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Detailed medicine guidance

Using tiotropium inhalers with other medicines and herbal supplements

NHS medicines information on possible interactions with tiotropium inhalers and other medicines, herbal remedies and supplements.

About this information

This NHS content is written for people in England. Medicine names, availability, prescribing and services may differ in other countries.

Cautions with other medicines

It's unlikely that other medicines commonly used to treat chronic obstructive pulmonary disease (COPD) or asthma will affect or be affected by tiotropium inhalers.

There are some medicines that can increase the chance of side effects if taken with tiotropium.

Always check with your doctor or a pharmacist before starting any new medicine while you're using tiotropium inhalers.

Mixing tiotropium with herbal remedies and supplements

There's not enough information to say that complementary medicines, herbal remedies and supplements are safe to take with tiotropium. They're not tested in the same way as pharmacy and prescription medicines. They're generally not tested for the effect they have on other medicines.

Meds New IA (H2) - Cautions with other medicines alert

Tell your doctor or pharmacist if you're taking any other medicines, including herbal remedies, vitamins or supplements.

View the original NHS website page ↗. Refreshed 19 August 2026.

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