This website provides educational information about medicines and active ingredients. It does not replace medical advice, diagnosis or treatment from a qualified healthcare professional.
Inhalers

Spiolto Respimat 2.5/2.5 microgram inhalation details

Quick summary: Spiolto Respimat is a maintenance inhaler used in adults with COPD. It combines tiotropium and olodaterol to help keep airways open over time. It is not a rescue inhaler for sudden breathing...

Educational content Use this article as a starting point for understanding the topic.
Check with a professional Ask a doctor or pharmacist before changing any medicine.
Safety first Side effects, interactions and risks depend on each person.
Medical disclaimer

This content is for educational purposes only and does not replace medical advice, diagnosis or treatment from a qualified healthcare professional.

Quick summary: Spiolto Respimat is a maintenance inhaler used in adults with COPD. It combines tiotropium and olodaterol to help keep airways open over time. It is not a rescue inhaler for sudden breathing problems.

Key points: once-daily use, inhaled directly into the lungs, and important to use exactly as prescribed and as shown in the patient leaflet or by a healthcare professional.

Medical disclaimer: This article is for general information only and does not replace advice from a doctor, pharmacist, or the official product leaflet. Do not use this page to diagnose symptoms or to change any prescribed treatment.

What is Spiolto Respimat?

Spiolto Respimat is an inhalation medicine used for the maintenance treatment of chronic obstructive pulmonary disease (COPD) in adults. It contains two active ingredients: tiotropium and olodaterol, each delivered at 2.5 micrograms per puff.

The inhaler is designed to deliver medicine directly to the lungs. Its purpose is to help relax the muscles around the airways so breathing may become easier over time.

What is Spiolto Respimat used for?

The main use of Spiolto Respimat is long-term COPD symptom control. It is described as a maintenance bronchodilator, meaning it is used regularly rather than only when symptoms suddenly worsen.

  • Helps manage COPD symptoms such as shortness of breath and wheezing.
  • Supports improved airflow and lung function.
  • May help reduce the burden of day-to-day COPD symptoms.

It is not intended for immediate relief of an acute breathing attack or sudden worsening of COPD symptoms.

How does Spiolto Respimat work?

Spiolto Respimat combines two bronchodilators that work in different ways:

Tiotropium

Tiotropium is an anticholinergic medicine. It helps block signals that can tighten the airway muscles, which may help keep the airways open.

Olodaterol

Olodaterol is a long-acting beta-agonist (LABA). It helps relax the smooth muscles in the airways, supporting easier airflow.

Together, these ingredients provide a dual bronchodilator effect for COPD maintenance treatment.

How is Spiolto Respimat usually taken?

The current content states that the usual regimen is two puffs once daily. The inhaler should be used exactly as directed by the prescriber and according to the patient instructions supplied with the device.

Good inhaler technique matters. If the device is used incorrectly, less medicine may reach the lungs. A pharmacist or healthcare professional can show the correct steps if needed.

  • Use it at the same time each day if instructed to do so.
  • Follow the device-specific instructions carefully.
  • Do not use more than prescribed.

Common side effects reported with Spiolto Respimat

Like all medicines, Spiolto Respimat can cause side effects. The current content lists the following as common:

  • Cough
  • Sore throat
  • Back pain
  • Dry mouth

More serious reactions mentioned in the source content include allergic reactions, increased eye pressure, chest pain, and a rapid heart rate. Any unusual or severe symptoms should be discussed with a healthcare professional promptly.

What precautions should be considered?

Before using Spiolto Respimat, it is important to review medical history with a healthcare professional. The source content highlights several points to consider:

  • Do not use if there is a known allergy to tiotropium, olodaterol, or any ingredient in the inhaler.
  • Extra caution may be needed in people with heart disease, high blood pressure, or kidney problems.
  • The inhaler is not recommended for asthma in the source content and is not for acute asthma attacks.

Older adults and people with kidney impairment may need closer monitoring, depending on individual circumstances.

How should Spiolto Respimat be stored and disposed of?

Proper storage helps protect the medicine and the device. The source content advises the following:

  • Store at room temperature.
  • Keep away from moisture and extreme temperatures.
  • Avoid direct sunlight and freezing conditions.
  • Discard the inhaler three months after first use or when all doses have been used.

For disposal, follow local medication disposal guidance or ask a pharmacist what is appropriate in your area.

At a glance

Topic Summary
Medicine type Combination inhaler with tiotropium and olodaterol
Main use Maintenance treatment of COPD in adults
How it works Helps relax airway muscles and improve airflow
Typical use Two puffs once daily, as prescribed
Important note Not for sudden breathing problems

Frequently asked questions

▸ What is Spiolto Respimat used for?

It is used for the maintenance treatment of COPD in adults. It helps manage ongoing breathing symptoms rather than treating sudden attacks.

▸ How often is Spiolto Respimat used?

The source content states it is used once daily, with two puffs each time, unless a healthcare professional gives different instructions.

▸ Is Spiolto Respimat a steroid?

No. The source content describes it as a combination of two bronchodilators, not a steroid.

▸ Can Spiolto Respimat be used for sudden breathing problems?

No. It is described as a maintenance inhaler and should not replace a rescue inhaler for sudden symptoms.

▸ What side effects are mentioned in the source content?

The source content mentions cough, sore throat, back pain, dry mouth, allergic reactions, increased eye pressure, chest pain, and rapid heart rate.

▸ What should I check before using it?

Check the official leaflet and speak with a healthcare professional about allergies, heart disease, blood pressure, kidney problems, and whether the inhaler is suitable for your condition.

Safety reminder: If breathing symptoms suddenly worsen, or if you notice chest pain, a fast heartbeat, swelling, rash, or eye-related symptoms, seek medical advice promptly. Always follow the official patient leaflet and the instructions given by your healthcare professional.

Editorial note Active Ingredients Online Editorial Team This article is prepared as educational medicine information for general readers. It is written to support understanding of active ingredients, medicine uses, possible side effects, precautions and safety-related questions.
Published: March 5, 2025 Updated: May 12, 2026 Educational content

Medical disclaimer

This content is for educational purposes only. It should not be used as a substitute for professional medical advice, diagnosis or treatment. Always ask a doctor, pharmacist or qualified healthcare professional before starting, stopping or changing any medicine.

Sources and verification

The following sources or official references are listed to support verification of the medicine information discussed in this article.

To improve this article with specific references, add a custom field named _aio_sources in the post editor and write one source per line using: Source title|Source URL.

Final note

Medicine information can change and may vary depending on country, product formulation, patient history and professional guidance. Always check official medicine information and ask a healthcare professional for personal medical questions.

See also...
Ask a Doctor Online medical questions