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Tiotropium bromide

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1046: 656: 633: 42: 51: 4397: 1037: 843:. Specifically it is used during periods of breathing difficulty to prevent them from getting worse, rather than to prevent them from happening. It is used by inhalation through the mouth. Onset typically begins within half an hour and lasts for 24 hours. 1837: 967:
may be linked to increased risk of heart attacks, stroke and cardiovascular death. The US FDA reviewed the concern and concluded in 2010 that this association was not supported. A 2011 review of the tiotropium mist inhaler
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Singh S, Loke YK, Furberg CD (September 2008). "Inhaled anticholinergics and risk of major adverse cardiovascular events in patients with chronic obstructive pulmonary disease: a systematic review and meta-analysis".
2111: 1132: 224: 898: 4374: 2876: 1026:). The safety and efficacy profiles of both devices are comparable and people's preference should play a role in determining inhaler choice. There is no significant difference in all-cause 1849: 731: 4462: 1553: 2003:"A systematic review of comparative studies of tiotropium Respimat® and tiotropium HandiHaler® in patients with chronic obstructive pulmonary disease: does inhaler choice matter?" 2869: 786:
InChI=1S/C19H22NO4S2.BrH/c1-20(2)12-9-11(10-13(20)17-16(12)24-17)23-18(21)19(22,14-5-3-7-25-14)15-6-4-8-26-15;/h3-8,11-13,16-17,22H,9-10H2,1-2H3;1H/q+1;/p-1/t11?,12-,13+,16-,17+;
179: 4369: 1873:"Mortality associated with tiotropium mist inhaler in patients with chronic obstructive pulmonary disease: systematic review and meta-analysis of randomised controlled trials" 897:(COPD). It may also be used as an add-on therapy in people with moderate-to-severe asthma on medium to high dose inhaled corticosteroids (ICS). It is not however approved for 2748: 2104: 1152: 738: 1713: 1302: 1272: 797:
InChI=1S/C19H22NO4S2/c1-20(2)12-9-11(10-13(20)17-16(12)24-17)23-18(21)19(22,14-5-3-7-25-14)15-6-4-8-26-15/h3-8,11-13,16-17,22H,9-10H2,1-2H3/q+1/t11?,12-,13+,16-,17-/m0/s1
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https://www.ebs.tga.gov.au/servlet/xmlmillr6?dbid=ebs/PublicHTML/pdfStore.nsf&docid=E07D6674E971FA91CA258752004228AF&agid=(PrintDetailsPublic)&actionid=1
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Tashkin DP, Celli B, Senn S, Burkhart D, Kesten S, Menjoge S, Decramer M (October 2008). "A 4-year trial of tiotropium in chronic obstructive pulmonary disease".
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Common side effects include a dry mouth, runny nose, upper respiratory tract infection, shortness of breath and headache. Severe side effects may include
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between tiotropium soft mist inhalers compared to dry powder inhalers, however caution needs to be taken in people with severe heart or kidney problems.
1959:"Tiotropium, a novel muscarinic M3 receptor antagonist, improved symptoms of chronic obstructive pulmonary disease complicated by chronic heart failure" 4005: 4447: 963:
Data regarding some serious side effects is mixed as of 2020. In September 2008 a review found that tiotropium and another member of its class
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Rodrigo GJ, Castro-Rodríguez JA (February 2015). "What is the role of tiotropium in asthma?: a systematic review with meta-analysis".
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agent. Although it does not display selectivity for specific muscarinic receptors, when topically applied it acts mainly on
3780: 3227: 2723: 1736: 4387: 1611: 936:(≥1% of people) include: dry mouth and/or throat irritation. Rarely (<0.1% of patients) treatment is associated with: 4364: 1843: 945: 483: 2844: 612: 4452: 4094: 4034: 2395: 2121: 3795: 3765: 3213: 1422: 4427: 4338: 4086: 2728: 2343: 2155: 1766:
Kesten S, Jara M, Wentworth C, Lanes S (December 2006). "Pooled clinical trial analysis of tiotropium safety".
1646:"Spiolto Respimat 2.5 microgram/2.5 microgram, inhalation solution - Summary of Product Characteristics (SmPC)" 909: 1676:"Yanimo Respimat 2.5 microgram/2.5 microgram, inhalation solution - Summary of Product Characteristics (SmPC)" 425: 3655: 3562: 3417: 2832: 172: 161: 2089: 651: 4118: 3632: 3364: 3045: 2798: 2778: 2584: 2539: 2458: 2420: 2329: 1920: 960:). A 2006 review found the increase in bronchospasm was small and did not reach statistical significance. 941: 573: 566: 4323: 4272: 4208: 3985: 3930: 3650: 3380: 3359: 3205: 2793: 2788: 2738: 2445: 1002:
muscarinic receptors located on smooth muscle cells and submucosal glands. This leads to a reduction in
988: 933: 416: 4071: 369: 3135: 881:. In 2021, it was the 134th most commonly prescribed medication in the United States, with more than 4 4318: 4238: 3990: 3835: 3150: 2488: 2478: 301: 3130: 4457: 4333: 3995: 3880: 3690: 3492: 2463: 1235:"Tiogiva 18 microgram, inhalation powder, hard capsule - Summary of Product Characteristics (SmPC)" 984: 981: 972:), however, still found it associated with an increase in all cause mortality in people with COPD. 949: 628: 355: 168: 3065: 1175:"Spiriva 18 microgram inhalation powder, hard capsule - Summary of Product Characteristics (SmPC)" 4258: 4183: 4061: 3975: 3820: 3775: 3597: 3477: 3472: 3248: 3223: 3185: 3125: 3040: 2917: 2895: 2468: 2453: 2425: 1746: 1205:"Spiriva Respimat 2.5 microgram, inhalation solution - Summary of Product Characteristics (SmPC)" 135: 3970: 3965: 3675: 3660: 3165: 3160: 3105: 3095: 3055: 2935: 2267: 4188: 3960: 3705: 3349: 3238: 3060: 3050: 2861: 594: 4432: 4422: 4343: 4203: 4098: 3915: 3810: 3760: 3617: 3527: 3497: 3384: 3015: 3010: 3005: 3000: 2995: 2970: 2955: 2075: 2034: 1980: 1902: 1819: 1783: 1593: 1535: 1402: 1396: 1375: 937: 584: 546: 539: 472: 250: 237: 63: 3865: 3432: 3090: 3070: 4056: 3875: 3830: 3331: 3195: 2960: 2496: 2065: 2024: 2014: 1970: 1932: 1892: 1884: 1811: 1775: 1585: 1525: 1517: 1430: 668: 364: 260: 1558:
https://goldcopd.org/wp-content/uploads/2020/03/GOLD-2020-POCKET-GUIDE-ver1.0_FINAL-WMV.pdf
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Wise RA, Anzueto A, Cotton D, Dahl R, Devins T, Disse B, et al. (October 2013).
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Tiotropium was patented in 1989, and approved for medical use in 2002. It is on the
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Pocket Guide to COPD Diagnosis, Management and Prevention Fontana, WI The
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World Health Organization model list of essential medicines: 21st list 2019
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Tiotroprium is available in two inhaler formats: a soft mist inhaler (
3567: 3218: 2808: 2333: 2125: 840: 557: 373: 319: 293: 289: 1706:"Stiolto Respimat- tiotropium bromide and olodaterol spray, metered" 1036: 835:(LAMA: long acting muscarinic antagonist) used in the management of 519: 3720: 3715: 2930: 2803: 2337: 1613:
Global Strategy for Asthma Management and Prevention (2020 update)
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Long-acting bronchodilator in the maintenance of COPD and asthma
4006: 2865: 2093: 1374:(76th ed.). Pharmaceutical Press. 2018. pp. 247–248. 244: 114: 1098: 1096: 617: 2054:"Tiotropium Respimat inhaler and the risk of death in COPD" 218: 146: 2904: 1439:. WHO/MVP/EMP/IAU/2019.06. License: CC BY-NC-SA 3.0 IGO. 862:, however, such use has not been well studied. It is an 879:
World Health Organization's List of Essential Medicines
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Octatropine methylbromide (anisotropine methylbromide)
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Singh S, Loke YK, Enright PL, Furberg CD (June 2011).
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Global Initiative for Chronic Obstructive Lung Disease
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Tiotropium is also used in a combination inhaler with
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contraction and mucus secretion and thus produces a
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Fluticasone furoate/umeclidinium bromide/vilanterol
2716: 2680: 2652: 2629: 2611: 2583: 2573: 2510: 2487: 2439: 2386: 2318: 2276: 2230: 2154: 2141: 912:, for the treatment of COPD, under the brand names 760:
C1(C2CC(CC1C3C2O3)OC(=O)C(C4=CC=CS4)(C5=CC=CS5)O)C.
719: 706: 667: 662: 643: 611: 583: 556: 529: 509: 482: 462: 435: 424: 415: 383: 354: 325: 313: 300: 277: 267: 259: 208: 203: 178: 160: 134: 104: 90: 72: 62: 57: 766:C1(C2CC(CC1C3C2O3)OC(=O)C(C4=CC=CS4)(C5=CC=CS5)O)C 1348:. American Society of Health-System Pharmacists. 3986:Scopolamine butylbromide (hyoscine butylbromide) 1957:Kato M, Komamura K, Kitakaze M (December 2006). 1342:"Tiotropium Bromide Monograph for Professionals" 1265:"Spiriva Handihaler- tiotropium bromide capsule" 404: 397: 4011:Tooltip Selective serotonin reuptake inhibitors 2734:Beclometasone/formoterol/glycopyrronium bromide 1503: 1501: 893:Tiotropium is used as maintenance treatment of 858:. Tentative evidence has not found harm during 363: 4463:World Health Organization essential medicines 4375:Acetylcholine metabolism/transport modulators 2877: 2774:Indacaterol/glycopyrronium bromide/mometasone 2105: 8: 2744:Budesonide/glycopyrronium bromide/formoterol 123: 32: 4370:Nicotinic acetylcholine receptor modulators 1336: 1334: 1332: 1330: 1328: 1326: 1324: 1322: 1320: 3946:3-Quinuclidinyl thiochromane-4-carboxylate 2913: 2909:Tooltip Muscarinic acetylcholine receptors 2884: 2870: 2862: 2580: 2151: 2112: 2098: 2090: 1996: 1994: 1751:: CS1 maint: location missing publisher ( 1065: 1063: 928:Adverse effects are mainly related to its 654: 631: 471: 2069: 2028: 2018: 1974: 1896: 1529: 1434: 498: 491: 1372:British national formulary : BNF 76 4418:Drugs developed by Boehringer Ingelheim 4392: 1059: 1032: 783: 757: 627: 451: 444: 339: 96: 2613:Arachidonate 5-lipoxygenase inhibitors 1744: 1401:. John Wiley & Sons. p. 447. 1149:Therapeutic Goods Administration (TGA) 1108:Therapeutic Goods Administration (TGA) 645: 31: 1429:. Geneva: World Health Organization. 895:chronic obstructive pulmonary disease 837:chronic obstructive pulmonary disease 593: 572: 565: 545: 538: 82: 7: 2809:Theophylline/ephedrine/phenobarbital 1481:"Tiotropium - Drug Usage Statistics" 1461:from the original on 15 January 2024 1352:from the original on 14 October 2018 1081:from the original on 31 January 2019 599: 346:3-oxa-9-azoniatricyclononane bromide 191: 2058:The New England Journal of Medicine 1716:from the original on 1 October 2021 1686:from the original on 1 October 2021 1656:from the original on 1 October 2021 1510:The New England Journal of Medicine 1305:from the original on 1 October 2021 1275:from the original on 1 October 2021 1245:from the original on 1 October 2021 1215:from the original on 1 October 2021 1185:from the original on 1 October 2021 1155:from the original on 1 October 2021 1114:from the original on 1 October 2021 518: 388: 2804:Theophylline/ephedrine/hydroxyzine 2769:Indacaterol/glycopyrronium bromide 25: 3608:Etybenzatropine (ethybenztropine) 3280:chlorphenamine (chlorpheniramine) 3264:Antihistamines (first-generation) 3041:Desmethylclozapine (norclozapine) 2893:Muscarinic acetylcholine receptor 2794:Salbutamol (albuterol)/budesonide 2764:Glycopyrronium bromide/formoterol 2759:Fluticasone propionate/salmeterol 2001:Dahl R, Kaplan A (October 2016). 1848:. 14 January 2010. Archived from 1071:"Tiotropium Use During Pregnancy" 866:medication and works by blocking 4395: 2631:Thromboxane receptor antagonists 1626:from the original on 19 May 2020 1044: 1035: 688: 679: 49: 40: 4329:Meclofenoxate (centrophenoxine) 4147:northiaden (desmethyldosulepin) 2814:Umeclidinium bromide/vilanterol 1395:Fischer J, Ganellin CR (2006). 831:among others, is a long-acting 802:Key:LERNTVKEWCAPOY-FPISHFTHSA-N 791:Key:DQHNAVOVODVIMG-RGECMCKFSA-M 685: 3786:N-Methyl-3-piperidyl benzilate 2784:Ipratropium bromide/salbutamol 2754:Fluticasone furoate/vilanterol 2369:Orciprenaline (metaproterenol) 901:or acute worsening of asthma. 697: 691: 673: 1: 4448:Quaternary ammonium compounds 4365:Receptor/signaling modulators 3781:N-Ethyl-3-piperidyl benzilate 2724:Aclidinium bromide/formoterol 2212:Levosalbutamol (levalbuterol) 1738:Australian Medicines Handbook 1556:(GOLD) 2020 Available from: 1398:Analogue-based Drug Discovery 4221:cyamemazine (cyamepromazine) 2359:Isoprenaline (isoproterenol) 1937:10.18773/austprescr.2003.015 1844:Food and Drug Administration 1104:"AusPAR: Tiotropium bromide" 1022:) and a dry powder inhaler ( 946:supraventricular tachycardia 827:, sold under the brand name 4035:Tetracyclic antidepressants 3926:Profenamine (ethopropazine) 3548:Dicycloverine (dicyclomine) 2334:+theophylline/phenobarbital 2122:obstructive airway diseases 899:acute exacerbations of COPD 4479: 4184:Tripitamine (tripitramine) 3408:Benzatropine (benztropine) 987:, often referred to as an 663:Chemical and physical data 4443:Drugs developed by Pfizer 4357: 4087:Tricyclic antidepressants 3637:+beclometasone/formoterol 3214:3-Quinuclidinyl benzilate 2822: 2020:10.1186/s12890-016-0291-4 1423:World Health Organization 810: 774: 748: 330: 48: 39: 4339:Phosphatidylethanolamine 2729:Beclometasone/formoterol 2338:theophylline/hydroxyzine 2278:Ultra-long-acting β 1816:10.1001/jama.300.12.1439 1780:10.1378/chest.130.6.1695 944:, palpitations (notably 910:long-acting beta-agonist 3563:Diphemanil metilsulfate 3418:Benzilylcholine mustard 3365:Atypical antipsychotics 2585:Leukotriene antagonists 885:million prescriptions. 4438:Muscarinic antagonists 4209:Typical antipsychotics 3981:Scopolamine (hyoscine) 3656:Hexahydrosiladifenidol 3633:Glycopyrronium bromide 2799:Theophylline/ephedrine 2779:Indacaterol/mometasone 2540:Choline theophyllinate 2459:Glycopyrronium bromide 2421:Fluticasone propionate 2208:Salbutamol (albuterol) 2007:BMC Pulmonary Medicine 942:angle closure glaucoma 940:, constipation, acute 934:adverse drug reactions 4324:Glycerophosphocholine 4127:dosulepin (dothiepin) 3931:Propantheline bromide 3806:Otenzepad (AF-DX 116) 3360:Atropine methonitrate 2789:Mometasone/formoterol 2739:Budesonide/formoterol 2489:Mast cell stabilizers 2446:muscarinic antagonist 2071:10.1056/NEJMoa1303342 1976:10.1253/circj.70.1658 1925:Australian Prescriber 1735:Rossi S, ed. (2006). 1590:10.1378/chest.14-1698 1522:10.1056/nejmoa0805800 1451:"The Top 300 of 2021" 952:) and allergy (rash, 4319:Dimethylethanolamine 4239:Umeclidinium bromide 4119:desmethyldesipramine 3836:Oxyphenonium bromide 3046:Ethoxysebacylcholine 2717:Combination products 2479:Umeclidinium bromide 1921:"Tiotropium bromide" 1563:12 July 2020 at the 1145:"Tiotropium bromide" 1110:. 29 November 2016. 4334:Phosphatidylcholine 3996:Sofpironium bromide 3881:Pipenzolate bromide 3691:Ipratropium bromide 3493:Cimetropium bromide 2464:Ipratropium bromide 2156:Short-acting β 1963:Circulation Journal 1931:(1). January 2003. 1682:. 14 January 2021. 1652:. 14 January 2021. 1211:. 14 January 2021. 1181:. 15 January 2019. 1014:Society and culture 982:muscarinic receptor 976:Mechanism of action 950:atrial fibrillation 240:(Prescription only) 227:(Prescription only) 173:inhalation by mouth 36: 4067:Tiotropium bromide 4062:Timepidium bromide 3821:Oxitropium bromide 3776:Muscarinic toxin 7 3651:Hexahydrodifenidol 3598:Emepronium bromide 3249:Ambutonium bromide 3224:Aclidinium bromide 2849:Never to phase III 2474:Tiotropium bromide 2469:Oxitropium bromide 2454:Aclidinium bromide 2232:Long-acting β 1852:on 2 November 2017 825:Tiotropium bromide 273:19.5% (inhalation) 125:Tiotropium bromide 34:Tiotropium bromide 4453:Tertiary alcohols 4383: 4382: 4344:Phosphorylcholine 4282: 4267: 4266: 4204:Trospium chloride 4099:amitriptylinoxide 4072:Tiquizium bromide 3916:Prifinium bromide 3811:Otilonium bromide 3766:Methylscopolamine 3761:Methylhomatropine 3618:Fentonium bromide 3498:Clidinium bromide 2859: 2858: 2676: 2675: 2382: 2381: 2064:(16): 1491–1501. 1969:(12): 1658–1660. 1889:10.1136/bmj.d3215 1810:(12): 1439–1450. 1516:(15): 1543–1554. 938:urinary retention 822: 821: 739:Interactive image 732:Interactive image 613:CompTox Dashboard 248: 235: 222: 150: 117: 16:(Redirected from 4470: 4400: 4399: 4398: 4391: 4276: 4057:Tiemonium iodide 4012: 4008: 3876:Phenyltoloxamine 3831:Oxyphencyclimine 3332:phenyltoloxamine 3136:Suberyldicholine 2914: 2910: 2906: 2886: 2879: 2872: 2863: 2581: 2441:Anticholinergics 2152: 2114: 2107: 2100: 2091: 2084: 2083: 2073: 2049: 2043: 2042: 2032: 2022: 1998: 1989: 1988: 1978: 1954: 1948: 1947: 1945: 1943: 1917: 1911: 1910: 1900: 1868: 1862: 1861: 1859: 1857: 1834: 1828: 1827: 1798: 1792: 1791: 1774:(6): 1695–1703. 1763: 1757: 1756: 1750: 1742: 1732: 1726: 1725: 1723: 1721: 1702: 1696: 1695: 1693: 1691: 1672: 1666: 1665: 1663: 1661: 1642: 1636: 1635: 1633: 1631: 1625: 1618: 1608: 1602: 1601: 1573: 1567: 1550: 1544: 1543: 1533: 1505: 1496: 1495: 1493: 1491: 1477: 1471: 1470: 1468: 1466: 1447: 1441: 1440: 1438: 1419: 1413: 1412: 1392: 1386: 1385: 1368: 1362: 1361: 1359: 1357: 1338: 1315: 1314: 1312: 1310: 1291: 1285: 1284: 1282: 1280: 1261: 1255: 1254: 1252: 1250: 1231: 1225: 1224: 1222: 1220: 1201: 1195: 1194: 1192: 1190: 1171: 1165: 1164: 1162: 1160: 1141: 1135: 1130: 1124: 1123: 1121: 1119: 1100: 1091: 1090: 1088: 1086: 1067: 1048: 1039: 980:Tiotropium is a 932:effects. Common 884: 818: 817: 741: 734: 714: 699: 693: 690: 687: 681: 675: 658: 647: 636: 635: 621: 619: 603: 597: 576: 569: 549: 542: 522: 502: 495: 475: 455: 448: 428: 408: 401: 391: 390: 367: 344:7--9,9-dimethyl- 305: 246: 243: 233: 230: 220: 217: 195: 148: 145: 127: 116: 113: 100: 86: 53: 44: 37: 35: 21: 4478: 4477: 4473: 4472: 4471: 4469: 4468: 4467: 4428:Bronchodilators 4408: 4407: 4406: 4396: 4394: 4386: 4384: 4379: 4353: 4275: 4263: 4217:chlorprothixene 4174:Trihexyphenidyl 4010: 3991:Silahexacyclium 3871:Phenglutarimide 3533:Desfesoterodine 3513:Cyclobenzaprine 3304:diphenhydramine 3268:brompheniramine 3200: 3151:Thiopilocarpine 2908: 2898: 2890: 2860: 2855: 2854: 2839:Clinical trials 2818: 2712: 2672: 2655:PDE4 inhibitors 2648: 2625: 2607: 2569: 2506: 2483: 2444: 2435: 2388:Glucocorticoids 2378: 2364:Methylephedrine 2314: 2281: 2272: 2235: 2226: 2159: 2137: 2118: 2088: 2087: 2051: 2050: 2046: 2000: 1999: 1992: 1956: 1955: 1951: 1941: 1939: 1919: 1918: 1914: 1870: 1869: 1865: 1855: 1853: 1836: 1835: 1831: 1800: 1799: 1795: 1765: 1764: 1760: 1743: 1734: 1733: 1729: 1719: 1717: 1704: 1703: 1699: 1689: 1687: 1674: 1673: 1669: 1659: 1657: 1644: 1643: 1639: 1629: 1627: 1623: 1616: 1610: 1609: 1605: 1575: 1574: 1570: 1565:Wayback Machine 1551: 1547: 1507: 1506: 1499: 1489: 1487: 1479: 1478: 1474: 1464: 1462: 1449: 1448: 1444: 1421: 1420: 1416: 1409: 1394: 1393: 1389: 1382: 1370: 1369: 1365: 1355: 1353: 1340: 1339: 1318: 1308: 1306: 1293: 1292: 1288: 1278: 1276: 1263: 1262: 1258: 1248: 1246: 1241:. 2 June 2021. 1233: 1232: 1228: 1218: 1216: 1203: 1202: 1198: 1188: 1186: 1173: 1172: 1168: 1158: 1156: 1143: 1142: 1138: 1131: 1127: 1117: 1115: 1102: 1101: 1094: 1084: 1082: 1069: 1068: 1061: 1056: 1049: 1040: 1016: 1008:bronchodilatory 1000: 993:anticholinergic 978: 926: 924:Adverse effects 891: 882: 864:anticholinergic 856:QT prolongation 813: 811: 806: 803: 798: 795: 792: 787: 782: 781: 770: 767: 764: 761: 756: 755: 744: 712: 702: 696: 684: 678: 639: 615: 607: 579: 552: 525: 505: 478: 458: 431: 411: 387: 379: 368: 350: 347: 345: 343: 338: 337: 303: 287: 269:Bioavailability 261:Pharmacokinetic 255: 199: 163: 156: 137: 130: 68:Spiriva, others 28: 23: 22: 15: 12: 11: 5: 4476: 4474: 4466: 4465: 4460: 4455: 4450: 4445: 4440: 4435: 4430: 4425: 4420: 4410: 4409: 4405: 4404: 4381: 4380: 4378: 4377: 4372: 4367: 4362: 4358: 4355: 4354: 4352: 4351: 4346: 4341: 4336: 4331: 4326: 4321: 4316: 4311: 4306: 4296: 4291: 4285: 4283: 4269: 4268: 4265: 4264: 4262: 4261: 4256: 4251: 4246: 4236: 4213:chlorpromazine 4206: 4201: 4196: 4191: 4186: 4181: 4176: 4171: 4166: 4084: 4079: 4074: 4069: 4064: 4059: 4054: 4032: 4027: 4022: 4003: 3998: 3993: 3988: 3983: 3978: 3973: 3968: 3963: 3958: 3953: 3948: 3943: 3938: 3933: 3928: 3923: 3918: 3913: 3908: 3903: 3898: 3893: 3888: 3883: 3878: 3873: 3868: 3863: 3858: 3853: 3848: 3843: 3838: 3833: 3828: 3823: 3818: 3816:Oxapium iodide 3813: 3808: 3803: 3798: 3793: 3788: 3783: 3778: 3773: 3768: 3763: 3758: 3756:Methylatropine 3753: 3748: 3743: 3738: 3733: 3728: 3723: 3718: 3713: 3708: 3703: 3698: 3688: 3683: 3678: 3673: 3668: 3663: 3658: 3653: 3648: 3630: 3625: 3620: 3615: 3610: 3605: 3600: 3595: 3590: 3585: 3580: 3575: 3570: 3565: 3560: 3555: 3550: 3545: 3540: 3535: 3530: 3525: 3520: 3518:Cyclopentolate 3515: 3510: 3505: 3500: 3495: 3490: 3485: 3480: 3475: 3470: 3465: 3460: 3455: 3450: 3445: 3440: 3435: 3430: 3425: 3420: 3415: 3410: 3405: 3400: 3362: 3357: 3352: 3347: 3296:dimenhydrinate 3292:cyproheptadine 3261: 3256: 3251: 3246: 3241: 3236: 3231: 3221: 3216: 3210: 3208: 3202: 3201: 3199: 3198: 3193: 3188: 3183: 3178: 3173: 3168: 3163: 3158: 3153: 3148: 3143: 3138: 3133: 3131:Sebacylcholine 3128: 3123: 3118: 3113: 3108: 3103: 3098: 3093: 3088: 3083: 3078: 3073: 3068: 3063: 3058: 3053: 3048: 3043: 3038: 3033: 3028: 3023: 3018: 3013: 3008: 3003: 2998: 2993: 2988: 2986:Butyrylcholine 2983: 2978: 2973: 2968: 2963: 2958: 2953: 2948: 2943: 2938: 2933: 2928: 2922: 2920: 2911: 2900: 2899: 2891: 2889: 2888: 2881: 2874: 2866: 2857: 2856: 2853: 2852: 2851: 2850: 2847: 2836: 2830: 2824: 2823: 2820: 2819: 2817: 2816: 2811: 2806: 2801: 2796: 2791: 2786: 2781: 2776: 2771: 2766: 2761: 2756: 2751: 2746: 2741: 2736: 2731: 2726: 2720: 2718: 2714: 2713: 2711: 2710: 2705: 2700: 2695: 2690: 2684: 2682: 2681:Others/unknown 2678: 2677: 2674: 2673: 2671: 2670: 2665: 2659: 2657: 2650: 2649: 2647: 2646: 2641: 2635: 2633: 2627: 2626: 2624: 2623: 2617: 2615: 2609: 2608: 2606: 2605: 2600: 2595: 2589: 2587: 2578: 2571: 2570: 2568: 2567: 2562: 2557: 2552: 2547: 2542: 2537: 2532: 2527: 2522: 2516: 2514: 2508: 2507: 2505: 2504: 2499: 2493: 2491: 2485: 2484: 2482: 2481: 2476: 2471: 2466: 2461: 2456: 2450: 2448: 2437: 2436: 2434: 2433: 2428: 2423: 2418: 2413: 2408: 2403: 2398: 2392: 2390: 2384: 2383: 2380: 2379: 2377: 2376: 2371: 2366: 2361: 2356: 2351: 2346: 2341: 2322: 2320: 2316: 2315: 2313: 2312: 2307: 2302: 2297: 2292: 2286: 2284: 2279: 2274: 2273: 2271: 2270: 2265: 2260: 2251: 2246: 2240: 2238: 2233: 2228: 2227: 2225: 2224: 2219: 2214: 2205: 2200: 2195: 2190: 2185: 2180: 2175: 2170: 2164: 2162: 2157: 2149: 2139: 2138: 2119: 2117: 2116: 2109: 2102: 2094: 2086: 2085: 2044: 1990: 1949: 1912: 1863: 1829: 1793: 1758: 1727: 1697: 1667: 1637: 1619:. GOLD. 2020. 1603: 1584:(2): 388–396. 1568: 1545: 1497: 1472: 1442: 1414: 1407: 1387: 1380: 1363: 1316: 1286: 1256: 1226: 1196: 1166: 1136: 1125: 1092: 1058: 1057: 1055: 1052: 1051: 1050: 1043: 1041: 1034: 1015: 1012: 998: 989:antimuscarinic 977: 974: 930:antimuscarinic 925: 922: 920:among others. 890: 887: 833:bronchodilator 820: 819: 808: 807: 805: 804: 801: 799: 796: 793: 790: 788: 785: 777: 776: 775: 772: 771: 769: 768: 765: 762: 759: 751: 750: 749: 746: 745: 743: 742: 735: 727: 725: 717: 716: 710: 704: 703: 700: 694: 682: 676: 671: 665: 664: 660: 659: 649: 641: 640: 638: 637: 624: 622: 609: 608: 606: 605: 589: 587: 581: 580: 578: 577: 570: 562: 560: 554: 553: 551: 550: 543: 535: 533: 527: 526: 524: 523: 515: 513: 507: 506: 504: 503: 496: 488: 486: 480: 479: 477: 476: 468: 466: 460: 459: 457: 456: 449: 441: 439: 433: 432: 430: 429: 421: 419: 413: 412: 410: 409: 402: 394: 392: 381: 380: 378: 377: 360: 358: 352: 351: 349: 348: 342:(1α,2β,4β,7β)- 341: 333: 332: 331: 328: 327: 323: 322: 317: 311: 310: 307: 298: 297: 281: 275: 274: 271: 265: 264: 257: 256: 254: 253: 241: 228: 214: 212: 206: 205: 201: 200: 198: 197: 184: 182: 176: 175: 166: 164:administration 158: 157: 155: 154: 152: 142: 140: 132: 131: 129: 128: 110: 108: 102: 101: 94: 88: 87: 80: 70: 69: 66: 60: 59: 55: 54: 46: 45: 26: 24: 14: 13: 10: 9: 6: 4: 3: 2: 4475: 4464: 4461: 4459: 4456: 4454: 4451: 4449: 4446: 4444: 4441: 4439: 4436: 4434: 4431: 4429: 4426: 4424: 4421: 4419: 4416: 4415: 4413: 4403: 4393: 4389: 4376: 4373: 4371: 4368: 4366: 4363: 4360: 4359: 4356: 4350: 4347: 4345: 4342: 4340: 4337: 4335: 4332: 4330: 4327: 4325: 4322: 4320: 4317: 4315: 4312: 4310: 4307: 4304: 4300: 4297: 4295: 4292: 4290: 4287: 4286: 4284: 4280: 4274: 4270: 4260: 4257: 4255: 4252: 4250: 4247: 4244: 4240: 4237: 4234: 4230: 4226: 4222: 4218: 4214: 4210: 4207: 4205: 4202: 4200: 4197: 4195: 4192: 4190: 4187: 4185: 4182: 4180: 4177: 4175: 4172: 4170: 4169:Tridihexethyl 4167: 4164: 4160: 4156: 4155:protriptyline 4152: 4151:nortriptyline 4148: 4144: 4143:nitroxazepine 4140: 4136: 4132: 4128: 4124: 4120: 4116: 4112: 4108: 4104: 4100: 4096: 4095:+perphenazine 4092: 4091:amitriptyline 4088: 4085: 4083: 4080: 4078: 4075: 4073: 4070: 4068: 4065: 4063: 4060: 4058: 4055: 4052: 4048: 4044: 4040: 4036: 4033: 4031: 4028: 4026: 4023: 4020: 4016: 4009: 4004: 4002: 3999: 3997: 3994: 3992: 3989: 3987: 3984: 3982: 3979: 3977: 3974: 3972: 3969: 3967: 3964: 3962: 3959: 3957: 3954: 3952: 3949: 3947: 3944: 3942: 3939: 3937: 3934: 3932: 3929: 3927: 3924: 3922: 3919: 3917: 3914: 3912: 3909: 3907: 3904: 3902: 3899: 3897: 3894: 3892: 3889: 3887: 3884: 3882: 3879: 3877: 3874: 3872: 3869: 3867: 3864: 3862: 3859: 3857: 3854: 3852: 3849: 3847: 3844: 3842: 3839: 3837: 3834: 3832: 3829: 3827: 3824: 3822: 3819: 3817: 3814: 3812: 3809: 3807: 3804: 3802: 3799: 3797: 3794: 3792: 3789: 3787: 3784: 3782: 3779: 3777: 3774: 3772: 3769: 3767: 3764: 3762: 3759: 3757: 3754: 3752: 3751:Methoctramine 3749: 3747: 3746:Methantheline 3744: 3742: 3739: 3737: 3734: 3732: 3729: 3727: 3724: 3722: 3721:Mamba toxin 7 3719: 3717: 3716:Mamba toxin 3 3714: 3712: 3709: 3707: 3704: 3702: 3699: 3696: 3692: 3689: 3687: 3684: 3682: 3679: 3677: 3674: 3672: 3669: 3667: 3664: 3662: 3659: 3657: 3654: 3652: 3649: 3646: 3642: 3638: 3634: 3631: 3629: 3626: 3624: 3621: 3619: 3616: 3614: 3613:Fenpiverinium 3611: 3609: 3606: 3604: 3601: 3599: 3596: 3594: 3591: 3589: 3586: 3584: 3581: 3579: 3576: 3574: 3571: 3569: 3566: 3564: 3561: 3559: 3556: 3554: 3551: 3549: 3546: 3544: 3541: 3539: 3536: 3534: 3531: 3529: 3526: 3524: 3521: 3519: 3516: 3514: 3511: 3509: 3506: 3504: 3501: 3499: 3496: 3494: 3491: 3489: 3486: 3484: 3481: 3479: 3476: 3474: 3471: 3469: 3466: 3464: 3461: 3459: 3456: 3454: 3451: 3449: 3446: 3444: 3441: 3439: 3436: 3434: 3431: 3429: 3426: 3424: 3421: 3419: 3416: 3414: 3411: 3409: 3406: 3404: 3401: 3398: 3394: 3390: 3386: 3382: 3378: 3374: 3370: 3366: 3363: 3361: 3358: 3356: 3353: 3351: 3348: 3345: 3341: 3337: 3333: 3329: 3325: 3321: 3317: 3313: 3309: 3305: 3301: 3297: 3293: 3289: 3285: 3281: 3277: 3273: 3269: 3265: 3262: 3260: 3257: 3255: 3252: 3250: 3247: 3245: 3242: 3240: 3237: 3235: 3232: 3229: 3225: 3222: 3220: 3217: 3215: 3212: 3211: 3209: 3207: 3203: 3197: 3194: 3192: 3189: 3187: 3184: 3182: 3179: 3177: 3174: 3172: 3169: 3167: 3164: 3162: 3159: 3157: 3154: 3152: 3149: 3147: 3144: 3142: 3139: 3137: 3134: 3132: 3129: 3127: 3124: 3122: 3119: 3117: 3114: 3112: 3109: 3107: 3104: 3102: 3099: 3097: 3094: 3092: 3089: 3087: 3084: 3082: 3079: 3077: 3074: 3072: 3069: 3067: 3064: 3062: 3059: 3057: 3054: 3052: 3049: 3047: 3044: 3042: 3039: 3037: 3034: 3032: 3031:cis-Dioxolane 3029: 3027: 3024: 3022: 3019: 3017: 3014: 3012: 3009: 3007: 3004: 3002: 2999: 2997: 2994: 2992: 2989: 2987: 2984: 2982: 2979: 2977: 2974: 2972: 2969: 2967: 2964: 2962: 2959: 2957: 2954: 2952: 2949: 2947: 2946:Acetylcholine 2944: 2942: 2939: 2937: 2934: 2932: 2929: 2927: 2924: 2923: 2921: 2919: 2915: 2912: 2907: 2901: 2897: 2894: 2887: 2882: 2880: 2875: 2873: 2868: 2867: 2864: 2848: 2846: 2843: 2842: 2840: 2837: 2834: 2831: 2829: 2826: 2825: 2821: 2815: 2812: 2810: 2807: 2805: 2802: 2800: 2797: 2795: 2792: 2790: 2787: 2785: 2782: 2780: 2777: 2775: 2772: 2770: 2767: 2765: 2762: 2760: 2757: 2755: 2752: 2750: 2747: 2745: 2742: 2740: 2737: 2735: 2732: 2730: 2727: 2725: 2722: 2721: 2719: 2715: 2709: 2706: 2704: 2701: 2699: 2696: 2694: 2691: 2689: 2686: 2685: 2683: 2679: 2669: 2666: 2664: 2661: 2660: 2658: 2656: 2653:Non-xanthine 2651: 2645: 2642: 2640: 2637: 2636: 2634: 2632: 2628: 2622: 2619: 2618: 2616: 2614: 2610: 2604: 2601: 2599: 2596: 2594: 2591: 2590: 2588: 2586: 2582: 2579: 2576: 2572: 2566: 2563: 2561: 2560:Proxyphylline 2558: 2556: 2555:Etamiphylline 2553: 2551: 2548: 2546: 2543: 2541: 2538: 2536: 2533: 2531: 2530:Aminophylline 2528: 2526: 2523: 2521: 2518: 2517: 2515: 2513: 2509: 2503: 2500: 2498: 2495: 2494: 2492: 2490: 2486: 2480: 2477: 2475: 2472: 2470: 2467: 2465: 2462: 2460: 2457: 2455: 2452: 2451: 2449: 2447: 2442: 2438: 2432: 2431:Triamcinolone 2429: 2427: 2424: 2422: 2419: 2417: 2414: 2412: 2409: 2407: 2404: 2402: 2401:Betamethasone 2399: 2397: 2396:Beclometasone 2394: 2393: 2391: 2389: 2385: 2375: 2372: 2370: 2367: 2365: 2362: 2360: 2357: 2355: 2354:Hexoprenaline 2352: 2350: 2347: 2345: 2342: 2339: 2335: 2331: 2330:+theophylline 2327: 2324: 2323: 2321: 2317: 2311: 2308: 2306: 2303: 2301: 2298: 2296: 2293: 2291: 2288: 2287: 2285: 2283: 2275: 2269: 2266: 2264: 2261: 2259: 2255: 2252: 2250: 2247: 2245: 2242: 2241: 2239: 2237: 2229: 2223: 2220: 2218: 2215: 2213: 2209: 2206: 2204: 2201: 2199: 2196: 2194: 2191: 2189: 2186: 2184: 2181: 2179: 2176: 2174: 2171: 2169: 2166: 2165: 2163: 2161: 2153: 2150: 2148: 2144: 2140: 2135: 2131: 2127: 2123: 2115: 2110: 2108: 2103: 2101: 2096: 2095: 2092: 2081: 2077: 2072: 2067: 2063: 2059: 2055: 2048: 2045: 2040: 2036: 2031: 2026: 2021: 2016: 2012: 2008: 2004: 1997: 1995: 1991: 1986: 1982: 1977: 1972: 1968: 1964: 1960: 1953: 1950: 1938: 1934: 1930: 1926: 1922: 1916: 1913: 1908: 1904: 1899: 1894: 1890: 1886: 1882: 1878: 1874: 1867: 1864: 1851: 1847: 1845: 1839: 1833: 1830: 1825: 1821: 1817: 1813: 1809: 1805: 1797: 1794: 1789: 1785: 1781: 1777: 1773: 1769: 1762: 1759: 1754: 1748: 1740: 1739: 1731: 1728: 1715: 1711: 1707: 1701: 1698: 1685: 1681: 1677: 1671: 1668: 1655: 1651: 1647: 1641: 1638: 1622: 1615: 1614: 1607: 1604: 1599: 1595: 1591: 1587: 1583: 1579: 1572: 1569: 1566: 1562: 1559: 1555: 1549: 1546: 1541: 1537: 1532: 1527: 1523: 1519: 1515: 1511: 1504: 1502: 1498: 1486: 1482: 1476: 1473: 1460: 1456: 1452: 1446: 1443: 1437: 1432: 1428: 1424: 1418: 1415: 1410: 1408:9783527607495 1404: 1400: 1399: 1391: 1388: 1383: 1381:9780857113382 1377: 1373: 1367: 1364: 1351: 1347: 1343: 1337: 1335: 1333: 1331: 1329: 1327: 1325: 1323: 1321: 1317: 1304: 1300: 1296: 1290: 1287: 1274: 1270: 1266: 1260: 1257: 1244: 1240: 1236: 1230: 1227: 1214: 1210: 1206: 1200: 1197: 1184: 1180: 1176: 1170: 1167: 1154: 1150: 1146: 1140: 1137: 1134: 1129: 1126: 1113: 1109: 1105: 1099: 1097: 1093: 1080: 1076: 1072: 1066: 1064: 1060: 1053: 1047: 1042: 1038: 1033: 1031: 1029: 1025: 1021: 1013: 1011: 1009: 1005: 1004:smooth muscle 1001: 994: 990: 986: 983: 975: 973: 971: 966: 961: 959: 955: 951: 947: 943: 939: 935: 931: 923: 921: 919: 915: 911: 907: 902: 900: 896: 888: 886: 880: 875: 873: 872:smooth muscle 869: 868:acetylcholine 865: 861: 857: 853: 849: 844: 842: 838: 834: 830: 826: 816: 809: 800: 794: 789: 784: 780: 773: 763: 758: 754: 747: 740: 736: 733: 729: 728: 726: 723: 718: 711: 709: 705: 672: 670: 666: 661: 657: 653: 650: 648: 646:ECHA InfoCard 642: 634: 630: 629:DTXSID5044281 626: 625: 623: 614: 610: 602: 601:RCSB PDB 596: 591: 590: 588: 586: 582: 575: 574:ChEMBL1900528 571: 568: 567:ChEMBL3545181 564: 563: 561: 559: 555: 548: 544: 541: 537: 536: 534: 532: 528: 521: 517: 516: 514: 512: 508: 501: 497: 494: 490: 489: 487: 485: 481: 474: 470: 469: 467: 465: 461: 454: 450: 447: 443: 442: 440: 438: 434: 427: 423: 422: 420: 418: 414: 407: 403: 400: 396: 395: 393: 386: 382: 375: 371: 366: 362: 361: 359: 357: 353: 340: 336: 329: 324: 321: 318: 316: 312: 308: 306: 299: 295: 291: 285: 282: 280: 276: 272: 270: 266: 262: 258: 252: 242: 239: 229: 226: 216: 215: 213: 211: 207: 202: 194: 189: 186: 185: 183: 181: 177: 174: 170: 167: 165: 159: 153: 144: 143: 141: 139: 133: 126: 121: 112: 111: 109: 107: 103: 99: 95: 93: 89: 85: 81: 79: 75: 71: 67: 65: 61: 58:Clinical data 56: 52: 47: 43: 38: 30: 19: 4233:thioridazine 4229:mesoridazine 4163:trimipramine 4159:quinupramine 4111:clomipramine 4103:butriptyline 4066: 3921:Procyclidine 3886:Piperidolate 3801:Orphenadrine 3701:Isopropamide 3686:Imidafenacin 3645:+neostigmine 3641:+indacaterol 3623:Fesoterodine 3553:Dihexyverine 3503:Cloperastine 3373:fluperlapine 3344:triprolidine 3340:propiomazine 3336:promethazine 3324:phenindamine 3141:Talsaclidine 3101:Oxotremorine 3076:Methacholine 3066:LY-2,033,298 2693:Ensifentrine 2565:Theophylline 2550:Enprofylline 2525:Ambuphylline 2497:Cromoglicate 2473: 2374:Racephedrine 2258:Arformoterol 2061: 2057: 2047: 2010: 2006: 1966: 1962: 1952: 1940:. Retrieved 1928: 1924: 1915: 1880: 1876: 1866: 1854:. Retrieved 1850:the original 1841: 1832: 1807: 1803: 1796: 1771: 1767: 1761: 1737: 1730: 1720:30 September 1718:. Retrieved 1709: 1700: 1690:30 September 1688:. Retrieved 1679: 1670: 1660:30 September 1658:. Retrieved 1649: 1640: 1628:. Retrieved 1612: 1606: 1581: 1577: 1571: 1548: 1513: 1509: 1488:. Retrieved 1484: 1475: 1463:. Retrieved 1454: 1445: 1436:10665/325771 1426: 1417: 1397: 1390: 1371: 1366: 1354:. Retrieved 1345: 1309:30 September 1307:. Retrieved 1298: 1289: 1279:30 September 1277:. Retrieved 1268: 1259: 1249:30 September 1247:. Retrieved 1238: 1229: 1219:30 September 1217:. Retrieved 1208: 1199: 1189:30 September 1187:. Retrieved 1178: 1169: 1159:30 September 1157:. Retrieved 1148: 1139: 1128: 1118:30 September 1116:. Retrieved 1107: 1083:. Retrieved 1074: 1023: 1019: 1017: 979: 962: 927: 917: 913: 903: 892: 889:Medical uses 876: 852:bronchospasm 850:, worsening 845: 828: 824: 823: 812:   446:DBSALT000348 302:Elimination 210:Legal status 204:Legal status 106:License data 29: 4349:Pirisudanol 4314:Cyprodenate 4294:Adafenoxate 4259:Zamifenacin 4243:+vilanterol 4199:Tropicamide 4194:Tropatepine 4179:Trimebutine 4139:lofepramine 4115:desipramine 4082:Tolterodine 4051:mirtazapine 4043:maprotiline 4025:Telenzepine 4001:Solifenacin 3976:SCH-217,443 3951:Revefenacin 3936:Propiverine 3896:Piroheptine 3891:Pirenzepine 3856:Penthienate 3741:Mepenzolate 3736:Meladrazine 3711:Hyoscyamine 3695:+salbutamol 3681:Homatropine 3666:Hexocyclium 3523:Darifenacin 3483:CAR-302,668 3478:CAR-302,537 3473:CAR-302,368 3468:CAR-302,282 3463:CAR-302,196 3458:CAR-301,060 3453:CAR-226,086 3423:Benzydamine 3403:Benactyzine 3381:+fluoxetine 3328:pheniramine 3316:mequitazine 3300:dimetindene 3284:cinnarizine 3254:Anisodamine 3228:+formoterol 3206:Antagonists 3186:WAY-132,983 3156:Vedaclidine 3126:SDZ 210-086 3121:Sabcomeline 3111:Pilocarpine 2981:Bethanechol 2835:from market 2668:Roflumilast 2644:Seratrodast 2603:Zafirlukast 2593:Montelukast 2545:Doxofylline 2535:Bamifylline 2416:Flunisolide 2411:Ciclesonide 2344:Epinephrine 2300:Indacaterol 2249:Clenbuterol 2222:Tulobuterol 2217:Terbutaline 2143:Adrenergics 1856:20 December 1741:. Adelaide. 1531:2437/111564 965:ipratropium 958:anaphylaxis 839:(COPD) and 715: g·mol 652:100.234.575 547:CHEBI:90960 540:CHEBI:90959 370:186691-13-4 365:136310-93-5 326:Identifiers 92:MedlinePlus 64:Trade names 4458:Thiophenes 4412:Categories 4309:Citicoline 4289:Acetyl-coA 4273:Precursors 4254:Xanomeline 4135:imipramine 4123:dibenzepin 4030:Terodiline 4019:paroxetine 4015:femoxetine 3971:SCH-72,788 3966:SCH-57,790 3956:Rociverine 3851:PD-0298029 3846:PD-102,807 3826:Oxybutynin 3731:Mebeverine 3676:HL-031,120 3661:Hexbutinol 3603:Etanautine 3558:Difemerine 3538:Dexetimide 3488:Caramiphen 3443:Bornaprine 3393:tenilapine 3389:quetiapine 3377:olanzapine 3308:doxylamine 3288:clemastine 3276:captodiame 3234:Abediterol 3191:Xanomeline 3181:VU-0238429 3176:VU-0152100 3171:VU-0152099 3166:VU-0090157 3161:VU-0029767 3146:Tazomeline 3106:PD-151,832 3096:Ocvimeline 3081:Milameline 3056:LY-593,039 3021:Cevimeline 2966:Alvameline 2941:Aceclidine 2936:AC-260,584 2926:77-LH-28-1 2896:modulators 2708:Omalizumab 2703:Fenspiride 2639:Ramatroban 2598:Pranlukast 2577:inhibition 2575:Eicosanoid 2520:Acefylline 2502:Nedocromil 2426:Mometasone 2406:Budesonide 2349:Etafedrine 2310:Vilanterol 2305:Olodaterol 2295:Carmoterol 2290:Abediterol 2268:Salmefamol 2263:Salmeterol 2254:Formoterol 2244:Bambuterol 2198:Reproterol 2193:Procaterol 2188:Pirbuterol 2183:Isoetarine 2173:Carbuterol 2168:Bitolterol 2120:Drugs for 2013:(1): 135. 1490:14 January 1465:14 January 1356:31 January 1085:31 January 1054:References 1024:HandiHaler 985:antagonist 954:angioedema 906:olodaterol 870:action on 848:angioedema 720:3D model ( 708:Molar mass 585:PDB ligand 500:0EB439235F 493:XX112XZP0J 464:ChemSpider 417:IUPHAR/BPS 356:CAS Number 335:IUPAC name 279:Metabolism 18:Tiotropium 4189:Tropacine 4107:cidoxepin 4077:Tofenacin 4047:mianserin 4039:amoxapine 3961:RU-47,213 3941:Quinidine 3901:Pizotifen 3861:Pethidine 3726:Mazaticol 3706:J-104,129 3671:Himbacine 3628:Flavoxate 3573:Drofenine 3448:Camylofin 3438:Biperiden 3413:Benzilone 3369:clozapine 3350:AQ-RA 741 3320:perlapine 3312:meclizine 3272:buclizine 3259:Anisodine 3244:AF-DX 384 3239:AF-DX 250 3086:Muscarine 3061:L-689,660 3051:Itameline 3036:Clozapine 2991:Carbachol 2976:Arecoline 2845:Phase III 2833:Withdrawn 2698:Eprozinol 2688:Amlexanox 2663:Ibudilast 2512:Xanthines 2326:Ephedrine 2203:Rimiterol 2178:Fenoterol 2147:inhalants 1883:: d3215. 1747:cite book 1346:Drugs.com 1075:Drugs.com 1028:mortality 860:pregnancy 315:Excretion 304:half-life 162:Routes of 136:Pregnancy 84:Monograph 78:Drugs.com 4433:Epoxides 4423:Bromides 4402:Medicine 4361:See also 4303:lecithin 4279:prodrugs 4249:WIN-2299 4225:loxapine 3911:Pridinol 3771:Metixene 3528:DAU-5884 3508:CS-27349 3428:Bevonium 3397:zotepine 3385:rilapine 3355:Atropine 3016:CDD-0102 3011:CDD-0098 3006:CDD-0097 3001:CDD-0078 2996:CDD-0034 2971:AQRA-741 2956:AF150(S) 2918:Agonists 2621:Zileuton 2282:agonists 2236:agonists 2160:agonists 2080:23992515 2039:27724909 1985:17127817 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2905:mAChRs 2828:WHO-EM 2126:asthma 2078:  2037:  2027:  1983:  1905:  1895:  1822:  1786:  1630:10 May 1596:  1538:  1405:  1378:  883:  854:, and 841:asthma 753:SMILES 713:472.41 558:ChEMBL 520:D01929 374:cation 320:Kidney 294:CYP3A4 290:CYP2D6 251:℞-only 249: 236: 223: 118:  4277:(and 4007:SSRIs 2931:AC-42 2319:Other 1846:(FDA) 1842:U.S. 1768:Chest 1680:(emc) 1650:(emc) 1624:(PDF) 1617:(PDF) 1578:Chest 1239:(emc) 1209:(emc) 1179:(emc) 779:InChI 722:JSmol 592:0HK ( 531:ChEBI 284:Liver 3841:PBID 3543:DIBD 3116:RS86 2951:AF30 2130:COPD 2076:PMID 2035:PMID 1981:PMID 1944:2024 1903:PMID 1858:2019 1820:PMID 1804:JAMA 1784:PMID 1753:link 1722:2021 1692:2021 1662:2021 1632:2020 1594:PMID 1536:PMID 1492:2024 1467:2024 1403:ISBN 1376:ISBN 1358:2019 1311:2021 1281:2021 1251:2021 1221:2021 1191:2021 1161:2021 1120:2021 1087:2019 948:and 916:and 908:, a 595:PDBe 511:KEGG 484:UNII 263:data 74:AHFS 4097:), 3383:), 2134:R03 2066:doi 2062:369 2025:PMC 2015:doi 1971:doi 1933:doi 1893:PMC 1885:doi 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Index

Tiotropium


Trade names
AHFS
Drugs.com
Monograph
MedlinePlus
a604018
License data
DailyMed
Tiotropium bromide
Pregnancy
category

Routes of
administration

By mouth
inhalation by mouth
ATC code
R03BB04
WHO
Legal status
S4
POM
℞-only
Pharmacokinetic
Bioavailability
Metabolism
Liver
CYP2D6
CYP3A4
Elimination half-life

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