
Aptivate Pineapple Syrup
Lupin Ltd - Syrup - 175 ml
Formoterol (6mcg) + Tiotropium (9mcg)
Tiomate Transhaler is used for chronic obstructive pulmonary disease (COPD).
Medically reviewed by Dr. Balaji Krishnan, MBBS · Updated September 2026
Tiomate Transhaler contains Formoterol (6mcg) + Tiotropium (9mcg). It belongs to the Inhaled bronchodilator / corticosteroid class of medicines.
Chronic obstructive pulmonary disease (COPD)
Tiomate Transhaler is a combination of two medicines: Formoterol and Tiotropium. Formoterol is a bronchodilator while Tiotropium is an anticholinergic. They work by relaxing the muscles in the airways and widening them. Together, they make breathing easier.
Check the label for directions before use. Shake the inhaler. While you are breathing in from mouth, press down on the inhaler one time to release the medication and hold your breath for 10 seconds. Repeat until you have inhaled the number of puffs as suggested by the doctor.Afterwards, rinse your mouth thoroughly with water and spit it out.
Take it exactly as your doctor prescribed. Do not change the dose or stop early on your own.
If you miss a dose of Tiomate Transhaler, use it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular schedule. Do not double the dose.
An overdose of this medicine can cause a racing heart, marked tremor, headache and a fall in blood potassium. Do not wait for symptoms to appear — go to the nearest emergency department and take the pack or strip with you.
Most side effects of Tiomate Transhaler are mild and settle as the body adjusts. Reported side effects include:
Stop the medicine and seek help immediately for a rash, swelling of the face or lips, wheezing or difficulty breathing. Tell your doctor about any side effect that persists or worries you.
| Pregnancy | Pregnancy CONSULT YOUR DOCTOR |
|---|---|
| Breastfeeding | Breast feeding CAUTION |
| Alcohol | Alcohol CONSULT YOUR DOCTOR |
| Driving | Driving UNSAFE |
| Kidney | Kidney |
| Liver | Liver |
| Habit forming | No |
Know which of your inhalers is the reliever and which is the preventer. A preventer must be used every day even when you feel well; a reliever is for symptoms. Seek emergency care if your reliever is not working, if you cannot speak a full sentence, or if you are using the reliever far more often than usual. Rinse your mouth with water and spit it out after every steroid inhaler dose to prevent thrush and hoarseness. Ask your doctor or pharmacist to watch your technique — poor technique is the commonest reason an inhaler seems not to work. Use a spacer if one has been advised, particularly for children.
Not for anyone with a known allergy to this medicine or to any ingredient in the pack. Not for anyone with a known allergy to the propellant used in the inhaler.
Beta blockers, including eye drops for glaucoma, can tighten the airways and reduce the effect of your reliever.
Store below 30°C, away from direct sunlight and heat. Do not puncture or burn the canister, even when empty. Keep out of the reach of children.
If at any time your breathing gets worse, please contact your doctor or nurse for advice straightaway. Do not smoke, as smoking causes irritation and damage to the lungs and will make your condition worse. If you have diabetes, you may need to check your blood glucose more frequently, as Tiomate Transhaler can affect the levels of sugar in your blood. Your doctor will advise you about this. Do not discontinue use without consulting your doctor, even if you feel better. If you are overweight, it is advisable to lose weight. This is because being overweight means that you have to work much harder to breathe in to inflate your lungs.

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The information on Tiomate Transhaler is compiled from the manufacturer's prescribing information and the sources below, and is reviewed by a registered medical practitioner. It does not replace advice from your own doctor.