FAQ

Frequently asked questions

1

What is STIOLTO
RESPIMAT?

STIOLTO RESPIMAT (tiotropium bromide and olodaterol) has been clinically proven to significantly increase lung function and help people with COPD breathe better—all day and all night.

STIOLTO is a once-daily, steroid-free, long-acting maintenance treatment that helps control COPD symptoms. It’s a combination of two types of medicines: tiotropium, an anticholinergic, or long-acting muscarinic antagonist (LAMA), and olodaterol, a long-acting beta2-agonist (LABA). These two medicines help the muscles around the airways in your lungs stay relaxed to prevent COPD symptoms, such as wheezing, cough, chest tightness, and shortness of breath.

STIOLTO is not for sudden COPD symptoms. Always have a rescue inhaler. It is not for people with asthma, and should not be used by children or anyone who is allergic to any of the ingredients in STIOLTO.

Learn more at What is STIOLTO?

2

How can STIOLTO
RESPIMAT help?

  • Can decrease the use of rescue inhalers
  • Delivers a slow-moving mist to help you inhale the medicine
  • Is steroid free
  • Starts to open airways in just 5 minutes* AND lasts a full 24 hours

*STIOLTO is not for sudden COPD symptoms. Always carry a rescue inhaler.

Learn more at What is STIOLTO?

3

What is the difference between
rescue and maintenance treatment?

While rescue inhalers go to work right away, and you can feel their effect within minutes, maintenance treatment can control your COPD symptoms long term. Maintenance treatments, like STIOLTO RESPIMAT, are long-acting medicines you take once daily to manage your COPD symptoms.

Learn how to manage your symptoms

4

How do I use
STIOLTO RESPIMAT?

After preparing the inhaler, patients can remember the steps for daily use with “T.O.P.”:

  • Turn: the clear base
  • Open: the green cap and close your lips around the mouthpiece
  • Press: the dose-release button and inhale the mist

These steps must be performed 2 times to receive the proper dose of medication.

STIOLTO must be prepared before first use. Please see full Instructions for Use.

Watch a video on how to use it

5

I use oxygen. Will I still need to
use it with STIOLTO RESPIMAT?

If your doctor has prescribed oxygen for your COPD, you should still take it as prescribed after starting STIOLTO unless your doctor tells you otherwise.

Learn more about STIOLTO

6

What is chronic obstructive
pulmonary disease (COPD)?

COPD is a chronic, progressive lung condition that makes it harder to breathe. It includes two components. One is chronic bronchitis, which is inflammation of the airways. The other is emphysema, which is damage to your air sacs (alveoli). You may have one or the other or both. These make it difficult to get air out of your lungs and new air back in. While there is no cure for COPD, with lifestyle changes and medication, you may be able to breathe better and manage your symptoms.

Learn more about COPD

7

What are the symptoms
of COPD?

Some symptoms of COPD include:

  • Shortness of breath
  • Cough
  • Chest tightness
  • Wheezing

Learn more about COPD Symptoms and Progression

8

Can I prevent my COPD
from getting worse?

Quitting smoking is the only thing you can do to slow the progression of COPD, but STIOLTO RESPIMAT can still help you breathe better. Once-daily STIOLTO is proven to help people who smoked a pack a day for 10 years breathe better.

Ask your doctor if STIOLTO is right for you

9

What can trigger my
COPD symptoms?

Many things can cause COPD symptoms to suddenly worsen. Triggers include:

  • Cigarette smoke and smoking
  • Extreme hot or cold weather
  • Air pollution

Learn more about triggers

10

Can breathing exercises
help my COPD?

Yes! Ask your doctor about ways to help you breathe more efficiently during the day. He or she can also recommend relaxation techniques to use when you’re short of breath.

More questions to ask your doctor

11

Can I still exercise
with COPD?

In many cases, yes. In fact, exercise can have many benefits for a COPD sufferer. Some low-impact exercise, such as walking, stretching, and gentle strengthening exercises can help decrease shortness of breath and improve your overall level of energy. Talk to your doctor before starting any new activities. Even with COPD, it may be possible and helpful to find an exercise program that works for you.

More questions to ask your doctor

12

What else can I do to better
manage my COPD?

There’s a lot you can do to keep COPD under control. For instance:

  • Avoid triggers, such as dust or smoke, that can irritate your lungs
  • Get vaccinated against the flu and pneumonia
  • Avoid germs during cold and flu season
  • Get your family on board with encouragement and support
  • Take all medicines as recommended by your doctor

Sign up for FREE tips and tools to help you manage your COPD

13

What financial assistance is
available for me?

You may be eligible to pay as little as $0 co-pay for one year through the STIOLTO RESPIMAT Savings Card program. In addition, the BI Cares Foundation may be able to help those who are covered by federal or state prescription programs or who have no prescription coverage and need financial assistance.

See if you’re eligible for a Savings Card

INDICATION

STIOLTO® RESPIMAT® (tiotropium bromide and olodaterol) Inhalation Spray is a prescription medicine used long term, two puffs once each day, in controlling symptoms in adults with chronic obstructive pulmonary disease (COPD). COPD is a chronic lung disease that includes chronic bronchitis, emphysema, or both.

STIOLTO contains the anticholinergic, tiotropium, and the long-acting beta2-adrenergic agonist (LABA), olodaterol. STIOLTO works by helping the muscles around the airways in your lungs stay relaxed to prevent symptoms, such as wheezing, cough, chest tightness, and shortness of breath.

STIOLTO is not for treating sudden symptoms of COPD. Always have a rescue medicine with you to treat sudden symptoms. If you do not have a rescue inhaler, contact your healthcare provider to have one prescribed for you.

Do not use STIOLTO if you have asthma. STIOLTO is approved to treat COPD only.

IMPORTANT SAFETY INFORMATION

People with asthma who take long-acting beta2-agonist (LABA) medicines, such as olodaterol, (one of the medicines in STIOLTO), have an increased risk of death from asthma problems.

More Important Safety Information

INDICATION

STIOLTO® RESPIMAT® (tiotropium bromide and olodaterol) Inhalation Spray is a prescription medicine used long term, two puffs once each day, in controlling symptoms in adults with chronic obstructive pulmonary disease (COPD). COPD is a chronic lung disease that includes chronic bronchitis, emphysema, or both.

STIOLTO contains the anticholinergic, tiotropium, and the long-acting beta2-adrenergic agonist (LABA), olodaterol. STIOLTO works by helping the muscles around the airways in your lungs stay relaxed to prevent symptoms, such as wheezing, cough, chest tightness, and shortness of breath.

STIOLTO is not for treating sudden symptoms of COPD. Always have a rescue medicine with you to treat sudden symptoms. If you do not have a rescue inhaler, contact your healthcare provider to have one prescribed for you.

Do not use STIOLTO if you have asthma. STIOLTO is approved to treat COPD only.

 

IMPORTANT SAFETY INFORMATION

IMPORTANT SAFETY INFORMATION (continued)

People with asthma who take long-acting beta2-agonist (LABA) medicines, such as olodaterol, (one of the medicines in STIOLTO), have an increased risk of death from asthma problems. It is not known if LABA medicines, such as olodaterol (one of the medicines in STIOLTO), increase the risk of death in people with COPD. STIOLTO has been approved for chronic obstructive pulmonary disease (COPD) only. STIOLTO is NOT to be used in asthma.

Do not use STIOLTO if you are allergic to tiotropium, ipratropium, atropine or similar drugs, olodaterol, or any ingredient in STIOLTO. Symptoms of a serious allergic reaction may include rash, hives, swelling of the face, mouth, and tongue, and breathing problems. Call your healthcare provider or get emergency medical care if you get any symptoms of a serious allergic reaction. Do not use STIOLTO for treating sudden breathing problems. Always have a rescue inhaler with you to treat sudden symptoms.

Do not use STIOLTO more often or at higher doses than prescribed by your doctor. Do not use STIOLTO with other LABAs or anticholinergics. Get emergency medical care if your breathing problems worsen quickly or if you use your rescue inhaler but it does not relieve your breathing problems. Call your healthcare provider if breathing problems worsen over time while using STIOLTO.

Tell your doctor about all your medical conditions including heart problems, high blood pressure, seizures, thyroid problems, diabetes, kidney problems, glaucoma, enlarged prostate, and problems passing urine.

Tell your doctor about all the medicines you take, including prescription and non-prescription medicines (including eye drops), vitamins, and herbal supplements. STIOLTO may interact with other medicines which may cause serious side effects.

STIOLTO can cause serious side effects, including sudden shortness of breath that may be life threatening, fast or irregular heartbeat, increased blood pressure, chest pain, high blood sugar, or low blood potassium that may cause muscle spasms or weakness or abnormal heart rhythm. If any of these happens, stop taking STIOLTO and seek immediate medical help.

STIOLTO can cause new or worsening eye problems including narrow-angle glaucoma, and can increase the pressure in your eyes, which can cause the following symptoms: eye pain, blurred vision, seeing halos or colored images along with red eyes. If you have any of these symptoms, stop taking your medicine and call your doctor right away.

STIOLTO can cause new or worsened urinary retention. Symptoms of urinary retention may include difficulty passing urine, painful urination, urinating frequently, or urinating in a weak stream or drips. If you have any of these symptoms, stop taking your medicine and call your doctor right away.

STIOLTO is for oral inhalation only. The STIOLTO cartridge is only intended for use with the STIOLTO RESPIMAT inhaler.

Do not spray STIOLTO into your eyes.

The most common side effects of STIOLTO are runny nose, cough, and back pain.

Tell your healthcare provider about any side effect that bothers you or that does not go away.

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.FDA.gov/medwatch or call 1‑800‑FDA‑1088.

Read the step-by-step patient Instructions for Use for STIOLTO RESPIMAT before you use your inhaler.

Please see accompanying Medication Guide, Instructions for Use, and full Prescribing Information, including boxed WARNING.