Tiova Tiotropium Bromide Inhaler helps to manage the chronic obstructive pulmonary disease by acting on the muscarinic receptors (M3), which are located at smooth muscle, thereby causing the airways to open up. This medicine is an anticholinergic bronchodilator with specificity for muscarinic receptors. The active pharmaceutical ingredient contained in the Tiova Tiotropium Bromide Inhaler is bromide monohydrate. It has similar affinity to the subtypes of muscarinic receptors, M1 to M5. This medicine is used regularly, usually on a daily basis, and this will control and prevent symptoms. It can make it easier for patients with lung disease to breathe.