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What happens if I miss a dose (Spiriva)?

Use the medication as soon as you remember. If it is almost time for the next dose, skip the missed dose and wait until your next regularly scheduled dose. Do not use extra medicine to make up the missed dose.

What happens if I overdose (Spiriva)?

Seek emergency medical attention if you think you have used too much of this medicine.

Overdose symptoms may include dry mouth, eye redness, constipation, stomach pain, and confusion or drowsiness.

What should I avoid while using tiotropium inhalation (Spiriva)?

Avoid getting this medication in your eyes. If this happens, rinse with water.

What other drugs will affect tiotropium inhalation (Spiriva)?

Before using tiotropium inhalation, tell your doctor if you are using any of the following medicines:

• atropine (Donnatal, and others);
• belladonna;
• cimetidine (Tagamet);
• clidinium (Quarzan);
• dicyclomine (Bentyl);
• glycopyrrolate (Robinul);
• hyoscyamine (Anaspaz, Cystospaz, Levsin, and others);
• mepenzolate (Cantil);
• methantheline (Provocholine);
• methscopolamine (Pamine);
• propantheline (Pro-Banthine); or
• scopolamine (Transderm-Scop).

This list is not complete and there may be other drugs that can interact with tiotropium inhalation. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.

Where can I get more information?

Your pharmacist can provide more information about tiotropium inhalation.

Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.

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