LUPIN-TIOTROPIUM 18 MCG — DIN 02537850
TIOTROPIUM (TIOTROPIUM BROMIDE MONOHYDRATE) : 18 MCG · LUPIN PHARMA CANADA LIMITED · CAPSULE · wholesale supply in Canada
Health Canada status: MARKETED
What is LUPIN-TIOTROPIUM?
LUPIN-TIOTROPIUM 18 MCG contains TIOTROPIUM (TIOTROPIUM BROMIDE MONOHYDRATE) : 18 MCG. It is listed in the Health Canada Drug Product Database under DIN 02537850, held by LUPIN PHARMA CANADA LIMITED, supplied as CAPSULE for INHALATION administration. Health Canada currently lists it as marketed, status dated 18-Dec-2023. Nexara Health is a licensed Canadian wholesale distributor (DEL 3-002896-A) and can source this product for hospitals, pharmacies and clinics. Availability and lead time are confirmed per order.
What is LUPIN-TIOTROPIUM used for?
LUPIN-TIOTROPIUM (tiotropium bromide monohydrate) is indicated for: long-term once-daily maintenance bronchodilator treatment of airflow obstruction in patients with chronic obstructive pulmonary disease (COPD), including chronic bronchitis and/or emphysema. LUPIN-TIOTROPIUM is not indicated as rescue medication for the relief of acute bronchospasm in COPD.
Authorized indication as written in the Health Canada product monograph. For healthcare professionals and licensed purchasers; this is not medical advice.
How much does Tiotropium Bromide cost around the world?
Tiotropium Bromide is listed on 11 of the national price registers Nexara ingests. Each country publishes on a different basis, so those figures are not comparable with one another — or with a Canadian wholesale price.
What a market publishes matters more than the number it publishes. Australia publishes a ex-manufacturer; Austria publishes a KVP (Kassenverkaufspreis); Belgium publishes a public. Comparing an ex-factory ceiling against a pharmacy public price tells you nothing about either, and comparing either against a Canadian landed cost tells you less.
| Market | Price basis published there | Brands | Packs listed | Range |
|---|---|---|---|---|
| Australia | ex-manufacturer | 5 | 14 | AUD███.██ |
| Sweden | AIP (pharmacy purchase price) | 4 | 12 | SEK███.██ |
| Greece | producer price (ex-factory) | 7 | 7 | EUR███.██ |
| Saudi Arabia | public | 7 | 7 | SAR███.██ |
| Czechia | max producer price (ex-factory) | 2 | 6 | CZK███.██ |
| Austria | KVP (Kassenverkaufspreis) | 5 | 5 | EUR███.██ |
| Luxembourg | reimbursement | 5 | 5 | EUR███.██ |
| Romania | max producer price | 4 | 5 | RON███.██ |
| Belgium | public | 4 | 4 | EUR███.██ |
| Morocco | PPV (public price) | 2 | 4 | MAD███.██ |
| South Africa | single exit price | 1 | 1 | ZAR███.██ |
70 pack listings across 46 brand entries and 10 price bases, refreshed 08 Sep 2026. Ranges span every Tiotropium Bromide pack in that market, so a high figure is usually a larger pack rather than the same product.
Canada publishes no comparable public list price. For a delivered Canadian price on a licensed account, verify your licence — it takes about a minute.
Is there a generic Tiotropium Bromide in Canada, and who makes it?
Every market authorization holder with a Canadian DIN for this molecule, and how many of their listings Health Canada currently shows as marketed.
3 holders have a Canadian DIN containing Tiotropium Bromide, across 4 DINs, of which 4 are currently marketed. Marketed count is the number that matters: an approval that is not marketed cannot be bought.
| Market authorization holder | DINs | Marketed | Brand names | Position |
|---|---|---|---|---|
| BOEHRINGER INGELHEIM (CANADA) LTD LTEE | 2 | 2 | SPIRIVA, SPIRIVA RESPIMAT | Sourceable in Canada |
| APOTEX INC | 1 | 1 | APO-TIOTROPIUM | Sourceable in Canada |
| LUPIN PHARMA CANADA LIMITED | 1 | 1 | LUPIN-TIOTROPIUM | Sourceable in Canada |
Health Canada’s Drug Product Database does not flag which listing is the originator and which are subsequent-entry products, so Nexara does not label them here. Interchangeability is determined provincially, not federally — confirm for your province before a formulary switch. Nexara can confirm which of these is actually obtainable, and on what lead time, per order.
How is it supplied and stored?
Pack configuration, storage class and the handling constraints that drive cold-chain planning. One DIN can cover more than one pack size, and the pack — not the DIN — is what gets priced, shipped and invoiced.
| Strength on the label | 18 MCG |
|---|---|
| Dosage form | CAPSULE |
| Route | INHALATION |
| Pack configuration (monograph) | Carton of 30 LUPIN - TIOTROPIUM capsules (3 blister cards) and one LupinHaler device. Carton of 10 LUPIN - TIOTROPIUM capsules (1 blister card) and one LupinHaler device. Refill packs: Carton of 30 LUPIN - TIOTROPIUM capsules (3 blister cards) |
| Storage | null |
Before an order line is unambiguous Nexara needs the strength, the pack size and the presentation.
Substance and classification
| Active substance | Tiotropium Bromide |
|---|---|
| ATC code | R03BB04 |
| Biosimilar biologic | No |
Health Canada record and identifiers
The regulatory facts straight from the Drug Product Database, plus every identifier form Nexara accepts on a purchase order. A DIN written without its leading zeros is the commonest reason an order line fails to match.
| DIN (8-digit, as used in ordering) | 02537850 |
|---|---|
| DIN (unpadded, as printed on some documents) | 2537850 |
| Brand name | LUPIN-TIOTROPIUM |
| Generic / active ingredient | TIOTROPIUM (TIOTROPIUM BROMIDE MONOHYDRATE) : 18 MCG |
| Market authorization holder | LUPIN PHARMA CANADA LIMITED |
| Health Canada schedule | Prescription |
| ATC code | R03BB04 |
| ATC anatomical main group | R — Respiratory system |
| ATC therapeutic subgroup | R03BB |
| Current status | MARKETED |
| Status date | 18-Dec-2023 |
| Status source | Live Health Canada DPD sync |
Verify on the primary sources
What can be used instead?
Alternatives on every axis a buyer actually considers — the same molecule in another presentation, the same class, an adjacent class, or a fixed-dose combination. Every row is led by the marketed DIN count, because that is what can be bought this week.
1 · Same molecule, other Canadian presentations
4 of 4 Canadian DINs for this molecule are currently marketed. Marketed products are listed first.
| Product | Strength | Form | Holder | Health Canada status | DIN |
|---|---|---|---|---|---|
| APO-TIOTROPIUM | 18 MCG | CAPSULE | APOTEX INC | MARKETED | 02550865 |
| SPIRIVA | 18 MCG | CAPSULE | BOEHRINGER INGELHEIM (CANADA) LTD LTEE | MARKETED | 02246793 |
| SPIRIVA RESPIMAT | 2.5 MCG | SOLUTION | BOEHRINGER INGELHEIM (CANADA) LTD LTEE | MARKETED | 02435381 |
2 · Same class — other molecules in ATC R03BB
| Molecule | Canadian brands | DINs | Marketed | Sourceable |
|---|---|---|---|---|
| Ipratropium Bromide | AA-IPRAVENT · APO-IPRAVENT STERULES · ATROVENT · ATROVENT HFA · +20 more | 30 | 8 | Yes |
| Tiotropium Bromide | APO-TIOTROPIUM · LUPIN-TIOTROPIUM · SPIRIVA · SPIRIVA RESPIMAT | 4 | 4 | Yes |
| Aclidinium Bromide | TUDORZA GENUAIR | 1 | 1 | Yes |
| Glycopyrronium Bromide | SEEBRI BREEZHALER | 1 | 1 | Yes |
| Umeclidinium Bromide | INCRUSE ELLIPTA | 1 | 1 | Yes |
A molecule with zero marketed DINs cannot be sourced domestically, however many approvals it holds — if one of these sits on a formulary or in an older protocol, that is the line to check.
3 · Adjacent classes in ATC R03B
| ATC subgroup | Molecules | DINs | Marketed |
|---|---|---|---|
| R03BA | Beclometasone · Budesonide · Ciclesonide · Flunisolide · Fluticasone · +3 more | 66 | 33 |
| R03BC | Cromoglicic Acid · Nedocromil | 11 | 0 |
Not clinical advice. These tables describe what can be supplied in Canada, not what should be prescribed. Substitution within or across classes is a prescriber and pharmacist decision, and interchangeability is determined provincially.
What else is LUPIN-TIOTROPIUM called?
The same molecule, Tiotropium Bromide, is registered under other names elsewhere. Buyers and prescribers searching from outside Canada — or working from a foreign prescription or tender document — often know it by one of these:
| Name | Script | Registered in |
|---|---|---|
| Spiriva Respimat | Latin | Australia, Czechia |
| Spiriva | Latin | Australia, Czechia, Morocco |
| Tiogiva | Latin | Saudi Arabia, Sweden |
| Spiolto Respimat | Latin | Australia, Saudi Arabia |
| Spiriva® | Latin | Sweden |
| Tiotropium STADA | Latin | Sweden |
| Braltus | Latin | Australia |
| Tiotropium Lupin | Latin | Australia |
| Tiotropium PharmaS | Latin | Sweden |
| SPIOLTO RESPIMATE | Latin | Saudi Arabia |
| Tiomist | Latin | Saudi Arabia |
| Tiotropium Eva | Latin | Saudi Arabia |
| Triova | Latin | Saudi Arabia |
Names are taken from national medicine registers and published price lists. A product registered abroad is not authorized for sale in Canada unless it holds its own DIN; import is possible only through the routes Health Canada permits.
How can I get it?
Nexara Health supplies this product to licensed Canadian buyers — pharmacies, hospitals, clinics, licensed distributors, and clinical trial sponsors or their CROs. We confirm stock, pack size, expiry and pricing at the time of quotation. If the product is on backorder or in shortage, we identify equivalent alternatives and import options where permitted.
Ordering questions
Who can buy this from Nexara?
Licensed entities only. Nexara holds Health Canada establishment licence DEL 3-002896-A and ships only to a licensed address. Patients and unlicensed buyers are routed to a partner pharmacy.
Is there a minimum order?
Yes, set per product line and per pack multiple rather than on the order total, so you are never asked to buy a part-pack. The minimum for this line is confirmed with your quote.
What is the lead time?
Confirmed per order at quotation, and it depends on current stock position and whether the product is in shortage.
Why is there no price on this page?
Nexara quotes a delivered Canadian price per order, against a verified licence. Foreign list prices are published on incompatible bases and are not a guide to what any buyer can obtain here, so this page shows which markets list the molecule and on what basis, and nothing more.
Can Nexara supply this for a clinical trial?
Yes — comparator and background-therapy supply, including sourcing from other markets where a Canadian pack will not satisfy the protocol. Clinical trial supply.