TIOTROPIUM BROMIDE tablets
What does tiotropium bromide do?
TIOTROPIUM BROMIDE (Spiriva(R)) is used to treat the symptoms of chronic obstructive pulmonary disease, including chronic bronchitis and emphysema, in adults. This medicine is inhaled into the lungs where it enlarges your airways to allow you to breathe easier. It may also be used to treat other conditions as determined by your doctor.
What should my health care professional know before I use tiotropium bromide?
They need to know if you have any of these conditions:
• narrow-angle glaucoma
• severe kidney problems
• prostate problems
• difficulty urinating
• severe kidney or liver problems
• pregnant or trying to get pregnant
How should I take this medicine?
Tiotropium bromide are capsules used with a special inhaler. Do not swallow capsules. Follow the directions on the prescription label. Do not remove a capsule from the packaging until you are ready to use it. If a second capsule is exposed to the air when you are removing a capsule for use, it must be discarded. Do not save the capsule for later. The capsule must immediately be placed in the special inhaler device. The device will puncture the capsule so that the medicine inside may be inhaled into the lungs through the mouthpiece. Exhale slowly and deeply. Do not breathe into the mouthpiece of the inhaler. Position the inhaler mouthpiece between your lips and try to rest your tongue flat. Keep your head upright. Take a slow, deep breath. You should hear the capsule vibrate inside the inhaler. Hold your breath as long as it feels comfortable, then exhale slowly through pursed lips. Breathe out completely. To be sure all of the medicine has been inhaled from the capsule, inhale from the mouthpiece a second time following the same process. Ask your prescriber or healthcare professional if you are unclear on how to use this device or inhale the medicine
What if I miss a dose?
If you miss a dose, take it a soon as you can. If it is almost time for your next dose, consult your prescriber or health care professional. You may need to miss a dose or take a double dose, depending on your condition and treatment. Do not take double or extra doses without advice.
What other medicines can interact with tiotropium bromide?
Tell your prescriber or other health care professional about all other medicines you are taking including non-prescription medicines, nutritional supplements, or herbal products. Also tell your prescriber or health care professional if you are a frequent user of drinks with caffeine or alcohol, if you smoke or if you use illegal drugs. These may affect the way your medicine works. Check before stopping or starting any of your medications.
What side effects might I notice from taking tiotropium bromide?
Side effects that you should report to your doctor as soon as possible:
• pain or white patches in your mouth or on your tongue
• difficulty urinating
• yellowing of the eyes or skin
• flu-like symptoms (such as headache, weakness, muscle aches, or fever)
• chest pain
• rapid or irregular
Rare or uncommon:
• rash, itching
• severe dizziness
• difficulty breathing or wheezing
Side effects that usually do not require medical attention (report to your doctor if they continue or are bothersome):
• blurred vision
• dry mouth