Stiolto Respimat (tiotropium bromide and olodaterol) is a prescription drug used to treat chronic obstructive pulmonary disease (COPD). Stiolto Respimat can cause side effects that range from mild to serious. Examples include back pain and cough.

Stiolto Respimat is used in adults to treat chronic obstructive pulmonary disease (COPD). It is not used to treat asthma or sudden breathing problems from COPD. It comes as an inhaler you breathe into your lungs.

Stiolto Respimat has two active ingredients (tiotropium bromide and olodaterol). An active ingredient is what makes a drug work in the body.

Keep reading to learn about common, mild, and serious side effects that Stiolto Respimat can cause. For a detailed overview of this drug, including Stiolto Respimat’s price, how long it takes for Stiolto Respimat to work, and more, check out this in-depth Stiolto Respimat article.

To learn about Stiolto Respimat complaints and reviews, talk with your doctor for more information.

Some people may experience mild to serious side effects during their Stiolto Respimat treatment. Examples of the drug’s commonly reported side effects include:

* To learn more about this side effect, see the “Side effects explained” section.

Mild side effects have been reported with Stiolto Respimat. These include:

In most cases, these side effects should be temporary. And some may be easily managed. But if you have symptoms that are ongoing or bothersome, talk with your doctor or pharmacist. Do not stop Stiolto Respimat treatment unless your doctor recommends it.

Stiolto Respimat may cause mild side effects other than those listed above. See the drug’s prescribing information for details.

* To learn more about this side effect, see the “Side effects explained” section.

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Serious side effects have been reported with Stiolto Respimat. These include:

If you develop serious side effects while taking Stiolto Respimat, call your doctor right away. If the side effects seem life threatening or you think you’re having a medical emergency, immediately call 911 or your local emergency number.

* To learn more about this side effect, see the “Side effects explained” section.

Note: After the Food and Drug Administration (FDA) approves a drug, it tracks and reviews side effects of the medication. If you’d like to notify the FDA about a side effect you’ve had with Stiolto Respimat, visit MedWatch.

ALLERGIC REACTION

For some people, Stiolto Respimat can cause an allergic reaction.

But it’s not clear how often this occurred in the drug’s studies.

In general, symptoms of allergic reaction can be mild or serious.

What might help

If you have mild symptoms of an allergic reaction, such as a mild rash, call your doctor right away. They may suggest a treatment to manage your symptoms and can determine whether you should continue Stiolto Respimat treatment.

If you have symptoms of a severe allergic reaction, such as swelling or trouble breathing, call 911 or your local emergency number right away. These symptoms could be life threatening and require immediate medical care.

If your doctor confirms you’ve had a serious allergic reaction to Stiolto Respimat, they may have you switch to a different treatment.

Get answers to some frequently asked questions about Stiolto Respimat’s side effects.

Does Stiolto Respimat cause weight gain?

No, weight gain wasn’t a side effect reported in studies of Stiolto Respimat. But if you’re concerned about weight gain, speak with your doctor. They can provide more information about possible causes of weight gain, including other medications you may be taking or other health conditions you may have.

Are there side effects if Stiolto Respimat is taken with alcohol?

It’s possible. Stiolto Respimat can cause dizziness and blurred vision. Drinking alcohol while on this medication can worsen these side effects.

Some research from 2018 shows that excessive alcohol use may also worsen your lung function over time if you have COPD.

If you drink alcohol regularly, talk with your doctor. They can tell you more about possible risks of Stiolto Respimat with alcohol.

Learn more about some of the side effects Stiolto Respimat may cause.

Back pain

Back pain was a common but mild side effect of Stiolto Respimat that was reported in studies of the medication. Typically this side effect is temporary and should ease with continued use of the medication.

What might help

If you’re experiencing back pain during Stiolto Respimat treatment, talk with your doctor. For mild back pain, your doctor may suggest using over-the-counter pain relievers such as acetaminophen, heat or cold pack therapy, or gentle exercises such as stretching to relieve pain.

If you’re having serious back pain, call your doctor right away. They can diagnose the cause of your pain and treat it.

Heart problems

Stiolto Respimat can cause certain types of serious heart problems. These side effects were rare in studies of the medication.

They include:

What might help

Tell your doctor if you have heart problems. They’ll discuss whether Stiolto Respimat is safe for you.

If you’re prescribed Stiolto Respimat, your doctor may ask you to monitor your blood pressure, pulse, and heart rate regularly during Stiolto Respimat treatment.

If you experience serious heart problems while using the medication, including chest pain, call your doctor right away. They’ll determine whether you need to stop Stiolto Respimat and switch to a different treatment option that’s safer for you.

If you feel you’re having a medical emergency, call 911 or go to your nearest emergency medical center immediately.

Keeping track of side effects

During your Stiolto Respimat treatment, consider taking notes on any side effects you’re having. You can then share this information with your doctor. This is especially helpful when you first start a new drug or combination of treatments.

Your side effect notes can include things such as:

  • what dose of the drug you were taking when you had the side effect
  • how soon you had the side effect after starting that dose
  • what your symptoms were
  • how your symptoms affected your daily activities
  • what other medications you were taking
  • any other information you feel is important

Sharing notes with your doctor will help them learn more about how Stiolto Respimat affects you. They can then use this information to adjust your treatment plan if needed.

Below is important information you should consider before taking Stiolto Respimat.

Warnings

Stiolto Respimat can sometimes cause harmful effects in people who have certain conditions. This is known as a drug-condition interaction. Other factors may also affect whether Stiolto Respimat is a good treatment option for you.

Talk with your doctor about your health history before you take Stiolto Respimat. Be sure to tell them if any of the following factors apply to you:

Disclaimer: Healthline has made every effort to make certain that all information is factually correct, comprehensive, and up to date. However, this article should not be used as a substitute for the knowledge and expertise of a licensed healthcare professional. You should always consult your doctor or another healthcare professional before taking any medication. The drug information contained herein is subject to change and is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. The absence of warnings or other information for a given drug does not indicate that the drug or drug combination is safe, effective, or appropriate for all patients or all specific uses.