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compositionComposition:FORMOTEROL-9MCG+TIOTROPIUM-6MCG
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Prescription Medicine
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Tioform Inhaler 120 mdi is used to treat chronic obstructive pulmonary disease (COPD). It contains Formoterol and Tiotropium which work by relaxing and widening the airways, making it easier to breathe. In some cases, this medicine may cause side effects such as headache, dizziness, dry mouth, nausea, sore throat, and hoarseness. Inform the doctor if you are pregnant or breastfeeding, taking any other medication, or have any pre-existing medical conditions.

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Written By Santoshini Reddy G , M Pharmacy
Reviewed By Dr Aneela Siddabathuni , MPharma., PhD
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More about the Product

Composition :

FORMOTEROL-9MCG+TIOTROPIUM-6MCG

Manufacturer/Marketer :

German Remedies Ltd

Consume Type :

Inhalation

Expires on or after :

Jan-27

Return Policy :

Not Returnable

About Tioform Inhaler 120 mdi

Tioform Inhaler 120 mdi is a prescription inhalation medicine used to manage long-term breathing difficulties in adults. It is primarily prescribed to treat chronic obstructive pulmonary disease (COPD), which includes conditions like emphysema and chronic bronchitis. By keeping the airways open, it helps relieve daily symptoms like coughing, wheezing, and shortness of breath.

To get the full benefits, you must use Tioform Inhaler 120 mdi consistently every day, even when you feel completely fine. Since it is delivered directly to the lungs via inhalation, you can take it with or without food. Making healthy adjustments like staying hydrated, eating small meals, and avoiding smoke can also significantly improve your breathing results.

While using Tioform Inhaler 120 mdi, you may experience common, mild side effects such as dry mouth, a mild sore throat, or a cough. However, if you experience serious side effects such as a very rapid heart rate, severe dizziness, or sudden chest pain, you should contact your doctor right away.

Talk to your doctor before starting this medicine if you have certain health conditions like heart problems, high blood pressure, seizures, thyroid issues, or difficulty urinating. Do not take this if you are allergic to any ingredients in the inhaler or if you have a severe allergy to milk proteins.

Certain medications, as well as alcohol and smoking, can interact with Tioform Inhaler 120 mdi and affect how safely it works or increase the risk of heart-related side effects. Always consult your healthcare provider if you belong to specific user groups, such as pregnant women, breastfeeding mothers, or elderly individuals, to ensure this treatment is safe for you.

Uses of Tioform Inhaler 120 mdi

Tioform Inhaler 120 mdi is used to manage long-term breathing difficulties in adults. The detailed uses of Tioform Inhaler 120 mdi are as follows:

  • Chronic Obstructive Pulmonary Disease (COPD): Tioform Inhaler 120 mdi helps manage long-term lung conditions like emphysema and chronic bronchitis by keeping the airways relaxed and open over a 24-hour period.
  • Prevention of Asthma Attacks: In selected patients, a specialist may prescribe Tioform Inhaler 120 mdi as part of an individualised asthma management plan. This is not a first-line treatment under current GINA recommendations, and it should only be used according to your doctor's advice.

Key Benefits

Tioform Inhaler 120 mdi provides long-lasting relief from symptoms of chronic respiratory conditions by keeping your airways open and making breathing easier. With regular use, it improves daily physical activity, reduces breathing flare-ups, and supports a more active lifestyle.

  • Long-Lasting Relief from Breathing Difficulties: By widening the airways, this medicine helps relieve shortness of breath, wheezing, and chest tightness, making everyday activities such as walking and climbing stairs easier.
  • Reduces the Risk of Breathing Flare-Ups: Regular use of this medicine helps lower the risk of sudden worsening of respiratory symptoms (exacerbations), reducing the likelihood of severe lung attacks and emergency hospital visits.
  • Supports an Active Lifestyle: By providing consistent symptom control, this medicine helps improve exercise tolerance, maintain better lung function, and allows you to enjoy daily activities with greater comfort and confidence.
Side effects of Tioform Inhaler 120 mdi
  • Focus on eating nutrient-rich foods such as citrus fruits, spinach, ginger, garlic, turmeric, and fermented foods to improve immunity and general health.
  • Drink plenty of water to stay hydrated, and think about taking probiotics, zinc, vitamin C, and vitamin D supplements.
  • Adopt healthful practices such as leading a balanced lifestyle and remaining at home when necessary.
Here are the steps to manage the medication-triggered Upper respiratory tract infection:
  • Inform your doctor about the symptoms you're experiencing due to medication.
  • Your doctor may adjust your treatment plan, which could include changing your medication, adding new medications, or offering advice on managing your symptoms.
  • Practice good hygiene, including frequent handwashing, avoiding close contact with others, and avoiding sharing utensils or personal items.
  • Stay hydrated by drinking plenty of fluids to help loosen and clear mucus from your nose, throat, and airways.
  • Get plenty of rest and engage in stress-reducing activities to help your body recover. If your symptoms don't subside or worsen, consult your doctor for further guidance.
Here are the steps to Dry Mouth (xerostomia) caused by medication:
  • Inform your doctor about dry mouth symptoms. They may adjust your medication regimen or prescribe additional medications to manage symptoms.
  • Drink plenty of water throughout the day to help keep your mouth moist and alleviate dry mouth symptoms.
  • Chew sugar-free gum or candies to increase saliva production and keep your mouth moisturized.
  • Use saliva substitutes, such as mouthwashes or sprays, only if your doctor advises them to help moisturize your mouth and alleviate dry mouth symptoms.
  • Avoid consuming smoking, alcohol, spicy or acidic foods, and other irritants that may aggravate dry mouth symptoms.
  • Schedule regular dental check-ups to keep track of your oral health and handle any dry mouth issues as they arise.
  • Drink warm fluids such as warm water with honey, broth, soup or herbal tea to soothe sore throat.
  • Gargle with warm salt water.
  • Suck on lozenges to increase the production of saliva and soothe your throat.
  • Use a humidifier to soothe sore throat as it adds moisture to the air and makes breathing easier.
Here are the steps to manage the medication-triggered Sinusitis (Sinus infection or Inflammation Of Sinuses):
  • Consult your doctor if you experience symptoms of sinusitis, such as nasal congestion, facial pain, or headaches, which may be triggered by your medication.
  • Your doctor may adjust your treatment plan by changing your medication, adding new medications, or providing guidance on managing your sinusitis symptoms.
  • Practice good hygiene, including frequent handwashing, avoiding close contact with others, and avoiding sharing utensils or personal items.
  • If your doctor advises, you can use nasal decongestants or saline nasal sprays to help relieve nasal congestion and sinus pressure.
  • To help your body recover, get plenty of rest, stay hydrated, and engage in stress-reducing activities. If your symptoms persist or worsen, consult your doctor for further guidance.
Here are the precise steps to cope with diarrhoea caused by medication usage:
  • Inform Your Doctor: Notify your doctor immediately about your diarrhoea symptoms. This allows them to adjust your medication or provide guidance on managing side effects.
  • Stay Hydrated: Drink plenty of fluids to replace lost water and electrolytes. Choose water, clear broth, and electrolyte-rich drinks. Avoid carbonated or caffeinated beverages to effectively rehydrate your body.
  • Follow a Bland Diet: Eat easy-to-digest foods to help firm up your stool and settle your stomach. Try incorporating bananas, rice, applesauce, toast, plain crackers, and boiled vegetables into your diet.
  • Avoid Trigger Foods: Steer clear of foods that can worsen diarrhoea, such as spicy, fatty, or greasy foods, high-fibre foods, and dairy products (especially if you're lactose intolerant).
  • Practice Good Hygiene: Maintain good hygiene to prevent the spread of infection. To stay healthy, wash your hands frequently, clean and disinfect surfaces regularly, and avoid exchanging personal belongings with others.
  • Take Anti-Diarrheal Medications: If your doctor advises, anti-diarrheal medications such as loperamide might help manage diarrhoea symptoms. Always follow your doctor's directions.
  • Keep track of your diarrhoea symptoms. If they don't get better or worse or are accompanied by severe stomach pain, blood, or dehydration signs (like extreme thirst or dark urine), seek medical help.
Managing back pain as a side effect of medication requires a combination of self-care techniques, lifestyle modifications, and medical interventions. Here are the steps:
  • Talk to your doctor about your back pain and potential medication substitutes or dose changes.
  • Try yoga or Pilates and other mild stretching exercises to increase flexibility and strengthen your back muscles.
  • To lessen the tension on your back, sit and stand upright and maintain proper posture.
  • To alleviate discomfort and minimize inflammation, apply heat or cold packs to the afflicted area.
  • Under your doctor's supervision, think about taking over-the-counter painkillers like acetaminophen or ibuprofen.
  • Make ergonomic adjustments to your workspace and daily activities to reduce strain on your back.
  • To handle tension that could make back pain worse, try stress-reduction methods like deep breathing or meditation.
  • Use pillows and a supportive mattress to keep your spine in the right posture as you sleep.
  • Back discomfort can worsen by bending, twisting, and heavy lifting.
  • Speak with a physical therapist to create a customized training regimen to increase back strength and flexibility.

Directions for Use

  • Recommended to take Tioform Inhaler 120 mdi twice a day or as advised by your doctor.
  • Shake the inhaler well and check the label for directions before using.. Hold it upright and place the mouthpiece between your teeth without biting it. Breathe in slowly through your mouth and press the top of the inhaler at the same time to release the medicine.
  • Remove the inhaler and hold your breath for a few seconds, then breathe out slowly.
  • Rinse your mouth with water and spit it out after using it to avoid fungal infections in the mouth and throat.

How Tioform Inhaler 120 mdi Works

Tioform Inhaler 120 mdi contains two active medicines that work together in different ways to relax the muscles in your lungs and open your airways. The first active component, formoterol, is a long-acting bronchodilator (LABA). Although it has a relatively rapid onset of action compared with some other LABAs, it is intended as a maintenance bronchodilator rather than a replacement for a short-acting rescue inhaler. It relaxes the muscles surrounding your airways, allowing them to widen so air can flow more freely into your lungs. The second component, tiotropium, is an anticholinergic helper. It blocks a specific chemical in your body that causes the airway muscles to tighten and produce excess mucus. By blocking this chemical, it prevents bronchospasms and provides long-lasting, steady control over your breathing.
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Alcohol

Unsafe

Avoid drinking alcohol while taking this medicine, as it can worsen your side effects.

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Pregnancy

Unsafe

Tioform Inhaler 120 mdi is not recommended to use during pregnancy since it may have harmful effects on the unborn baby. Please consult your doctor if you are planning to conceive or are already pregnant before starting Tioform Inhaler 120 mdi.

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Breast Feeding

Caution

It is not known if this drug passes into breast milk. Consult your doctor before breastfeeding.

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Driving

Caution

Do not drive or operate machinery if you experience drowsiness and increased/uneven heart rate while using Tioform Inhaler 120 mdi. This may affect your ability to drive. Seek medical attention if the symptoms persist longer.

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Liver

Caution

Tioform Inhaler 120 mdi should be used with caution in patients with liver diseases. Let your doctor know if you have any history of liver diseases or hepatic impairment. Your doctor will weigh the benefits and potential risks before prescribing Tioform Inhaler 120 mdi.

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Kidney

Caution

Tioform Inhaler 120 mdi should be used with caution in patients with kidney diseases. Let your doctor know if you have any history of kidney diseases. Your doctor will weigh the benefits and potential risks before prescribing Tioform Inhaler 120 mdi.

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Children

Caution

Tioform Inhaler 120 mdi is not recommended for use in children less than five years of age. The dose may have to be adjusted by your doctor depending on the child's condition and age.

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Heart

Caution

Inform your doctor if you have any existing heart disease. Your doctor will prescribe this medicine only if the potential benefits outweigh the risks.

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Geriatrics

Caution

Tioform Inhaler 120 mdi should be used in elderly patients only when prescribed by a doctor. If you have any concerns about using Tioform Inhaler 120 mdi in older adults, please consult your doctor.

What if I have taken an overdose of Tioform Inhaler 120 mdi

If you use more than your prescribed dose, you may experience severe shakiness, chest pain, a very fast heart rate, or severe dizziness. Seek immediate medical attention or call emergency services if you suspect an overdose.

Diet & Lifestyle Advise

  • Stay hydrated: Drink plenty of water throughout the day to help thin mucus in your airways, making it easier to clear your lungs.
  • Avoid air pollutants: Stay indoors on days with poor air quality, and avoid exposure to tobacco smoke, chemical fumes, and heavy dust, which can trigger breathing attacks.
  • Eat smaller, more frequent meals: If breathing takes a lot of effort, eating large meals can make you feel bloated and crowd your lungs. Opt for smaller, nutrient-rich meals instead.
  • Practice controlled breathing exercises: Talk to your doctor about pulmonary rehabilitation exercises, which can help strengthen your breathing muscles and increase your lung capacity.
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Have a query?

How Soon It Starts Working

The time required for Tioform Inhaler 120 mdi to start to work: Tioform Inhaler 120 mdi ideally shows its action within 2 to 3 minutes after administration. The time for which the effects of Tioform Inhaler 120 mdi last: The duration of action for Tioform Inhaler 120 mdi is clinically unknown.

What if you forget to take Tioform Inhaler 120 mdi

If you miss a dose of Tioform Inhaler 120 mdi, take it as soon as you remember. However, if it is almost time for your next scheduled dose, skip the missed one and continue with your regular schedule. Do not take a double dose to make up for a missed one.

Storage

•Store Tioform Inhaler 120 mdi at room temperature, safely between 20°C and 25°C (68°F to 77°F). •Keep the inhaler in a dry place away from direct sunlight, excess heat, and freezing conditions.

Drug Warnings

  • Always check the dose counter on your inhaler regularly to ensure you do not run out of medication unexpectedly.
  • Keep your inhaler clean by wiping the mouthpiece with a dry tissue at least once a week; never wash the device with water unless the manual specifically says to do so.
  • Never use Tioform Inhaler 120 mdi as a rescue inhaler to treat a sudden, acute attack of breathlessness; always keep a separate, fast-acting rescue inhaler with you for emergencies.
  • Rinse your mouth thoroughly and spit the water out after each use to avoid developing a fungal infection (thrush) in your mouth or throat.
  • If your breathing worsens or you find yourself using your rescue inhaler more often than usual, contact your doctor promptly.
  • This combination is not a first-line treatment for asthma according to current international guidelines such as GINA. Its use in asthma is reserved for selected clinical situations at the discretion of a specialist, while COPD remains its primary approved indication in many regions. Always follow your doctor's prescribed treatment plan and do not substitute this medicine for inhaled corticosteroid-containing therapy unless specifically advised. 

Drug-Drug Interactions

verifiedApollotooltip
  • Beta-blockers (often used for high blood pressure or heart issues): May prevent Tioform Inhaler 120 mdi from working properly and can cause your airways to narrow suddenly.
  • Diuretics (water pills): Taking these together may lower the potassium levels in your blood, which can affect your heart rhythm.
  • Other bronchodilators: Combining Tioform Inhaler 120 mdi with similar airway-relaxing drugs may increase the risk of side effects like a rapid heart rate and tremors.
  • Anticholinergic drugs: May increase the risk of dry mouth, blurred vision, and difficulty urinating when taken alongside Tioform Inhaler 120 mdi.
Tiotropium bromide + FormoterolCarvedilol
Severe
Tiotropium bromide + FormoterolNadolol
Severe

Drug-Drug Interactions

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Tiotropium bromide + FormoterolCarvedilol
Severe
How does the drug interact with Tioform Inhaler 120 mdi:
Using Formoterol and Carvedilol together may reduce the effects of both medications.

How to manage the interaction:
Co-administration of Formoterol with Carvedilol can result in an interaction, but it can be taken if a doctor has advised it. However, if you experience any unusual symptoms contact a doctor immediately. Do not stop using any medications without talking to a doctor.
Tiotropium bromide + FormoterolNadolol
Severe
How does the drug interact with Tioform Inhaler 120 mdi:
Taking nadolol with formoterol together could decrease the effects of both medications.

How to manage the interaction:
There may be a possibility of interaction between Formoterol and Nadolol, but it can be taken if prescribed by a doctor. However, if you experience any unusual symptoms contact a doctor immediately. Do not stop using any medications without first talking to a doctor.
Tiotropium bromide + FormoterolPenbutolol
Severe
How does the drug interact with Tioform Inhaler 120 mdi:
Using formoterol together with penbutolol can reduce the effect of both medications.

How to manage the interaction:
There may be a possibility of interaction between Penbutolol and Formoterol, but it can be taken if prescribed by a doctor. However, if you experience any unusual symptoms contact a doctor immediately. Do not stop using any medications without talking to a doctor.
Tiotropium bromide + FormoterolRibociclib
Severe
How does the drug interact with Tioform Inhaler 120 mdi:
Taking ribociclib together with formoterol can increase the risk of an irregular heart rhythm

How to manage the interaction:
Co-administration of Formoterol with Ribociclib can result in an interaction, but it can be taken if a doctor has advised it. However, if you experience sudden dizziness, lightheadedness, fainting, or shortness of breath, contact a doctor right away. Do not stop using any medications without talking to a doctor.
Tiotropium bromide + FormoterolPindolol
Severe
How does the drug interact with Tioform Inhaler 120 mdi:
Using formoterol with pindolol together could decrease the effects of both medications.

How to manage the interaction:
Although there is an interaction between Formoterol and Pindolol, they can be taken together if prescribed by a doctor. However, if you experience any unusual symptoms contact a doctor immediately. Do not stop using any medications without first talking to a doctor.
Tiotropium bromide + FormoterolPropranolol
Severe
How does the drug interact with Tioform Inhaler 120 mdi:
Coadministration of propranolol with formoterol can reduce the effects of both medications.

How to manage the interaction:
Although taking propranolol and Formoterol together can result in an interaction, it can be taken if a doctor has prescribed it. However, if you experience any unusual symptoms contact a doctor immediately. Do not stop using any medications without talking to a doctor.
Tiotropium bromide + FormoterolCarteolol
Severe
How does the drug interact with Tioform Inhaler 120 mdi:
Using carteolol together with formoterol can reduce the effects of both medications.

How to manage the interaction:
Taking Carteolol with Formoterol together can result in an interaction, but it can be taken if a doctor has advised it. However, if you experience any unusual symptoms contact a doctor immediately. Do not stop using any medications without talking to a doctor.
Tiotropium bromide + FormoterolLabetalol
Severe
How does the drug interact with Tioform Inhaler 120 mdi:
Co-administration of labetalol and formoterol together could decrease the effects of both medications.

How to manage the interaction:
Although taking Labetalol and Formoterol together can result in an interaction, it can be taken if a doctor has prescribed it. However, if you experience any unusual symptoms contact a doctor immediately. Do not stop using any medications without talking to a doctor.
Tiotropium bromide + FormoterolMetipranolol
Severe
How does the drug interact with Tioform Inhaler 120 mdi:
Using formoterol together with metipranolol can reduce the effects of both medications.

How to manage the interaction:
Although there is an interaction between formoterol and metipranolol, they can be taken together if prescribed by a doctor. However, if you experience any unusual symptoms contact a doctor immediately. Do not stop using any medications without talking to a doctor.
Tiotropium bromide + FormoterolSotalol
Severe
How does the drug interact with Tioform Inhaler 120 mdi:
Taking sotalol with formoterol could reduce the benefits of both medications because they have opposite effects on the body.

How to manage the interaction:
Although there is an interaction between Sotalol and Formoterol, they can be taken together if prescribed by a doctor. However, if you experience any unusual symptoms contact a doctor immediately. Do not stop using any medications without talking to a doctor.

Drug-Food Interactions

verifiedApollotooltip

No clinically significant food interactions are known with Tioform Inhaler 120 mdi when used as directed.

No clinically significant drug interactions are known with Tioform Inhaler 120 mdi when used as directed.

No Drug - Food interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Food Interactions

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Therapeutic Class

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FAQs

Tioform Inhaler 120 mdi is used to treat chronic obstructive pulmonary diseases (COPD), including bronchitis (inflammation of the lining of your bronchial tubes) and emphysema (shortness of breath)
Tioform Inhaler 120 mdi works by relaxing the muscles in the airways, thereby improving breathing and reducing symptoms such as wheezing, coughing, and shortness of breath.
Yes. Dry mouth is a possible side effect of the formoterol component of Tioform Inhaler 120 mdi, although not everyone experiences it. To help manage dry mouth, rinse your mouth after each use, drink plenty of water, maintain good oral hygiene, and suck on sugar-free candy or gum. If the dryness persists or becomes bothersome, consult your doctor.
No. Tioform Inhaler 120 mdi is a long-term maintenance medicine and is not intended to provide immediate relief during a sudden asthma or COPD attack. Always use a fast-acting rescue inhaler as prescribed by your doctor for sudden breathing problems. If you do not have a rescue inhaler or your symptoms are worsening, seek medical advice promptly.
If you occasionally forget, rinse as soon as you remember. Regularly forgetting to rinse can increase your risk of dry mouth or a yeast infection in the mouth called thrush. Make mouth rinsing a routine habit after each puff.
No, you should not stop taking Tioform Inhaler 120 mdi without consulting your healthcare provider. This medicine works continuously to keep your airways open, and stopping it suddenly may cause your breathing difficulties to return.
If you have high blood pressure or other heart problems, you must use Tioform Inhaler 120 mdi with caution. Your doctor will monitor your heart rate and blood pressure regularly while you are on this medication.
If you are pregnant, planning to become pregnant, or breastfeeding, you should only use Tioform Inhaler 120 mdi if your doctor decides the benefits outweigh the potential risks to your baby. Talk to your doctor to discuss your options.
Most inhalers have a built-in dose counter that shows how many sprays are left. Keep an eye on this counter and obtain a refill before it reaches zero so you do not miss any doses. Talk to your pharmacist if you are unsure how to read the counter.

Disclaimer

While we strive to provide complete, accurate, and expert-reviewed content on our 'Platform', we make no warranties or representations and disclaim all responsibility and liability for the completeness, accuracy, or reliability of the aforementioned content. The content on our platform is for informative purposes only, and may not cover all clinical/non-clinical aspects. Reliance on any information and subsequent action or inaction is solely at the user's risk, and we do not assume any responsibility for the same. The content on the Platform should not be considered or used as a substitute for professional and qualified medical advice. Please consult your doctor for any query pertaining to medicines, tests and/or diseases, as we support, and do not replace the doctor-patient relationship.

Country of origin

India

Manufacturer/Marketer address

Zydus Tower, Satellite Cross Roads, Ahmedabad – 380015, Gujarat, India.
Other Info - TIO0003
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