This NHS content is written for people in England. Medicine names, availability, prescribing and services may differ in other countries.
Tiotropium inhalers are used to prevent symptoms of chronic obstructive pulmonary disease (COPD) and sometimes asthma, such as coughing, wheezing and feeling breathless.
Tiotropium belongs to a group of medicines called anticholinergic bronchodilators. It works by relaxing muscles in your lungs and widening your airways. This makes it easier for you to breathe.
Tiotropium inhalers (sometimes called "puffers") are known as preventer inhalers. If you have COPD or asthma, you'll use your inhaler regularly to help prevent you from getting symptoms.
Tiotropium inhalers are available on prescription only.
Some inhalers contain tiotropium mixed with other medicines that help your breathing, such as olodaterol. Brand names of tiotropium mixed with olodaterol are Spiolto Respimat and Yanimo Respimat.
View the original NHS website page ↗. Refreshed 19 August 2026.
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