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Tiova.
   Rotacaps Structure.

Tiova = tiotropium bromide monohydrate equivalent to tiotropium 18mcg

   Usage.

Tiova is used for treatment of service chronic interfering pulmonary illness (COPD).

   Recommended dosage.

Recommended dosage tiova - inhalation

The maintenance of one rotacap once daily.

Tiova needs to be inhaled only with Rotahaler the device.
The recommended dose should not be exceeded.
Tiova rotacaps cannot be swallowed.

Special settlements

Renally patients to whom harm, can use tiotropium bromide in recommended dose. For patients with moderate to serious deterioration. Hepatically-harm patients can use tiotropium bromide in a recommended dose. pediatric patients: Safety and efficiency tiotropium inhalations of bromide the powder in pediatric patients has not been established and consequently it it should not be used in patients less than 18 years of age.

   Warnings and Precautions.

Tiotropium the powder of inhalation of bromide is served by contra-indication in patients with hypersensitivity to tiotropium to bromide, atropine or his derivatives, for example. ipratropium or oxitropium or to monohydrate of lactose excipient.