• If you have an allergy to tiotropium, atropine, ipratropium, or any other part of this medicine.
• Tell healthcare provider if you are allergic to any medicine. Make sure to tell about the allergy and how it affected you. This includes telling about rash; hives; itching; shortness of breath; wheezing; cough; swelling of face, lips, tongue, or throat; or any other symptoms involved.
• If you are allergic to milk, talk with healthcare provider.
• If you are having a breathing attack.
• To gain the most benefit, do not miss doses.
• Use prescription as directed, even if feeling better.
• Do not swallow capsule. The contents of the capsule will be inhaled into the lungs. • Check inhaler use with healthcare provider at each visit. Read and follow all instructions provided with inhaler. Using the inhaler the right way is very important.
• Remove capsule from foil right before use.
• Open dust cap by pulling up.
• Open mouthpiece by pulling up.
• Place capsule in the chamber in the bottom of the inhaler.
• Close mouthpiece until click is heard.
• Leave dust cap open.
• Press green piercing button once and let go.
• Keep inhaler at a level, upright position.
• Exhale fully. Never exhale into the inhaler.
• Place mouthpiece in your mouth. Close your lips around the mouthpiece.
• Tilt head back and inhale.
• Hold your breath as long as comfortable.
• If any powder remains in the capsule, exhale fully and repeat. When capsule is empty, throw away.
• If you are using more than one type of inhaler, ask healthcare provider which inhaler to use first.
• Do not use a spacer with the inhaler.
• Use new inhaler with each refill.
• Take a missed dose as soon as possible.
• If it is almost time for the next dose, skip the missed dose and return to your regular schedule.
• Do not take a double dose or extra doses.
• Do not change dose or stop medicine. Talk with healthcare provider.
• Change in condition being treated. Is it better, worse, or about the same?
• Dry mouth may cause an increase in cavities. Take good care of your teeth. See a dentist regularly.
• Follow up with healthcare provider.
• Store at room temperature.
• Store capsules in original container. Use right after opening.
• Protect capsules from moisture. Do not store in a bathroom or kitchen.
Created: 2005-04-07 17:23:24.0
Modified: 2010-03-09 08:29:36.0
Lexi-PALS TM © (1977)-(2007) Lexi-Comp, Inc. All rights reserved.
• If you have a life-threatening allergy, wear allergy identification at all times.
• Do not share your medicine with others and do not take anyone else's medicine.
• Keep all medicine out of the reach of children and pets.
• Most medicines can be thrown away in household trash after mixing with coffee grounds or kitty litter and sealing in a plastic bag.
• Keep a list of all your medicines (prescription, natural products, supplements, vitamins, over-the-counter) with you. Give this list to healthcare provider (doctor, nurse, nurse practitioner, pharmacist, physician assistant).
• Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088 or in Canada to Health Canada's Canada Vigilance Program at 1-866-234-2345.
• Talk with healthcare provider before starting any new medicine, including over-the-counter, natural products, or vitamins.
• Read the package insert for more details.
• This medicine is used to open the airways in lung diseases where spasm may cause breathing problems.
• This medicine is not for the treatment of acute episodes of shortness of breath.
• Wear disease medical alert identification.
• If you have glaucoma, talk with healthcare provider.
• If you have kidney disease, talk with healthcare provider.
• If you are a male with problems urinating, talk with healthcare provider.
• If you have myasthenia gravis, talk with healthcare provider.
• Check medicines with healthcare provider. This medicine may not mix well with other medicines.
• Tell healthcare provider if you are pregnant or plan on getting pregnant.
• Tell healthcare provider if you are breast-feeding.
• Constipation. More liquids, regular exercise, or a fiber-containing diet may help. Talk with healthcare provider about a stool softener or laxative.
• Dry mouth. Frequent mouth care, sucking hard, sugar-free candy, or chewing sugar-free gum may help.
• Sore throat.
• Severe allergic reactions can rarely occur.
• If you suspect an overdose, call your local poison control center or emergency department immediately.
• Signs of a life-threatening reaction. These include wheezing; chest tightness; fever; itching; bad cough; blue skin color; fits; or swelling of face, lips, tongue, or throat.
• Difficulty breathing.
• Significant nasal irritation.
• Sudden change in vision, eye pain, or irritation.
• Any rash.
• No improvement in condition or feeling worse.
