Medicine Name: Trimium Transhaler. Composition: Ciclesonide (200mcg) + Formoterol (6mcg) + Tiotropium (9mcg). Side Effects: Dryness in mouth Cough Headache Dry throat Increased heart rate Blurred vision Glaucoma Difficulty in urination Urinary retention Constipation Nasopharyngitis inflammation of the throat and nasal passages Upper respiratory tract infection Sinus inflammation Stomach discomfort Fungal infection of oropharynx Tremors Palpitations Voice change Dizziness Insomnia difficulty in sleeping Paresthesia tingling or pricking sensation Taste change.