Stiolto Respiramat Inhaler 0.226 mcg/ 1 ml


What is Stiolto Respimat, and what is it used for?

Stiolto Respimat contains the two active ingredients tiotropium and olodaterol. They belong to a class of drugs called long-acting bronchodilators. Tiotropium belongs to the anticholinergic subgroup. Olodaterol belongs to the subgroup of long-acting beta2-adrenoreceptor agonists.

Generic Stiolto Respimat relieves breathing in adult patients with interruption of normal lung function, oxygen access to the body, and carbon dioxide excretion (COPD). COPD, meaning chronic lung disease, is used to describe the symptoms of chronic obstructive bronchitis and emphysema that cause coughing and difficulty breathing.

Stiolto widens the airways, making it easier for your lungs to breathe. Regular use of the medication can relieve the shortness of breath associated with this condition and help minimize the impact of this condition on daily life.

COPD is a chronic condition, so Stiolto Respimat should be used every day, not just when breathing problems or other symptoms of COPD occur.

Stiolto: Dosage

Stiolto medication is for inhalation only. Recommended dosage:

Stiolto Respimat is valid for 24 hours. Therefore, use Stiolto Respimat only once a day, preferably at the same time, without skipping a dose. Make two injections during use. Use only as directed or as indicated by your doctor.

Undesirable reactions to Stiolto Respimat 

If any of the following side effects occur, stop using this medication (i.e. repeated inhalations) and contact your physician immediately.

Immediate allergic reactions to Stiolto Respimat are rare (up to 1 in 1000 people may be affected). These include skin rash, urticaria, swelling of the mouth, and face, angioedema, or other hypersensitivity reactions (such as a sudden drop in blood pressure or drowsiness).

As with all inhaled medications, immediately after inhalation, there may be:

  • a feeling of tightness in the chest associated with coughing;
  • wheezing breathing;
  • heavy breathing;
  • dark circles around the eyes;
  • bowel obstruction.

Other possible side effects:

Infrequent (may affect up to 1 in 100 people): accelerated heart rate (tachycardia), dizziness, headache, cough, hoarseness (dysphonia), dry mouth.


Tell your doctor if you are taking/using or planning to use other medications.

Let your doctor know if you are taking the following medicines:

1. Stiolto Respimat-like medicines (i.e. medicines containing similar active ingredients, such as anticholinergic or beta-adrenergic agents). Side effects may increase.  

2. So-called beta-blockers to treat high blood pressure or other heart problems (e.g., propranolol) or for elevated intraocular pressure (glaucoma; e.g., timolol). This may make Stiolto Respimat less effective.

3. Drugs that lower blood potassium levels, such as e.g:

  • corticosteroids (e.g., prednisolone);
  • diuretics (diuretic pills).

4. Medications for respiratory problems (e.g., theophylline).

If you take/use these medicines together with Stiolto Respimat, you may experience symptoms such as muscle cramps, muscle weakness, or cardiac arrhythmia.


Stiolto Generic should not be used if:

  • you are allergic to tiotropium or olodaterol or any of the other ingredients of this medicine (listed above);
  • you are allergic to atropine or related substances, oxytropium or ipratropium

Inform your doctor or pharmacist, before using Stiolto Respimat, if you have:

  • asthma (Stiolto Respimat is not suitable for treating asthma);
  • a heart condition;
  • a high blood pressure;
  • been diagnosed with an aneurysm (bulging of the arterial wall);
  • diabetes.

Teenagers and children

Stiolto Respimat should not be used in children and adolescents under 18.

Pregnancy, lactation, and fertility

Use during pregnancy and lactation is possible only on your doctor's recommendation.

You can purchase Stiolto Respimat price, which is listed on the website. The cost of Stiolto Respimat cost depends on the manufacturer of the drug, as there are generics and analogues.

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