PTCE Top 200 · #163

Tiotropium

Spiriva

Tiotropium is the generic name for the brand-name drug Spiriva. It is a lama (long-acting muscarinic antagonist) used to treat COPD (maintenance). On the PTCE Top 200 drug list, Tiotropium ranks #163 and is one of the most frequently tested respiratory/allergy medications — commonly quizzed on its brand–generic pair, drug class, and key side effects.

Generic nameTiotropium
Brand name(s)Spiriva
Drug classLAMA (long-acting muscarinic antagonist)
Class groupRespiratory/Allergy
Common useCOPD (maintenance)
DEA scheduleUnscheduled
AvailabilityPrescription only (Rx)

What is Tiotropium used for?

Maintenance treatment of COPD (including chronic bronchitis and emphysema); some formulations are also used as add-on maintenance therapy for asthma.

What drug class is Tiotropium?

Tiotropium is a LAMA (long-acting muscarinic antagonist) in the Respiratory/Allergy group. Knowing the class is the fastest way to predict its uses, side effects, and the brand↔generic pairs the PTCE tests.

Common side effects of Tiotropium

Major interactions

Is Tiotropium a controlled substance?

No. Tiotropium is not a federally controlled substance (it is unscheduled by the DEA).

How to remember Tiotropium (PTCE mnemonic)

SPIR-iva SPIRals airways open — tio-TROPIUM is a LAMA (long-acting muscarinic antagonist). Once-daily COPD; dry mouth, urinary retention; AVOID in narrow-angle glaucoma.
lightbulb
PTCE exam tip

Spiriva HandiHaler capsules are for INHALATION only — swallowing them is a real, tested medication error. A once-daily LAMA for COPD maintenance.

Tiotropium FAQ

What is the brand name for Tiotropium?

The brand name for Tiotropium is Spiriva.

What is Tiotropium used for?

Tiotropium is used to treat COPD (maintenance). Maintenance treatment of COPD (including chronic bronchitis and emphysema); some formulations are also used as add-on maintenance therapy for asthma.

What drug class is Tiotropium?

Tiotropium is a LAMA (long-acting muscarinic antagonist) (Respiratory/Allergy group).

Is Tiotropium a controlled substance?

No. Tiotropium is not a federally controlled substance (it is unscheduled by the DEA).

Related drugs in the Respiratory/Allergy group

Drill Tiotropium the way the PTCE asks it

RxReflex turns the Top 200 drugs into fast flashcard rounds, a guided Learn path, pharmacy math, and 40+ cheat sheets. Free to start.

Last reviewed June 25, 2026. Educational use only — not medical advice. Verify clinical specifics with your pharmacist or a current label source such as DailyMed. RxReflex is not affiliated with or endorsed by the Pharmacy Technician Certification Board (PTCB).