Key to symbols
The medicine should be initiated by, or on the advice of a specialist, but is suitable for continuation by a GP
The medicine should only be used and prescribed by a specialist
Indicates the preferred choice within a class or group of medicines
3.1. Bronchodilators
3.1.2. Antimuscarinic bronchodilators
Preferred List
TIOTROPIUM (dry powder inhaler)
Restrictions:
For use as a maintenance bronchodilator in COPD. Preferred List use of tiotropium only relates to use in COPD.
Prescribing Notes:
Preferred brand and device:
- Tiogiva®
To prevent confusion, prescribe inhaler devices by brand name.
TIOTROPIUM (SPIRIVA RESPIMAT) (soft mist inhaler)
Restrictions:
COPD
- Use as a maintenance bronchodilator in COPD.
Asthma
- Consider as add-on treatment in adults on medium to high dose ICS with a history of exacerbation (one course of oral steroids for a severe exacerbation in the last year) or persistent airflow obstruction.
Prescribing Notes:
To prevent confusion, prescribe inhaler devices by brand name.
UMECLIDINIUM (Incruse Ellipta) (dry powder inhaler)
Prescribing Notes:
For use as maintenance bronchodilator in COPD.
To prevent confusion, prescribe inhaler devices by brand name.