Ciclesonide (400mcg), formoterol (12mcg), and tiotropium (18mcg) 

Ciclesonide (400mcg), formoterol (12mcg), and tiotropium (18mcg) 
R/C TIOTROPIN 3D are the strengths or doses of three different medications used for the treatment of chronic obstructive pulmonary disease (COPD) or asthma. Let's look at each medication individually:
Ciclesonide: Ciclesonide is an inhaled corticosteroid used to reduce inflammation and swelling in the airways. It helps to prevent and control symptoms such as wheezing, shortness of breath, and coughing associated with asthma or COPD. The dose you mentioned (400mcg) likely refers to the strength of the inhaler, indicating the amount of ciclesonide delivered with each puff.
Formoterol: Formoterol is a long-acting beta-agonist bronchodilator. It helps to relax the muscles around the airways, allowing for easier breathing. Formoterol is often used in combination with an inhaled corticosteroid (such as ciclesonide) for better control of symptoms. The dose you mentioned (12mcg) indicates the strength or amount of formoterol delivered with each puff.
Tiotropium: Tiotropium is a long-acting anticholinergic bronchodilator used to treat COPD and asthma. It works by relaxing the muscles around the airways and improving airflow. The dose you mentioned (18mcg) refers to the strength of the inhaler, indicating the amount of tiotropium delivered with each puff.
R/C TIOTROPIN 3D worth noting that these medications are typically prescribed based on an individual's specific condition, severity of symptoms, and the healthcare provider's recommendations. 
R/C TIOTROPIN 3D prescribed dosage and frequency of use may vary among individuals.
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