Tiomist CFC Free 9mcg Inhaler is an anticholinergic medicine. It is used in the treatment of chronic obstructive pulmonary disease and asthma. It relaxes the airway muscles and makes it easier to breathe. This helps relieve symptoms such as chest tightness, shortness of breath, wheezing, and coughing.
Tiomist CFC Free 9mcg Inhaler is only for inhalational purpose, use it in the dose and duration as prescribed by your doctor. The first dose is given under medical supervision to prevent the side effects happen during first use. For better results, it is suggested to take it at the same time every day. The dose and how often you take it depends on what you are taking it for. Your doctor will decide how much you need to improve your symptoms. You should take this medicine for as long as it is prescribed for you. It does not prevent the already started breathing trouble or asthma attack, hence always carry your medical inhaler with you for an emergency.
The most common side effect of this medicine is dry mouth. If these bother you or appear serious, let your doctor know. To overcome dry mouth, it is advised to increase water intake, carry sugar candy, or maintain good oral hygiene. If you experience any other side effects, let your doctor know.
Before taking this medicine, let your doctor know if you have liver or kidney disease, or if you are pregnant or breastfeeding. Your doctor should also know about all other medicines you are taking as many of these may make this medicine less effective or change the way it works.
Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them
Common side effects of Tiomist
Dryness in mouth
How to use Tiomist Inhaler
Check the label for directions before use. Shake the inhaler. While you are breathing in from mouth, press down on the inhaler one time to release the medication and hold your breath for 10 seconds. Repeat until you have inhaled the number of puffs as suggested by the doctor.Afterwards, rinse your mouth thoroughly with water and spit it out.
How Tiomist Inhaler works
Tiomist CFC Free 9mcg Inhaler is an anticholinergic medication. It works by relaxing the muscles in the airways and widens the airways. This makes breathing easier.
Safety advice
Alcohol
UNSAFE
It is unsafe to consume alcohol with Tiomist CFC Free 9mcg Inhaler.
Pregnancy
CONSULT YOUR DOCTOR
Tiomist CFC Free 9mcg Inhaler may be unsafe to use during pregnancy. Although there are limited studies in humans, animal studies have shown harmful effects on the developing baby. Your doctor will weigh the benefits and any potential risks before prescribing it to you. Please consult your doctor.
Breast feeding
CONSULT YOUR DOCTOR
Tiomist CFC Free 9mcg Inhaler is probably unsafe to use during breastfeeding. Limited human data suggests that the drug may pass into the breastmilk and harm the baby. Monitor the baby for dry mouth, constipation, and urinary problems.
Driving
No interaction found/established
Kidney
No interaction found/established
Liver
No interaction found/established
What if you forget to take Tiomist Inhaler?
If you miss a dose of Tiomist CFC Free 9mcg Inhaler, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular schedule. Do not double the dose.
All substitutes
For informational purposes only. Consult a doctor before taking any medicines.
Tiomist CFC Free 9mcg Inhaler makes breathing easier for patients with chronic obstructive pulmonary disease (COPD) and asthma.
This medicine is for inhalation only. The tablet should not be swallowed.
It should be taken at the same time each day.
It does not work right away and should not be used to relieve sudden breathing problems. Use your rescue inhaler to control sudden difficulty in breathing.
Dry mouth may occur as a side effect. Frequent mouth rinses, good oral hygiene, increased water intake and sugarless candy may help.
Gargle with warm water after each inhalation to avoid any fungal infections in your mouth and throat.
Take the first dose under medical supervision as it may cause wheezing or tightening of the airways (bronchospasm) immediately after using.
Your doctor may monitor your blood potassium level regularly while taking this medication.
Only small amounts of Tiomist CFC Free 9mcg Inhaler may get absorbed into the bloodstream after inhalation. Hence, serious side effects are unlikely.
Fact Box
Chemical Class
Morpholines Derivative
Habit Forming
No
Therapeutic Class
RESPIRATORY
Action Class
Anticholinergics- COPD
Interaction with drugs
Taking Tiomist with any of the following medicines can modify the effect of either of them and cause some undesirable side effects
Concurrent use may increase the risk of intestinal obstruction.
watch out for symptoms such as dry mouth, increased heart rate, urination difficulties, constipation, loss of appet... More
Concurrent use may cause dry mouth, blurred vision, urinary retention, constipation, and confusion.
If concurrent use is essential, watch out for symptoms such as dry mouth, nause... More
Concurrent use may cause dry mouth, blurred vision, urinary retention, constipation, and confusion.
If concurrent use is essential, watch out for symptoms such as dry mouth, nause... More
Concurrent use may cause dry mouth, blurred vision, urinary retention, constipation, and confusion.
If concurrent use is essential, watch out for symptoms such as dry mouth, nause... More
How long does Tiomist CFC Free 9mcg Inhaler take to work?
Tiomist CFC Free 9mcg Inhaler starts working within 30 minutes of taking it and you may start breathing with ease after the first dose. The full benefits will be experienced within about 3 days to a week’s time.
Is Tiomist CFC Free 9mcg Inhaler a steroid?
No, Tiomist CFC Free 9mcg Inhaler is not a steroid, but it belongs to anticholinergic class of medicines. It works by relaxing the muscles of the small airways, helping them to open and remain open for 24 hours.
How can Tiomist CFC Free 9mcg Inhaler help me?
Tiomist CFC Free 9mcg Inhaler is a long-acting bronchodilator which opens the air passages and makes breathing easier. Using this medicine daily can help prevent sudden short-term worsening of your breathing problem. Regular use also helps relieve shortness of breath when you have ongoing shortness of breath.
What should I avoid while taking Tiomist CFC Free 9mcg Inhaler?
Use Tiomist CFC Free 9mcg Inhaler carefully to prevent it from getting into your eyes. If it gets into your eyes, your vision may get blurry and the pupil in your eye may become larger (dilate). If this happens, call your doctor. Tiomist CFC Free 9mcg Inhaler may also cause dizziness and blurred vision. Avoid driving or using heavy machinery if you experience these side effects.
How long do I need to take Tiomist CFC Free 9mcg Inhaler?
Your doctor may prescribe you to take this medicine for life long. The reason being, COPD is a chronic condition and requires long-term treatment.
What is the difference between rescue treatment and maintenance treatment?
Rescue treatment is used to treat the sudden attack of disease. On the other hand, maintenance treatment are medicines that you take daily to help you manage the symptoms of disease. For example, when you have sudden shortness of breath due to COPD, you may be prescribed corticosteroids. Whereas, to help prevent these sudden attacks from happening, you may be prescribed Tiomist CFC Free 9mcg Inhaler.
What is chronic obstructive pulmonary disease (COPD)?
COPD is a serious lung disease in which the airways become narrow, so the air moves out of your lungs slowly and makes it hard to breathe. Examples of chronic obstructive pulmonary disease include chronic bronchitis (swelling of the air passages leading to lungs) and emphysema (damage to air sacs in the lungs).
Can I prevent my COPD from getting worse?
If you smoke, then quitting smoking is one of the most important things you can do to slow the progression of COPD. In fact, keep taking the medicine as advised by your doctor. Following the prescribed dose for the recommended duration may stop the progression of COPD.
How should Tiomist CFC Free 9mcg Inhaler be stored?
Store Tiomist CFC Free 9mcg Inhaler at room temperature 68°F to 77°F (20°C to 25°C). Keep it away from heat and cold and do not refrigerate it. Keep it in a dry place.
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References
Brown JH, Laiken N. Muscarinic Receptor Agonists and Antagonists. In: Brunton LL, Chabner BA, Knollmann BC, editors. Goodman & Gilman’s: The Pharmacological Basis of Therapeutics. 12th ed. New York, New York: McGraw-Hill Medical; 2011. pp. 230-31.
Boushey HA. Drugs Used in Asthma. In: Katzung BG, Masters SB, Trevor AJ, editors. Basic and Clinical Pharmacology. 11th ed. New Delhi, India: Tata McGraw Hill Education Private Limited; 2009. p. 347.
Briggs GG, Freeman RK, editors. A Reference Guide to Fetal and Neonatal Risk: Drugs in Pregnancy and Lactation. 10th ed. Philadelphia, PA: Wolters Kluwer Health; 2015. pp. 1367-68.
Tiotropium. Ingelheim am Rhein Germany: Boehringer Ingelheim International GmbH; 2017 [revised Mar. 2018]. [Accessed 01 Apr. 2019] (online) Available from:
Central Drugs Standard Control Organisation (CDSCO). [Accessed 01 Apr. 2019] (online) Available from:
Address: Zydus Tower, Satellite Cross Roads,Ahmedabad – 380015 Gujarat, India.
Country of origin: India
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