The best replacement for tiotropium is ipratropium.

The best alternatives to tiotropium are rated as following:
★★★★★  ipratropium
★★★  salmeterol
★★★  aclidinium
★★  albuterol
★★  anoro
★★  salmeterol fluticasone
★★  indacaterol
★  glycopyrronium
  ipratropium bromide
  formoterol

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Speaking about tiotropium, one probably shouldn't forget about ipratropium.

Other search terms related to tiotropium and their ratings are:
★★★★★ ipratropium
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Google Trends

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salmeterol