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Independent analysis of NHS open data
PharmaInsight

Tiotropium bromide

Respiratory System Bronchodilators BNF 0301020Q0
Data updated May 2026 Download CSV

Tiotropium bromide was ranked 141st of 1,792 medicines by items in May 2026, with 145,426 items, down 12.2% on a year earlier.

145,426items -12.2%

Dispensed in May 2026

1,858,301items

Rolling 12 months

£4,094,086

Net ingredient cost · May 2026

Figure 1. Tiotropium bromide: national items dispensed by month

0 135k 271k Jan 2021 Dec 2021 Oct 2022 Aug 2023 Jun 2024 Apr 2025 May 2026 145,426 Jan 2021: 263k Feb 2021: 243k Mar 2021: 271k Apr 2021: 260k May 2021: 245k Jun 2021: 260k Jul 2021: 259k Aug 2021: 243k Sep 2021: 254k Oct 2021: 241k Dec 2021: 259k Jan 2022: 238k Feb 2022: 221k Mar 2022: 248k Apr 2022: 230k May 2022: 237k Jun 2022: 230k Jul 2022: 228k Aug 2022: 232k Sep 2022: 225k Oct 2022: 222k Nov 2022: 224k Dec 2022: 227k Jan 2023: 219k Feb 2023: 199k Mar 2023: 223k Apr 2023: 199k May 2023: 209k Jun 2023: 211k Jul 2023: 200k Aug 2023: 203k Sep 2023: 196k Oct 2023: 197k Nov 2023: 197k Dec 2023: 196k Jan 2024: 196k Feb 2024: 182k Mar 2024: 183k Apr 2024: 188k May 2024: 190k Jun 2024: 175k Jul 2024: 189k Aug 2024: 179k Sep 2024: 172k Oct 2024: 181k Nov 2024: 171k Dec 2024: 176k Jan 2025: 176k Feb 2025: 155k Mar 2025: 162k Apr 2025: 161k May 2025: 166k Jun 2025: 159k Jul 2025: 167k Aug 2025: 152k Sep 2025: 159k Oct 2025: 163k Nov 2025: 148k Dec 2025: 165k Jan 2026: 156k Feb 2026: 142k Mar 2026: 153k Apr 2026: 150k May 2026: 145k

Source: NHSBSA Prescription Cost Analysis, to May 2026

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At a glance

  • Therapeutic class Bronchodilators
  • Presentations 10 shown
  • Average cost / item £28.15
  • Year on year Down 12.2% on a year earlier
What this is
Net ingredient cost is the list price before discounts and dispensing fees, not what the NHS finally pays.

Top presentations, May 2026

The individual products dispensed under Tiotropium bromide this month.

Presentations of Tiotropium bromide, May 2026
Presentation BNF code Items Net ingredient cost
Spiriva Respimat 2.5microg/dose inhalation soln 0301020Q0BBACAC 58,078 £1,490,699
Spiriva Respimat 2.5microg/dose inhalation soln refill cart 0301020Q0BBADAE 38,588 £1,005,583
Braltus 10microgram inhalation pdr caps with Zonda inhaler 0301020Q0BCAAAD 27,856 £846,395
Spiriva 18microgram inhalation powder capsules 0301020Q0BBABAB 10,045 £411,447
Spiriva 18microgram inhalation pdr caps with HandiHaler 0301020Q0BBAAAA 5,569 £221,913
Tiogiva 18microgram inhalation powder capsules with device 0301020Q0BEAAAA 2,931 £66,827
Tiogiva 18microgram inhalation powder capsules 0301020Q0BEABAB 1,776 £40,166
Acopair 18microgram inhalation pdr caps with NeumoHaler 0301020Q0BDAAAA 486 £9,915
Trokide 18microg inhalation pdr capsules with Vertical-Haler 0301020Q0BFABAA 73 £938
Trokide 18microgram inhalation powder capsules 0301020Q0BFAAAB 24 £204

Source: NHSBSA Prescription Cost Analysis · to May 2026 OGL v3.0

Where Tiotropium bromide is dispensed

The regions and dispensing practices with the highest Tiotropium bromide volumes.

Regional volumes from NHSBSA Prescription Cost Analysis; practice volumes from NHS dispensing data.

Compare Tiotropium bromide with

Other medicines in the same BNF section, by prescribing volume.