Frequently asked questions

Frequently asked questions

The STIOLTO RESPIMAT Co-pay Calculator is an easy way to estimate your co-pay cost for Medicare, Government and Commercially Insured patients. Click on the link to find out more about your coverage.

Patients enrolled in Medicare or government prescription programs are not eligible for the SPIRIVA RESPIMAT Savings Card, however, other resources may be available to you, such as:

StioltoCopayCalculator.com

The STIOLTO RESPIMAT Co-Pay Calculator is an easy way to estimate your co-pay cost for Medicare, Government and Commercially Insured patients. Click on the link to find out more about your coverage.

You may be eligible to pay as little as $35* for a 30-day prescription fill of STIOLTO RESPIMAT with the Savings Card.

See if you are eligible for a STIOLTO RESPIMAT Savings Card.

Using your Savings Card with Mail Order Pharmacies

If you have switched over to using a mail-order pharmacy to get your STIOLTO RESPIMAT, and they have not allowed the use of your Savings Card, please follow the instructions below to obtain reimbursement:

  1. Visit www.patientrebateonline.com
  2. You will be required to enter your Savings Card information and provide a receipt for your prescription
  3. A reimbursement check will be sent directly to you

*Terms and Conditions Apply.

BI Cares Foundation

There is charitable assistance for eligible patients in need. The Boehringer Ingelheim Cares Foundation Patient Assistance Program helps patients who meet program eligibility criteria to obtain medications free of charge. For more information, go to www.bipatientassistance.com, or call 1-800-556-8317 from 8:30 a.m.–6:00 p.m. Eastern Time.

STIOLTO RESPIMAT (tiotropium bromide and olodaterol) Inhalation Spray has been clinically proven to significantly increase lung function and help people with COPD breathe better—all day and all night.

STIOLTO RESPIMAT is a steroid-free, long-acting maintenance treatment that helps control COPD symptoms. It is inhaled in 2 puffs, 1 time each day. It’s a combination of two types of medicines: tiotropium, an anticholinergic, or long-acting muscarinic antagonist (LAMA), and olodaterol, a long-acting beta2—agonist (LABA). These two medicines help the muscles around the airways in your lungs stay relaxed to prevent COPD symptoms, such as wheezing, cough, chest tightness, and shortness of breath.

STIOLTO RESPIMAT is not for sudden COPD symptoms. Always have a rescue inhaler. It is not for people with asthma, and should not be used by children or anyone who is allergic to any of the ingredients in STIOLTO RESPIMAT.

Learn more about STIOLTO RESPIMAT

  • Can decrease the use of rescue inhalers
  • Delivers a soft mist to help you inhale the medicine
  • Is steroid-free
  • Starts to open airways in just 5 minutes* AND lasts a full 24 hours

*STIOLTO RESPIMAT is not for sudden COPD symptoms. Always carry a rescue inhaler.

Learn more about STIOLTO RESPIMAT

When you have COPD, breathing can be a constant struggle. Breathing in your COPD medicine shouldn't be. That's inhaleability.

Learn more about inhaleability

While rescue inhalers treat sudden symptoms, maintenance treatments like STIOLTO RESPIMAT are medicines you take daily to manage your COPD symptoms.

Learn how to manage your symptoms

Yes! The Quick Start Guide will teach you, step by step, how to assemble and prepare your inhaler for daily use.

Download the Quick Start Guide (PDF)

Also, you can watch a video on how to use it.

See the full Instructions for Use for complete details.

If your doctor has prescribed oxygen for your COPD, you should still take it as prescribed after starting STIOLTO RESPIMAT unless your doctor tells you otherwise.

Learn more about STIOLTO RESPIMAT

Chronic obstructive pulmonary disease (COPD) is a common, preventable, and treatable disease that is characterized by persistent respiratory symptoms and airflow limitation. It can make it difficult to get air out of your lungs and new air back in. While there is no cure for COPD, with lifestyle changes and medication, you may be able to breathe better and manage your symptoms.

Learn more about COPD

Some symptoms of COPD include:

  • Shortness of breath
  • Cough
  • Chest tightness
  • Wheezing

Learn more about COPD Symptoms and Progression 

Quitting smoking is one of the most important things you can do to slow the progression of COPD. STIOLTO RESPIMAT can help you breathe easier, even if you have smoked. STIOLTO RESPIMAT is proven to help people who smoked a pack a day for 10 years breathe better.

Ask your doctor if STIOLTO RESPIMAT is right for you

Many things can cause COPD symptoms to suddenly worsen. Triggers include:

  • Cigarette smoke and smoking
  • Extreme hot or cold weather
  • Air pollution

Learn more about triggers 

COPD is a disease that can get worse over time, which means that symptoms can turn into something called a flare-up or exacerbation. It’s important to know what can cause a flare-up and what you can do to help guard against them. STIOLTO RESPIMAT contains tiotropium, which has been shown to help significantly reduce the risk of flare-ups.

What can cause a flare-up?

Most flare-ups are caused by a lung infection like the common cold, so germs are a threat. Other causes, called triggers, can irritate your lungs and cause flare-ups. Here are some of the most common triggers that should be avoided:

  • Weather that is very hot, very cold, or very humid
  • Pollution outside from smog and ozone, or inside from tobacco smoke and wood-burning fires
  • Household cleaning products with bleach or ammonia
  • Allergies to dust, animals, or pets

Yes! Ask your doctor about ways to help you breathe more efficiently during the day. He or she can also recommend relaxation techniques to use when you’re short of breath.

More questions to ask your doctor

In many cases, yes. In fact, exercise can have many benefits for a COPD sufferer. Some low-impact exercise, such as walking, stretching, and gentle strengthening exercises can help decrease shortness of breath and improve your overall level of energy. Talk to your doctor before starting any new activities. Even with COPD, it may be possible and helpful to find an exercise program that works for you.

More questions to ask your doctor

There’s a lot you can do to keep COPD under control. For instance:

  • Avoid triggers, such as dust or smoke, that can irritate your lungs
  • Get vaccinated against the flu and pneumonia
  • Avoid germs during cold and flu season
  • Get your family on board with encouragement and support
  • Take all medicines as recommended by your doctor

Sign up for FREE tips and tools to help you manage your COPD

Yes! The Inhaleability Hub is a free, personalized website that addresses the unique needs associated with managing COPD.

Learn more & sign up today

If eligible, you could pay as little as $35* for a 30- day prescription fill with the STIOLTO RESPIMAT Savings Card.

The BI Cares Foundation may be able to help those who are covered by federal or state prescription programs or who have no prescription coverage and need financial assistance.

If you have switched over to using a mail-order pharmacy to get your STIOLTO RESPIMAT, and they have not allowed the use of your Savings Card, please follow the instructions below to obtain reimbursement:

  1. Visit www.patientrebateonline.com
  2. You will be required to enter your Savings Card information and provide a receipt for your prescription
  3. A reimbursement check will be sent directly to you

See if you’re eligible for a Savings Card

*Terms and Conditions Apply.

The Global Initiative for Chronic Obstructive Lung Disease (GOLD) is a world-wide organization that works with health care professionals and public health officials to improve the prevention and treatment of COPD.

They release a yearly report that provides the latest treatment recommendations for the diagnosis, management, and prevention of COPD. GOLD collaborates with the National Heart, Lung and Blood Institute (NHLBI), National Institutes of Health (NIH), and the World Health Organization (WHO).

Doctors may consult the GOLD Report when developing treatment plans for COPD.

GOLD recommendations are a tool doctors may consult when developing treatment plans for COPD. The 2024 GOLD Report now recommends treatment with a LAMA/LABA such as STIOLTO RESPIMAT for the majority of people living with COPD.

LAMA/LABAs are a combination of two types of medicines used to treat COPD: a long-acting muscarinic antagonist (LAMA), and a long-acting beta2-agonist (LABA).

LAMA/LABAs are a combination of two types of medicines used to treat COPD: a long-acting muscarinic antagonist (LAMA), and a long-acting beta2-agonist (LABA).

STIOLTO RESPIMAT is a LAMA/LABA that helps the muscles around the airways in your lungs stay relaxed to prevent COPD symptoms, such as wheezing, cough, chest tightness, and shortness of breath.

APPROVED USE FOR STIOLTO RESPIMAT

STIOLTO® RESPIMAT® (tiotropium bromide and olodaterol) Inhalation Spray is a prescription medicine used long term, 2 puffs 1 time each day, in controlling symptoms in adults with chronic obstructive pulmonary disease (COPD). COPD is a chronic lung disease that includes chronic bronchitis, emphysema, or both.

STIOLTO is not for treating sudden symptoms of COPD. Always have a rescue medicine with you to treat sudden symptoms.

STIOLTO is not for asthma.

IMPORTANT SAFETY INFORMATION FOR STIOLTO RESPIMAT

Do not use STIOLTO if you have asthma. People with asthma who take
long-acting beta2-agonist (LABA) medicines, such as olodaterol, (one of the medicines in STIOLTO), without also using a medicine called an inhaled corticosteroid, have an increased risk of serious problems from asthma, including being hospitalized, needing a tube placed in their airway to help them breathe, or death.

Do not use STIOLTO if you are allergic to tiotropium, ipratropium, atropine or similar drugs, olodaterol, or any ingredient in STIOLTO.

Call your healthcare provider or get emergency medical care if you experience symptoms of a serious allergic reaction including: rash, hives, itching, swelling of the face, lips, tongue, throat, and difficulties in breathing or swallowing.

Get emergency medical care if your breathing problems worsen quickly or if you use your rescue inhaler but it does not relieve your breathing problems. Call your healthcare provider if breathing problems worsen over time while using STIOLTO.

Do not use STIOLTO more often than prescribed by your doctor. Do not use STIOLTO with other LABAs or anticholinergics.

Do not use STIOLTO for treating sudden breathing problems. Always have a rescue inhaler with you to treat sudden symptoms.

Tell your doctor about all your medical conditions including heart problems, high blood pressure, seizures, thyroid problems, diabetes, kidney problems, glaucoma, enlarged prostate, and problems passing urine.

STIOLTO can cause serious side effects, including sudden shortness of breath that may be life threatening, fast or irregular heartbeat, increased blood pressure, chest pain, tremor, headache, nervousness, high blood sugar, or low blood potassium that may cause muscle weakness or abnormal heart rhythm. If any of these happens, stop taking STIOLTO and seek immediate medical help.

STIOLTO can cause new or worsening eye problems including narrow-angle glaucoma, and can increase the pressure in your eyes, which can cause the following symptoms: eye pain, blurred vision, seeing halos or colored images along with red eyes. If you have any of these symptoms, stop taking STIOLTO and call your doctor right away.

STIOLTO can cause new or worsened urinary retention. Symptoms of urinary retention may include difficulty passing urine, painful urination, urinating frequently, or urinating in a weak stream or drips. If you have any of these symptoms, stop taking STIOLTO and call your doctor right away.

The most common side effects of STIOLTO are runny nose, cough, and back pain.

Tell your doctor about all the medicines you take, including prescription and over-the-counter medicines, eye drops, vitamins, and herbal supplements. STIOLTO and certain other medicines may affect each other.

STIOLTO is for oral inhalation only.

The STIOLTO cartridge is only intended for use with the STIOLTO RESPIMAT inhaler.

Do not spray STIOLTO into your eyes. Your vision may become blurred and your pupils may become larger (dilated).

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.FDA.gov/medwatch or call 1-800-FDA-1088.

Read the step-by-step patient Instructions for Use for STIOLTO RESPIMAT before you use your inhaler.

Please see full Prescribing Information, Patient Information, and Instructions for Use for STIOLTO RESPIMAT.

CL-STO-100022 6.5.2019