Tiotropium (as bromide)
Consumer Medicine Information
What is in this leaflet
This leaflet answers some common questions about Braltus. Braltus capsules are supplied
with a Zonda inhaler.
It does not contain all the available information. It does not take the place of
talking to your doctor or pharmacist.
All medicines have risks and benefits.
Your doctor has weighed the risks of you taking Braltus against the benefits they
expect it will have for you.
If you have any concerns about taking this medicine, ask your doctor or pharmacist.
Keep this leaflet.
You may need to read it again.
What Braltus is used for
Braltus is used to make breathing easier for people with chronic obstructive pulmonary
This helps to improve your condition and to prevent exacerbations (periodic worsening
of symptoms) from occurring.
Braltus improves breathing by relaxing the air passages that carry air to and from
the lungs. It begins to act within 30 minutes after use and the effect should last
a full day.
Braltus contains the active ingredient tiotropium (as bromide). It belongs to a group
of medicines called anticholinergics.
Ask your doctor if you have any questions about why this medicine has been prescribed
Your doctor may have prescribed it for another reason.
Before you take Braltus
When you must not take it
Do not take Braltus if you have an allergy to:
any medicine containing tiotropium bromide
any of the ingredients listed at the end of this leaflet
any medicine containing atropine or its derivatives, e.g. ipratropium or oxitropium
any other anticholinergic medicines.
Some of the symptoms of an allergic reaction may include:
shortness of breath
wheezing or difficulty breathing
swelling of the face, lips, tongue or other parts of the body
rash, itching or hives on the skin
Do not take this medicine to treat a sudden attack of breathlessness, wheezing or
You will need a different type of medicine.
Do not give this medicine to children or adolescents (below the age of 18 years).
Do not take this medicine after the expiry date printed on the pack or if the packaging
is torn or shows signs of tampering.
If it has expired or is damaged, return it to your pharmacist for disposal.
If you are not sure whether you should start taking this medicine, talk to your doctor.
Before you start to take it
Tell your doctor if you have allergies to any other medicines, foods, preservatives
Tell your doctor if you have or have had any of the following medical conditions:
high pressure in the eye (glaucoma)
kidney or liver problems
problems with your prostate gland
problems with passing urine
you have suffered from a heart attack during the last 6 months or from any unstable
or life threatening irregular heart beat or severe heart failure within the past year
Tell your doctor if you are pregnant or plan to become pregnant or are breast-feeding.
Your doctor can discuss with you the risks and benefits involved. Braltus is not generally
recommended for use in pregnant women.
If you have not told your doctor about any of the above, tell him/her before you start
Do not allow the powder to enter into the eyes. Should this occur, immediately flush
your eyes with cold tap water for several minutes and immediately consult your doctor
for further advice.
If the powder enters the eye, it may result in eye pain or discomfort, blurred vision,
seeing halos around lights or coloured images in association with red eyes (i.e. narrow
Take this medicine only with the Zondap device which is provided with each pack of Braltus.
Taking other medicines
Tell your doctor or pharmacist if you are taking any other medicines, including any
that you get without a prescription from your pharmacy, supermarket or health food
Some medicines and Braltus may interfere with each other. These include other anticholinergic
medicines used to treat COPD such as glycopyrronium, aclidiniuim, umeclidinium or
These medicines may be affected by Braltus or may affect how well it works. You may
need different amounts of your medicines, or you may need to take different medicines.
Your doctor and pharmacist have more information on medicines to be careful with or
avoid while taking this medicine.
How to take Braltus
Follow all directions given to you by your doctor or pharmacist carefully.
They may differ from the information contained in this leaflet.
If you do not understand the instructions provided with your medicine , ask your doctor
or pharmacist for help.
How much to take
The recommended dose for adults is 1 capsule to be inhaled, once a day.
One capsule provides the required daily dose of tiotropium (a delivered dose of 10
micrograms of tiotropium); do not take more than the recommended dose.
How it is given
Inhale the powder in the capsules only using the Zonda device.
Do not swallow the capsules.
Do not place a capsule directly into the mouthpiece.
Do not open the capsules.
If you open the capsules, the small amount of powder inside may be lost, or you may
accidentally get the powder in your eyes.
Use the capsules within 60 days of opening the bottle.
Read the Directions for Use at the end of this leaflet for instructions on how to
use Braltus capsules with the Zonda device.
Follow the Directions for Use carefully. Pierce the capsule only once using the Zonda
Do not allow the powder to enter into the eyes. Should this occur, immediately flush
your eyes with cold tap water for several minutes.
If you have any problems inhaling Braltus capsules using the Zonda device ask your
doctor or pharmacist for advice.
When to take it
Take your medicine at about the same time each day.
Taking it at the same time each day will have the best effect. It will also help you
remember when to take it
How long to take it
Continue taking your medicine for as long as your doctor tells you.
This medicine helps to control your condition, but does not cure it. It is important
to keep taking your medicine even if you feel well.
If you forget to take it
If it is almost time for your next dose, skip the dose you missed and take your next
dose when you are meant to.
Otherwise, take it as soon as you remember, and then go back to taking your medicine
as you would normally.
Do not take a double dose to make up for the dose that you missed.
This may increase the chance of you getting an unwanted side effect.
If you are not sure what to do, ask your doctor or pharmacist.
If you have trouble remembering to take your medicine, ask your pharmacist for some
If you take too much (overdose)
Immediately telephone your doctor or the Poisons Information Centre (Australia 13
11 26) for advice, or go to Emergency at the nearest hospital, if you think that you
or anyone else may have taken too much Braltus. Do this even if there are no signs
of discomfort or poisoning.
You may need urgent medical attention.
Symptoms of an overdose may include fast or irregular heart beat, blurred vision,
nausea, stomach pain, dry mouth, constipation and difficulty passing urine.
While you are taking Braltus
Things you must do
If you are about to be started on any new medicine, remind your doctor and pharmacist
that you are taking Braltus.
Tell any other doctors, dentists, and pharmacists who treat you that you are taking
If you are going to have surgery, tell the surgeon or anaesthetist that you are taking
It may affect other medicines used during surgery.
If you become pregnant while taking this medicine, tell your doctor immediately.
Keep all of your doctor’s appointments so that your progress can be checked.
Your doctor may do some tests from time to time to make sure the medicine is working
and to prevent unwanted side effects.
It is very important to follow the Directions for Use carefully.
If your breathing becomes more difficult while you are taking this medicine, tell
your doctor immediately.
If you are a smoker, your doctor or pharmacist can advise you on the steps to take
to quit smoking.
Things you must not do
Do not take Braltus to treat any other complaints unless your doctor tells you to.
Do not give your medicine to anyone else, even if they have the same condition as
Do not take Braltus more frequently than once daily.
Things to be careful of
Be careful driving or operating machinery until you know how Braltus affects you.
This medicine may cause dizziness or blurred vision in some people. If you have any
of these symptoms, do not drive, operate machinery, or do anything else that could
Tell your doctor or pharmacist as soon as possible if you do not feel well while you
are taking Braltus.
This medicine helps most people with COPD, but it can have side effects. Sometimes
they are serious, most of the time they are not. You may need medical attention if
you get some of the side effects.
Do not be alarmed by the following lists of side effects. You may not experience any
Ask your doctor or pharmacist to answer any questions you may have.
Tell your doctor or pharmacist if you notice any of the following and they worry you:
dry mouth: this is usually mild
sore mouth, gums, or throat; swollen, red, sore tongue
sinusitis, a feeling of tension or fullness in the nose, cheeks and behind your eyes,
sometimes with a throbbing ache, fever, stuffy nose and loss of the sense of smell.
These are mild side effects of the medicine, and usually short-lived.
Tell your doctor as soon as possible if you notice any of the following:
seeing halos around lights or coloured images in association with red eyes; high pressure
in the eye (glaucoma)
difficulty in swallowing
difficulty in passing urine
pain while passing urine, urinary tract infection, increased need and frequency in
a worsening of breathing problems (induced by the inhalation process). Inhaled medicines
such as Braltus may cause tightness of the chest, coughing, wheezing or breathlessness
immediately after inhalation.
The above list includes serious side effects that may require medical attention.
If any of the following happen, tell your doctor immediately or go to Emergency at
your nearest hospital:
severe pain in the stomach with bloating, gut cramps and vomiting
changes in heart rate (fast, slow or irregular), palpitations
allergic reaction (shortness of breath, wheezing or difficulty breathing; swelling
of the face, lips, tongue or other parts of the body, rash, itching or hives on the
The above list includes very serious side effects. You may need urgent medical attention
Tell your doctor or pharmacist if you notice anything that is making you feel unwell.
Other side effects not listed above may also occur in some people.
After taking Braltus
If necessary, you may wipe the mouthpiece of your Zonda inhaler after use with a dry
cloth or tissue.
The Zonda inhaler should not be rinsed with water.
Discard the Zonda device after 30 uses. Do not reuse the inhaler for another bottle
of capsules. There is a new inhaler provided with each pack of Braltus.
Keep your capsules in the bottle until it is time to use them.
If you take the capsules out of the bottle they may not keep well.
Keep your capsules in a cool, dry place where the temperature stays below 25°C
Keep the bottle tightly closed. Store in the original package to protect from moisture.
Do not store your capsules in the refrigerator or freezer. Use the capsules within
60 days of opening the bottle.
Do not store Braltus or any other medicine in the bathroom or near a sink. Do not
leave it on a window sill or in the car.
Heat and dampness can destroy some medicines.
Keep it where children cannot reach it.
A locked cupboard at least one-and-a-half metres above the ground is a good place
to store medicines.
If your doctor tells you to stop taking this medicine or the expiry date has passed,
ask your pharmacist what to do with any medicine that is left over.
What it looks like
Braltus capsules are colourless and transparent. Braltus capsules contain a white
powder. The Zonda inhaler has a green body and a cap with a white push button.
Braltus capsules contain only a small amount of powder, which means that the capsule
is only partially filled. The amount of powder in each capsule is equivalent in size
to the tip of a matchstick.
Braltus is available in a carton containing a bottle of 30 capsules with the Zonda
Braltus capsules contains 13 micrograms of tiotropium (equivalent to tiotropium bromide
15.6 micrograms) as the active ingredient.
During inhalation, 10 micrograms of tiotropium is delivered from each capsule from
the mouthpiece of the Zonda inhaler.
Braltus and Spiriva both deliver 10 micrograms of tiotropium and are equivalent.
It also contains lactose monohydrate (which contains milk protein). The outer capsule
is known as a Vcap - The Vegetarian Alternative empty hard capsules size 3 (Ingredient
Braltus is supplied in Australia by:
Teva Pharma Australia Pty Ltd
37 Epping Road
Macquarie Park NSW 2113
Braltus® is a registered trademark of the Teva group of companies. An Ivax International trademark.
Date of Preparation:
31 October 2018
Australian Registration Number:
AUST R 293317
® = Registered Trademark