain antidepressants. It has moderate interactions with aspirin and lisinopril that require caution, and minor interactions with gabapentin and hydroxyzine should be noted.


Can you use Stiolto twice a day?

No, once daily (2 puffs) is sufficient to provide a 24-hour benefit.


How long does Stiolto Respimat last?

It works for 24 hours after one daily dose.



IMPORTANT NOTE: The above information is intended to increase awareness of health information and does not suggest treatment or diagnosis. This information is not a substitute for individual medical attention and should not be construed to indicate that use of the drug is safe, appropriate, or effective for you. See your health care professional for medical advice and treatment.

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