This study investigates the thermosalient effect in oxitropium bromide, with a focus on the role of anisotropic thermal expansion, elastic properties, and sound propagation in driving this phenomenon. Variable-temperature X-ray powder diffraction (VTXRPD) revealed significant anisotropic thermal expansion, including negative thermal expansion (NTE) along the c-axis in the low-temperature Form A. Density functional theory (DFT) calculations were used to analyze elastic properties of oxitropium bromide and confirmed that it does not exhibit negative compressibility, emphasizing thermal anisotropy as the primary factor in the phase transition. Studies of elastic constants and sound propagation demonstrated a preferred pathway for energy transfer along the