FREQUENTLY ASKED QUESTIONS

1What 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?

2How 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?

3What is inhaleability?

When you have COPD, breathing can be a constant struggle. Breathing in your COPD medicine shouldn't be. That's inhaleability.

4What is the difference between
rescue
and maintenance treatment?

While rescue inhalers treat sudden symptoms, maintenance treatments, like STIOLTO RESPIMAT, are medicines you take daily to manage your COPD symptoms.

Learn how to manage your symptoms

5Is there a guide to help me prepare and
use STIOLTO RESPIMAT?

Yes! The Quick Start Guide will teach you, step by step, how to assemble and prepare your inhaler for daily use.

Download the Quick Start Guide

Also, you can watch a video on how to use it

See the full Instructions for Use for complete details.

6I 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

7What is chronic obstructive
pulmonary
disease (COPD)?

Chronic obstructive pulmonary disease (COPD) is a common, preventable, and treatable disease that is characterized by persistent respiratory symptoms and airflow limitation. It can 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

8What are the symptoms
of COPD?

Some symptoms of COPD include:

  • Shortness of breath
  • Cough
  • Chest tightness
  • Wheezing

Learn more about COPD Symptoms and Progression

9Can I prevent my COPD
from getting
worse?

Quitting smoking is one of the most important things you can do to slow the progression of COPD. STIOLTO RESPIMAT can help you breathe easier, even if you have smoked. 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

10What 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

11What is a flare-up?

COPD is a disease that can get worse over time, which means that symptoms can turn into something called a flare-up or exacerbation. It’s important to know what can cause a flare-up and what you can do to help guard against them. STIOLTO RESPIMAT contains tiotropium, which has been shown to help significantly reduce the risk of flare-ups.

What can cause a flare-up?

Most flare-ups are caused by a lung infection like the common cold, so germs are a threat. Other causes, called triggers, can irritate your lungs and cause flare-ups. Here are some of the most common triggers that should be avoided.

  • Weather that is very hot, very cold, or very humid
  • Pollution outside from smog and ozone, or inside from tobacco smoke and wood-burning fires
  • Household cleaning products with bleach or ammonia
  • Allergies to dust, animals, or pets

12Can 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

13Can 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

14What 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

15Is there a support program for people
with COPD?

Yes! RespiPoints™. If you’re taking STIOLTO RESPIMAT, this free educational support program is a great way to get the most out of your COPD treatment.

Learn more & sign up now to start receiving exclusive benefits

16What financial assistance is
available
for me?

You may be eligible to pay as little as $0* co-pay 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

*Terms and Conditions apply.

APPROVED USE

STIOLTO® RESPIMAT® (tiotropium bromide and olodaterol) Inhalation Spray is a prescription medicine used long term, 2 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 is not for treating sudden symptoms of COPD. Always have a rescue medicine with you to treat sudden symptoms.

Do not use STIOLTO if you have asthma.

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. It is not known if LABA medicines, such as olodaterol, increase the risk of death in people with COPD. STIOLTO is approved for COPD only. STIOLTO is NOT to be used in asthma.

More Important Safety Information

APPROVED USE

STIOLTO® RESPIMAT® (tiotropium bromide and olodaterol) Inhalation Spray is a prescription medicine used long term, 2 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 is not for treating sudden symptoms of COPD. Always have a rescue medicine with you to treat sudden symptoms.

Do not use STIOLTO if you have asthma.

IMPORTANT SAFETY INFORMATION

IMPORTANT SAFETY INFORMATION (cont'd)

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, increase the risk of death in people with COPD. STIOLTO is approved for 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. Call your healthcare provider or get emergency medical care if you experience symptoms of a serious allergic reaction including: rash, hives, itching, swelling of the face, lips, tongue, throat, and breathing problems.

Do not use STIOLTO for treating sudden breathing problems. Always have a rescue inhaler with you to treat sudden symptoms.

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.

Do not use STIOLTO more often than prescribed by your doctor. Do not use STIOLTO with other LABAs or anticholinergics.

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

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.

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 STIOLTO 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 STIOLTO and call your doctor right away.

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

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. Your vision may become blurred and your pupils may become larger (dilated).

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.

CL-STO-100003 10.11.2018