Braltus is indicated as a maintenance bronchodilator treatment to relieve symptoms in adults with COPD.
Each capsule contains 13 microgram tiotropium as powder for inhalation. Administered via the Zonda inhaler, Braltus provides the same 10 microgram delivered dose of tiotropium as the Spiriva HandiHaler.
Tiotropium is a long-acting anticholinergic and is well-established as a treatment for COPD.
Zonda inhaler
Zonda is a breath-actuated inhaler described by the manufacturer as 'ergonomic and compact'.
To operate, the inhaler is loaded with a Braltus capsule and a piercing button pressed to release the medication. When the patient breathes in, the capsule vibrates to confirm the rate of inhalation is sufficient. The capsules are clear so they also allow visual confirmation of dose delivery.
A new inhaler is supplied with every prescription of 30 Braltus capsules.