TIOTROPIUM BROMIDE

72/100 · Elevated

Manufactured by Boehringer Ingelheim Pharmaceuticals, Inc.

High Incidence of Respiratory Issues and Dyspnoea with Tiotropium Bromide

284,745 FDA adverse event reports analyzed

Last updated: 2026-05-12

About TIOTROPIUM BROMIDE

TIOTROPIUM BROMIDE is a medication tracked in the FDA Adverse Event Reporting System (FAERS), manufactured by Boehringer Ingelheim Pharmaceuticals, Inc.. Based on analysis of 284,745 FDA adverse event reports, TIOTROPIUM BROMIDE has a safety score of 72 out of 100. This score indicates a relatively favorable safety profile, with fewer or less severe adverse events compared to many other tracked medications. The most commonly reported adverse reactions for TIOTROPIUM BROMIDE include INCORRECT ROUTE OF DRUG ADMINISTRATION, DYSPNOEA, ASTHMA, DRUG INEFFECTIVE, COUGH. This page provides a comprehensive breakdown of reported side effects, safety signals, patient demographics, and AI-powered safety analysis for TIOTROPIUM BROMIDE.

AI Safety Analysis

Tiotropium Bromide has a safety concern score of 72 out of 100, placing it in the elevated concern category based on analysis of FDA adverse event data. The FDA has received approximately 284,745 adverse event reports for this medication, which is primarily manufactured by Boehringer Ingelheim Pharmaceuticals, Inc..

The most commonly reported adverse events include Incorrect Route Of Drug Administration, Dyspnoea, Asthma. Of classified reports, 49.9% were designated as serious by the FDA, meaning they involved hospitalization, disability, or other significant medical outcomes. The majority of adverse events are respiratory in nature, with dyspnoea being the most common reaction.

Serious adverse events, particularly pneumonia and respiratory failure, are notable. There is a significant number of reports related to incorrect drug administration and drug ineffectiveness.

Patients taking Tiotropium Bromide should monitor for the commonly reported side effects and contact their healthcare provider if they experience any unusual symptoms. Warnings include the risk of incorrect drug administration and drug ineffectiveness, which can lead to serious respiratory issues. This analysis is based on voluntary FDA adverse event reports and should not replace professional medical advice.

Safety Score: 72/100

Tiotropium Bromide received a safety concern score of 72/100 (elevated concern). This is based on a 49.9% serious event ratio across 134,922 classified reports. The score accounts for 284,745 total adverse event reports and 100 distinct reaction types. This elevated score indicates a notable proportion of serious adverse events and warrants careful monitoring.

Top Adverse Reactions

INCORRECT ROUTE OF DRUG ADMINISTRATION23,320 reports
DYSPNOEA22,314 reports
ASTHMA10,819 reports
DRUG INEFFECTIVE9,385 reports
COUGH8,610 reports
PNEUMONIA8,383 reports
WHEEZING6,762 reports
CHRONIC OBSTRUCTIVE PULMONARY DISEASE6,235 reports
PRODUCT QUALITY ISSUE5,971 reports
FATIGUE5,361 reports
OFF LABEL USE4,664 reports
MALAISE4,533 reports
NAUSEA4,023 reports
FALL3,912 reports
HEADACHE3,854 reports
THERAPEUTIC PRODUCT EFFECT INCOMPLETE3,807 reports
DEATH3,791 reports
PRODUCTIVE COUGH3,671 reports
DIZZINESS3,636 reports
PAIN3,426 reports
DIARRHOEA3,319 reports
ASTHENIA3,296 reports
LOSS OF PERSONAL INDEPENDENCE IN DAILY ACTIVITIES3,230 reports
CHEST DISCOMFORT3,157 reports
WEIGHT DECREASED3,061 reports
OBSTRUCTIVE AIRWAYS DISORDER2,754 reports
NASOPHARYNGITIS2,690 reports
VOMITING2,642 reports
BRONCHITIS2,611 reports
DRY MOUTH2,551 reports
PYREXIA2,511 reports
SLEEP DISORDER DUE TO A GENERAL MEDICAL CONDITION2,476 reports
CONDITION AGGRAVATED2,441 reports
CONSTIPATION2,370 reports
CHEST PAIN2,359 reports
DYSPHONIA2,351 reports
ARTHRALGIA2,343 reports
ANXIETY2,327 reports
HYPERTENSION2,229 reports
PAIN IN EXTREMITY2,222 reports
RASH2,222 reports
DYSPNOEA EXERTIONAL2,201 reports
PRURITUS2,109 reports
WEIGHT INCREASED2,088 reports
BACK PAIN1,940 reports
HYPOTENSION1,905 reports
INSOMNIA1,903 reports
BLOOD PRESSURE INCREASED1,846 reports
INFLUENZA1,774 reports
OROPHARYNGEAL PAIN1,740 reports
SINUSITIS1,703 reports
OEDEMA PERIPHERAL1,700 reports
FEELING ABNORMAL1,658 reports
OXYGEN SATURATION DECREASED1,636 reports
VISION BLURRED1,603 reports
HEART RATE INCREASED1,582 reports
DEPRESSION1,579 reports
GASTROOESOPHAGEAL REFLUX DISEASE1,573 reports
DECREASED APPETITE1,566 reports
LUNG DISORDER1,566 reports
FULL BLOOD COUNT ABNORMAL1,562 reports
MYOCARDIAL INFARCTION1,523 reports
TREMOR1,486 reports
ATRIAL FIBRILLATION1,477 reports
ANAEMIA1,460 reports
GAIT DISTURBANCE1,460 reports
BLOOD COUNT ABNORMAL1,459 reports
NASAL CONGESTION1,442 reports
URINARY TRACT INFECTION1,438 reports
ABDOMINAL PAIN1,408 reports
SPUTUM DISCOLOURED1,374 reports
HYPERSENSITIVITY1,345 reports
CARDIAC FAILURE CONGESTIVE1,319 reports
PERIPHERAL SWELLING1,306 reports
ACUTE KIDNEY INJURY1,269 reports
OVERDOSE1,261 reports
MUSCLE SPASMS1,252 reports
LUNG NEOPLASM MALIGNANT1,245 reports
LOWER RESPIRATORY TRACT INFECTION1,241 reports
ABDOMINAL PAIN UPPER1,223 reports
CATARACT1,197 reports
RESPIRATORY FAILURE1,190 reports
RENAL FAILURE1,172 reports
INFECTION1,170 reports
PRODUCT DOSE OMISSION ISSUE1,141 reports
INCORRECT ROUTE OF PRODUCT ADMINISTRATION1,131 reports
CEREBROVASCULAR ACCIDENT1,128 reports
RHINORRHOEA1,123 reports
DRUG HYPERSENSITIVITY1,121 reports
GENERAL PHYSICAL HEALTH DETERIORATION1,119 reports
BALANCE DISORDER1,110 reports
URTICARIA1,097 reports
DRUG INTERACTION1,083 reports
UPPER RESPIRATORY TRACT INFECTION1,058 reports
SOMNOLENCE1,038 reports
INCORRECT DOSE ADMINISTERED1,030 reports
HAEMOPTYSIS1,019 reports
CONFUSIONAL STATE1,004 reports
HOSPITALISATION978 reports
MYALGIA975 reports

Key Safety Signals

  • High frequency of dyspnoea and pneumonia
  • Multiple reports of incorrect drug administration
  • Significant number of serious adverse events

Patient Demographics

Adverse event reports by sex: Female: 76,221, Male: 49,686, Unknown: 445. The most frequently reported age groups are age 77 (2,720 reports), age 72 (2,671 reports), age 70 (2,627 reports). These demographics reflect reporting patterns and may not represent the full patient population.

Report Outcomes

Out of 134,922 classified reports for TIOTROPIUM BROMIDE:

  • Serious: 67,272 reports (49.9%) — includes hospitalization, disability, life-threatening events, or death
  • Non-Serious: 67,650 reports (50.1%)
Serious 49.9%Non-Serious 50.1%

The FDA classifies an adverse event as “serious” if it results in death, hospitalization, disability, congenital anomaly, or requires intervention to prevent permanent damage.

Demographics Breakdown

Reports by Sex

Female76,221 (60.3%)
Male49,686 (39.3%)
Unknown445 (0.4%)

Reports by Age

Age 772,720 reports
Age 722,671 reports
Age 702,627 reports
Age 712,533 reports
Age 732,532 reports
Age 742,511 reports
Age 692,490 reports
Age 682,489 reports
Age 752,478 reports
Age 662,404 reports
Age 652,307 reports
Age 672,300 reports
Age 762,220 reports
Age 642,188 reports
Age 632,097 reports
Age 622,022 reports
Age 781,995 reports
Age 611,965 reports
Age 801,959 reports
Age 601,827 reports

Demographics reflect voluntary FDA adverse event reporting patterns and may not represent the full patient population.

Drug Interactions & Warnings

Warnings include the risk of incorrect drug administration and drug ineffectiveness, which can lead to serious respiratory issues.

What You Should Know

If you are taking Tiotropium Bromide, here are important things to know. The most commonly reported side effects include incorrect route of drug administration, dyspnoea, asthma, drug ineffective, cough. While many of these may be mild and temporary, you should contact your healthcare provider if any symptoms are severe or persistent. Always follow prescribed dosing instructions and administration guidelines. Report any adverse events to your healthcare provider promptly. If you experience a serious adverse reaction, seek emergency medical attention immediately or call 911. You can report side effects to the FDA's MedWatch program at 1-800-FDA-1088.

Regulatory Context

Regulatory oversight is ongoing, with a focus on ensuring proper drug administration and monitoring for serious respiratory events.

Frequently Asked Questions

How many adverse event reports has the FDA received for Tiotropium Bromide?

The FDA has received approximately 284,745 adverse event reports associated with Tiotropium Bromide. These reports come from healthcare professionals, consumers, and manufacturers through the FDA Adverse Event Reporting System (FAERS). Note that the number of reports does not directly indicate the frequency of side effects, as adverse events are voluntarily reported and may be underrepresented.

What are the most commonly reported side effects of Tiotropium Bromide?

The most frequently reported adverse events for Tiotropium Bromide include Incorrect Route Of Drug Administration, Dyspnoea, Asthma, Drug Ineffective, Cough. By volume, the top reported reactions are: Incorrect Route Of Drug Administration (23,320 reports), Dyspnoea (22,314 reports), Asthma (10,819 reports). These figures reflect FDA adverse event reports and may not represent the true incidence rate of these side effects in all patients taking Tiotropium Bromide.

What percentage of Tiotropium Bromide adverse event reports are serious?

Out of 134,922 classified reports, 67,272 (49.9%) were classified as serious and 67,650 as non-serious. The FDA classifies an event as "serious" if it results in death, hospitalization, disability, or other medically significant outcomes. A higher serious-event ratio warrants closer attention but does not necessarily mean the drug is unsafe.

Who reports adverse events for Tiotropium Bromide (by sex)?

Adverse event reports for Tiotropium Bromide break down by patient sex as follows: Female: 76,221, Male: 49,686, Unknown: 445. This distribution reflects reporting patterns rather than actual risk differences between groups. Reporting rates can be influenced by prescribing patterns, disease demographics, and reporting behavior.

What age groups report the most side effects for Tiotropium Bromide?

The most frequently reported age groups for Tiotropium Bromide adverse events are: age 77: 2,720 reports, age 72: 2,671 reports, age 70: 2,627 reports, age 71: 2,533 reports, age 73: 2,532 reports. Age-related reporting patterns can reflect both the demographics of the patient population and potential age-related susceptibility to certain side effects.

Who manufactures Tiotropium Bromide?

The primary manufacturer associated with Tiotropium Bromide adverse event reports is Boehringer Ingelheim Pharmaceuticals, Inc.. Multiple manufacturers may produce generic versions of this drug. The manufacturer listed reflects the most frequently reported brand in FDA adverse event data.

What other side effects have been reported for Tiotropium Bromide?

Beyond the most common reactions, other reported adverse events for Tiotropium Bromide include: Pneumonia, Wheezing, Chronic Obstructive Pulmonary Disease, Product Quality Issue, Fatigue. Less common side effects can still be clinically significant. Patients should report any unusual symptoms to their healthcare provider.

How do I report a side effect from Tiotropium Bromide?

You can report adverse events from Tiotropium Bromide to the FDA through their MedWatch program at www.fda.gov/medwatch, by calling 1-800-FDA-1088, or by completing Form FDA 3500. Healthcare professionals, consumers, and manufacturers can all submit reports. Reporting helps the FDA monitor drug safety after approval.

What is Tiotropium Bromide's safety score and what does it mean?

Tiotropium Bromide has a safety concern score of 72 out of 100 (elevated concern). This score is calculated from the ratio of serious to non-serious adverse events, the diversity of reported reactions, and the overall volume of reports relative to usage. The majority of adverse events are respiratory in nature, with dyspnoea being the most common reaction.

What are the key safety signals for Tiotropium Bromide?

Key safety signals identified in Tiotropium Bromide's adverse event data include: High frequency of dyspnoea and pneumonia. Multiple reports of incorrect drug administration. Significant number of serious adverse events. These signals are derived from patterns in FDA reports and should be discussed with a healthcare provider for personalized assessment.

Does Tiotropium Bromide interact with other drugs?

Warnings include the risk of incorrect drug administration and drug ineffectiveness, which can lead to serious respiratory issues. Always inform your healthcare provider about all medications, supplements, and over-the-counter drugs you are taking before starting Tiotropium Bromide.

What should patients know before taking Tiotropium Bromide?

Always follow prescribed dosing instructions and administration guidelines. Report any adverse events to your healthcare provider promptly.

Are Tiotropium Bromide side effects well-documented?

Tiotropium Bromide has 284,745 adverse event reports on file with the FDA. Serious adverse events, particularly pneumonia and respiratory failure, are notable. The volume of reports for Tiotropium Bromide reflects both the drug's usage level and the vigilance of the reporting community.

What is the FDA's position on Tiotropium Bromide?

Regulatory oversight is ongoing, with a focus on ensuring proper drug administration and monitoring for serious respiratory events. For the most current regulatory information, check the FDA's drug labeling database or consult your pharmacist.

Drugs Also Linked to INCORRECT ROUTE OF DRUG ADMINISTRATION

The following drugs share commonly reported adverse reactions with TIOTROPIUM BROMIDE:

NEOMYCIN SULFATE, POLYMYXIN B SULFATE AND HYDROCORTISONE (65/100)Spiriva

View all drugs reporting INCORRECT ROUTE OF DRUG ADMINISTRATION →

Related Drugs

Drugs related to TIOTROPIUM BROMIDE based on therapeutic use, drug class, or shared indications:

TIOTROPIUM BROMIDEALbuterolSalmeterol
Important Disclaimer: This content is generated by AI analysis of FDA adverse event reports and is provided for informational purposes only. It is not medical advice. Adverse event reports submitted to the FDA do not prove that a medication caused the reported side effect. Always consult your healthcare provider before starting, stopping, or changing any medication. If you experience a serious side effect, contact your doctor or call 911 immediately.