يستعمل دواء سيبلا-تروبيوم 18 ميكروجرام مسحوق جاف متعدد الاستعمالات للاستنشاق عن طريق الفمcipla-tropium 18 mcg multihaler dry powder for oral inhalation bronchodilator bronchodilator

about tiotropium -anticholinergic(muscarinic antagonist) bronchodilator thiophene antiasthma in copd. -mechanism of action of tiotropium -tiotropium selectively acts on bronchial muscle by binding very tightly to bronchial m1/m3 muscarinic receptors and produces long lasting bronchodilatation. it inhibits vagally mediated reflexes by antagonizing the actions of acetylcholine. it prevents the acetylcholine mediated increase in intracellular cyclic gmp concentration that results from interaction of acetylcholine with muscarinic receptor on bronchial smooth muscle. it does not depress the muco-ciliary clearance by bronchial epithelium. it blocks the cholinergic constrictor tone and acts primarily in the larger airways. -indications for tiotropium -1. chronic obstructive pulmonary diseases -2. bronchospasm -3. chronic bronchitis -4. emphysema -typical dosage for tiotropium -inhalation: contents of one dp-cap (18mcg) once daily; inhaled with the revolizer device