Stiolto Respimat ®
We’ll deliver to you in 2-5 days
Price checker
2.5mg/2.5mg
$837.95
  • Prices include:
    Express shipping

    2-5 day shipping by secure courier

  • Consultation + Access to our clinicians

    Ask our experts anything you like, any time you want.

  • Total
    $837.95
    Save $0.00 each order
Reviewed on August 15, 2025. by
Dr Alexandra Cristina Cowell
Writer & Clinical Content Reviewer
Next review due on
August 15, 2028.
Dr Alexandra Cristina Cowell

Last updated on Aug 14, 2025.

Once-daily maintenance inhaler for COPD symptoms.

Stiolto Respimat contains two medications, tiotropium and olodaterol, that work together to relax your airways and make breathing easier. Stiolto is prescribed to help control your COPD symptoms; it’s not a rescue inhaler.

Price checker
2.5mg/2.5mg
$837.95
  • Prices include:
    Express shipping

    2-5 day shipping by secure courier

  • Consultation + Access to our clinicians

    Ask our experts anything you like, any time you want.

  • Total
    $837.95
    Save $0.00 each order
Stiolto Respimat Tiotropium Bromide & Olodaterol

What is Stiolto Respimat?

Stiolto Respimat is a long-acting inhaler for people with chronic obstructive pulmonary disease (COPD). It’s a maintenance treatment, which means you use it every day to help manage symptoms. It won’t replace your rescue inhaler for sudden symptoms, but it can reduce how often you need to use one.[1]

It’s often prescribed for people with moderate to very severe COPD, including chronic bronchitis and emphysema. Studies show that regular use can help to improve your day-to-day symptoms.[1]

How does Stiolto Respimat work for COPD?

Stiolto Respimat works by making it easier for air to move in and out of your lungs.

Stiolto combines two types of bronchodilators:

  • Tiotropium, a long-acting muscarinic antagonist (LAMA), which blocks signals that cause airway muscles to tighten.
  • Olodaterol, a long-acting beta2-agonist (LABA), which stimulates receptors in the lungs to help open up the airways.

Together, they relax and widen your airways, making it easier for you to breathe.

Will I get side effects using Stiolto Respimat?

Like all medications, side effects are possible with Stiolto, but they don’t affect everyone. The most common ones include a cough, runny nose, and back pain.

Some people might also feel nervous or have an increased heart rate or blood pressure, especially if you use too much. In some rare cases, it can cause more serious effects like eye pain, urinary retention, or allergic reactions. If anything feels off at all, stop using it and speak to a healthcare provider right away.

What doses of Stiolto Respimat are there?

Stiolto Respimat comes in a single fixed dose of 2.5mcg Tiotropium and 2.5mcg Olodaterol. You’ll typically take two puffs, once a day.

Treated trusted source:

  1. Ferguson, G.T., Karpel, J., et al. (2017). Effect of tiotropium and olodaterol on symptoms and patient-reported outcomes in patients with COPD: results from four randomised, double-blind studies. npj Primary Care Respiratory Medicine, 27(1), pp.1–9.
Dr Alexandra Cristina Cowell
This page was medically reviewed by Dr Alexandra Cristina Cowell on August 15, 2025. Next review due on August 15, 2028.

How we source info.

When we present you with stats, data, opinion or a consensus, we’ll tell you where this came from. And we’ll only present data as clinically reliable if it’s come from a reputable source, such as a state or government-funded health body, a peer-reviewed medical journal, or a recognised analytics or data body. Read more in our editorial policy.

Stiolto Respimat Tiotropium Bromide & Olodaterol

How to use Stiolto Respimat

You’ll use two puffs once a day, at the same time each day, ideally in the morning.

Here’s how to use it:

  • Load the cartridge into the inhaler device (only once, when you start a new cartridge)
  • Turn the base of the inhaler until it clicks
  • Open the cap, breathe out fully, and place the mouthpiece in your mouth
  • Press the button while breathing in slowly and deeply
  • Hold your breath for a few seconds before exhaling
  • Repeat for the second puff

A full list of instructions will be provided with Stiolto. Make sure to read these carefully before starting your treatment.

What should I do if I take too much Stiolto Respimat?

If you’ve taken more Stiolto than you should, contact a medical provider or access emergency care. It’s a good idea to bring your inhaler with you so the medical team knows what you’ve taken.

Dr Alexandra Cristina Cowell
This page was medically reviewed by Dr Alexandra Cristina Cowell on August 15, 2025. Next review due on August 15, 2028.

How we source info.

When we present you with stats, data, opinion or a consensus, we’ll tell you where this came from. And we’ll only present data as clinically reliable if it’s come from a reputable source, such as a state or government-funded health body, a peer-reviewed medical journal, or a recognised analytics or data body. Read more in our editorial policy.

Stiolto Respimat Tiotropium Bromide & Olodaterol

Stiolto Respimat isn’t suitable for everyone, and there are some things that you need to be aware of when using it.

Here’s all the official info on it. If anything is unclear, let our doctor know, and they can talk with you about it.

Stiolto Respimat Tiotropium Bromide & Olodaterol

Stiolto Respimat: FAQ

Have something specific you want to know? Search our info below, or ask our experts a question if you can’t find what you’re looking for.

How does Stiolto Respimat compare with alternatives?

Answer:
Stiolto Respimat is a dual bronchodilator inhaler. There are other dual bronchodilator inhalers that work in a similar way, like Anoro Ellipta and Bevespi Aerosphere, but they use different combinations of active ingredients.

Compared to Spiriva (tiotropium on its own), Stiolto can be better at reducing symptoms, because it adds a second bronchodilator. Studies show the combination can lead to better improvements in your symptoms than Spiriva alone.[1]

How effective is Stiolto Respimat?

Answer:
Stiolto is effective at reducing COPD symptoms. Studies show Stiolto can significantly improve lung function, reduce breathlessness, and lower the need for rescue medications in some people.[2]

In some studies, they found that people responded better to Stiolto than to just one kind of medication or a placebo, and less people saw their symptoms worsen over time.[2]

What kind of inhaler is Stiolto Respimat?

Answer:
Stiolto Respimat is a long-acting inhaler used to treat COPD. It’s not an asthma inhaler, and it doesn’t contain a steroid. Instead, it combines two bronchodilators that work together to keep your airways open.

How long does it take for Stiolto Respimat to work?

Answer:
Stiolto won’t cure your COPD, and it won’t relieve sudden symptoms. It’s designed to be used as a maintenance inhaler, not as a rescue treatment.
You might notice some improvement in symptoms in the first few doses, but it can take a few weeks of using it every day to feel the full benefit.[1]

Can Stiolto Respimat cause weight gain?

Answer:
Weight gain isn’t a common side effect of Stiolto. Most people don’t experience major changes to their weight while using it. If you do notice any unexplained weight changes, talk to a doctor to rule out other causes.

Can you take Combivent and Stiolto together?

Answer:
Combivent is a short-acting combination inhaler that's typically used when your COPD symptoms aren’t managed by the use of both a rescue and daily maintenance inhaler. It’s a combination of a rescue medication and a maintenance medication.[3]

In some cases, a doctor might recommend both. You shouldn’t use them together without a doctor prescribing them as a combined treatment.

Can you take Spiriva and Stiolto together?

Answer:
You shouldn’t take Spiriva and Stiolto together. Stiolto contains tiotropium, which is also the active ingredient in Spiriva, so taking them together could increase your risk of side effects. You shouldn’t use both at the same time unless your doctor specifically tells you to.

Can you use a spacer with Stiolto Respimat?

Answer:
No, Stiolto Respimat isn’t designed to be used with a spacer. It uses a soft mist inhaler device, which delivers your medication slowly and steadily, unlike metered dose inhalers (MDIs), which sometimes need a spacer.

If you have trouble using the Respimat device, a pharmacist or doctor can show you how to use it best.

Can you use Stiolto and Albuterol together?

Answer:
Yes, you can use Stiolto and Albuterol together. Albuterol is often used as a rescue inhaler, while Stiolto is a long-acting maintenance treatment. It’s safe to use both if needed, and many people do.

Can I get Stiolto Respimat through private health insurance?

Answer:
Stiolto Respimat is often covered by private health insurance, but your exact coverage can vary depending on your plan. Check with your insurer that your treatment and pharmacy are covered.

Can I drink alcohol while using Stiolto Respimat?

Answer:
There’s no direct interaction between Stiolto and alcohol, so drinking is unlikely to cause you any issues. If you notice your symptoms get worse after drinking, it’s worth talking to your doctor.

Treated trusted source:

  1. Staff, R. (2018). Stiolto Superior to Spiriva in Reducing COPD Exacerbation | RT. Respiratory Therapy.
  2. Ferguson, G.T., Karpel, J., et al. (2017). Effect of tiotropium and olodaterol on symptoms and patient-reported outcomes in patients with COPD: results from four randomised, double-blind studies. npj Primary Care Respiratory Medicine, 27(1), pp.1–9.
  3. COPD Foundation (2019). COPD foundation. Copdfoundation.org.

This is healthcare on your terms.

All from the comfort of your device. Get access to what you need, when you need it.

100% online

Ask questions and get expert recommendations, at the touch of a button.

Tailored choices

We'll narrow down some treatments for you to choose from based on your medical profile.

Secure shipping

Receive your treatment by express delivery, in discreet packaging.

Easy automatic refills

Set your own delivery schedule and pause or make changes any time you like.

See how it works

Your partners in health

Get to know our clinical team. They review our info, prescribe and dispense your treatments.

Dr. Joseph Palumbo

Senior Medical Adviser
Dr-Joseph

Registered with NPI (No. 1043478878)

Meet Joseph  

Dr. Rami Ahmed

Prescribing Clinician
Dr. Rami Ahmed (1)

Registered with NPI (No. 1376740092)

Meet Rami  

Mr Craig Marsh

Clinical Reviewer
Mr-Craig

Registered with GPhC (No. 2070724)

Meet Craig  

Dr Daniel Atkinson

Clinical Reviewer
Dr D,new

Registered with GMC (No. 4624794)

Meet Daniel  

Similar but different.

COPD: Here are your other options.

Atrovent
Atrovent Ipratropium

Inhaled bronchodilator that helps manage breathing problems caused by COPD.

17mcg per puff
$539.95
$539.95
See this option
Combivent
Combivent Ipratropium bromide and Albuterol sulfate

Combination treatment that helps manage and prevent COPD symptoms.

20mcg/100mcg
$936.95
$936.95
See this option
Serevent
Serevent Salmeterol

Serevent is a long-acting bronchodilator for COPD. It works by relaxing airway muscles, helping you breathe more easily and reducing flare-ups.

50mcg
$754.95
$754.95
See this option
Brown box with Treated logo in black
Spiriva Tiotropium

Widens airways to make breathing easier. Provides all-day relief.

$564.95
$564.95
See this option
Trelegy Ellipta
Trelegy Ellipta Fluticasone furoate, Umeclidinium bromide, Vilanterol trifenatate

Three active ingredients to prevent COPD symptoms and future flare-ups.

100/62.5/25mcg
$554.95
$554.95
See this option

Here’s what you had to say

  • Service reviews
Treated
4.45

Average rating based on 2113 reviews.

Our verification process
551

Very convenient and time saver makes things easier

A
551

Treatment is going great! Fantastic service.

T
551

Understood my needs. Worked very fast. Script showed up quickly. Very satisfied. Highly recommend.

A
551

Ordered 8/21 and arrived 8/24. Always great service.

A
551

All worked as planned.

A
551

Everything is working very well thank you so much

J
See all our reviews 

Read more about Stiolto Respimat

Further reading

Woman with pink top and dark hair exercising with boxing gloves on

How to exercise safely when you have asthma

Thankfully, exercising with asthma isn’t impossible. It can take a little bit of planning, but the…

December 19, 2025 Read more
Man wearing checked shirt with glasses and grey beard in garden centre

What is an asthma attack?

Knowing the signs of an asthma attack and what to do is really important if you or someone you know …

December 19, 2025 Read more
A younger woman in a yellow cardigan sits on a couch with an older man in a blue jumper. They're both looking at a book held by the younger woman, and she's pointing to the page

Can taking weight loss injections lower your risk of getting dementia?

Everything you need to know about Wegovy and how it may lower the risk of neurodegenerative diseases…

December 12, 2025 Read more

Give us the inbox treatment.

We're making healthcare more about you. Sign up to our newsletter for personalised health articles that make a difference.

Disclaimer: The information provided on this page is not a substitute for professional medical advice, diagnosis, or treatment. If you have any questions or concerns about your health, please talk to a doctor.

Tell us about a problem

Accept the terms of use terms of use

What did you like about it?

What didn't you like about it?

I'm looking for
Popular searches:
Viagra Wegovy Finasteride Varenicline Zepbound