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Tiotropium (SpirivaTM)

AstraZeneca · FDA-approved active Small molecule ✓ Verified May 2026

Tiotropium (SpirivaTM) is a Long-acting muscarinic antagonist (LAMA) Small molecule drug developed by AstraZeneca. It is currently FDA-approved for Chronic obstructive pulmonary disease (COPD) maintenance treatment, Asthma (in combination with inhaled corticosteroids).

Tiotropium is a long-acting anticholinergic (muscarinic antagonist) that blocks M3 receptors on airway smooth muscle to produce sustained bronchodilation.

Tiotropium (SpirivaTM) is a medication used to treat Chronic Obstructive Pulmonary Disease (COPD). It is a bronchodilator that works by blocking the action of acetylcholine at muscarinic receptors in the lungs, as indicated by its listing in ChEMBL.

At a glance

Generic nameTiotropium (SpirivaTM)
SponsorAstraZeneca
Drug classLong-acting muscarinic antagonist (LAMA)
TargetM3 muscarinic receptor
ModalitySmall molecule
Therapeutic areaRespiratory
PhaseFDA-approved

Mechanism of action

Tiotropium binds to muscarinic M3 receptors on airway smooth muscle cells, preventing acetylcholine-induced bronchoconstriction. This produces a prolonged bronchodilatory effect lasting 24 hours or more, allowing once-daily dosing. The drug is delivered via inhalation directly to the lungs, minimizing systemic exposure.

Approved indications

Common side effects

Key clinical trials

Primary sources

Every claim on this page is sourced from regulatory or scientific primary sources. See our editorial policy for full methodology.

SourceUsed for
ClinicalTrials.govTrial enrolment, design, endpoints, results

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Frequently asked questions about Tiotropium (SpirivaTM)

What is Tiotropium (SpirivaTM)?

Tiotropium (SpirivaTM) is a Long-acting muscarinic antagonist (LAMA) drug developed by AstraZeneca, indicated for Chronic obstructive pulmonary disease (COPD) maintenance treatment, Asthma (in combination with inhaled corticosteroids).

How does Tiotropium (SpirivaTM) work?

Tiotropium is a long-acting anticholinergic (muscarinic antagonist) that blocks M3 receptors on airway smooth muscle to produce sustained bronchodilation.

What is Tiotropium (SpirivaTM) used for?

Tiotropium (SpirivaTM) is indicated for Chronic obstructive pulmonary disease (COPD) maintenance treatment, Asthma (in combination with inhaled corticosteroids).

Who makes Tiotropium (SpirivaTM)?

Tiotropium (SpirivaTM) is developed and marketed by AstraZeneca (see full AstraZeneca pipeline at /company/astrazeneca).

What drug class is Tiotropium (SpirivaTM) in?

Tiotropium (SpirivaTM) belongs to the Long-acting muscarinic antagonist (LAMA) class. See all Long-acting muscarinic antagonist (LAMA) drugs at /class/long-acting-muscarinic-antagonist-lama.

What development phase is Tiotropium (SpirivaTM) in?

Tiotropium (SpirivaTM) is FDA-approved (marketed).

What are the side effects of Tiotropium (SpirivaTM)?

Common side effects of Tiotropium (SpirivaTM) include Dry mouth, Tremor, Headache, Sinusitis, Urinary retention.

What does Tiotropium (SpirivaTM) target?

Tiotropium (SpirivaTM) targets M3 muscarinic receptor and is a Long-acting muscarinic antagonist (LAMA).

Related

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing