Brand / Product: Tiova Inhaler (9 mcg), Metered‑Dose Inhaler (MDI) Manufacturer: Cipla Ltd (India) Product Type: Prescription bronchodilator inhaler Active Ingredient : Tiotropium Bromide — 9 mcg delivered per actuation (dose) Formulation & Packaging : Form: Pressurized metered‑dose inhaler (MDI) Pack Size: 200 metered doses (200 MDI) in one canister Indications (Primary Uses) : Chronic Obstructive Pulmonary Disease (COPD) — maintenance treatment to ease breathing by relaxing airway muscles Asthma (Maintenance Therapy) — used for long‑term control, not for sudden/asthma attacks Mechanism of Action : Class: Long‑acting anticholinergic bronchodilator Blocks muscarinic receptors in airway smooth muscle → relaxes & widens airways to improve airflow Typical Dosage : Usual Use: Generally 1–2 puffs once daily Chronic Obstructive Pulmonary Disease (COPD) Purpose: Maintenance treatment to improve breathing. How it helps: Relaxes airway muscles, reduces bronchospasm, improves airflow, and decreases COPD symptoms like shortness of breath and wheezing. Asthma (Maintenance Therapy) Purpose: Helps control chronic asthma symptoms. How it helps: Opens airways over time to prevent bronchospasm and improve daily breathing comfort. General Bronchodilation Tiotropium (active ingredient) blocks muscarinic receptors in the lungs → relaxes airway smooth muscles → wider airways → easier airflow. Key Uses: COPD Management: Used for long-term maintenance treatment to improve airflow and reduce exacerbations in chronic bronchitis and emphysema. Asthma Control: Used as an add-on maintenance treatment for patients with asthma. Symptom Relief: Relaxes muscles in the airways, making breathing easier and reducing chest tightness. Tiova Inhaler 9 mcg (200 MD) is a long-acting bronchodilator containing Tiotropium Bromide, designed for the maintenance treatment of Chronic Obstructive Pulmonary Disease (COPD) and asthma. It works by relaxing airway muscles to reduce symptoms like shortness of breath, wheezing, and coughing. It is for daily maintenance, not for acute rescue.