| CPC A61M 15/0066 (2014.02) [A61K 9/008 (2013.01); A61K 31/5386 (2013.01); A61K 47/10 (2013.01); A61K 47/12 (2013.01); A61K 47/24 (2013.01); A61M 15/009 (2013.01); A61M 2205/02 (2013.01)] | 19 Claims |

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1. A metered dose inhaler equipped with a metering valve and having an aerosol canister containing a pharmaceutical composition comprising:
propellant;
ethanol at a concentration of no greater than about 20 wt. %;
citric acid at a concentration of no greater than 0.07 wt. %; and
tiotropium or a pharmaceutically acceptable salt or solvate thereof dissolved in the composition;
wherein the aerosol canister has an internal surface that is a non-metal material that is in contact with the pharmaceutical composition,
wherein the pharmaceutical composition does not include water.
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