Tiotropium bromide is primarily used in the management of chronic obstructive pulmonary disease (COPD), including chronic bronchitis and emphysema. It works as a long-acting bronchodilator by relaxing the muscles around the airways, making it easier to breathe. This medication is often prescribed for daily maintenance to prevent symptoms such as shortness of breath, wheezing, and coughing. It is typically administered via inhalation using a dry powder inhaler, ensuring direct delivery to the lungs for effective action. Tiotropium bromide helps improve lung function, reduces the frequency of COPD exacerbations, and enhances overall quality of life for patients. It is not intended for immediate relief of acute breathing problems but rather for long-term control of chronic respiratory conditions.