tiotropium inhalation (cont.)
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.
Do not use the Spiriva Handihaler more than 1 time in a 24-hour period.
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 does happen, rinse with water.
What other drugs will affect tiotropium inhalation (Spiriva)?
Tell your doctor about all other medicines you use, especially:
- atropine (Atreza, Sal-Tropine);
- belladonna (Donnatal, and others)
- benztropine (Cogentin);
- dimenhydrinate (Dramamine);
- methscopolamine (Pamine);
- scopolamine (Transderm-Scop);
- theophylline (Elixophyllin, Theo-24, Theochron, Uniphyl), and others;
- tiotropium (Spiriva);
- bladder or urinary medications such as darifenacin (Enablex), flavoxate (Urispas), oxybutynin (Ditropan, Oxytrol), tolterodine (Detrol), or solifenacin (Vesicare);
- cough, cold, or allergy medicine;
- irritable bowel medications such as dicyclomine (Bentyl), hyoscyamine (Hyomax), or propantheline (Pro Banthine);
- steroid medication such as prednisone (Deltasone, Sterapred), methylprednisolone (Medrol), fluticasone (Advair , Flonase, Flovent, Veramyst), beclomethasone (Qvar), budesonide (Pulmicort, Rhinocort, Symbicort), dexamethasone (Cortastat, Dexasone, Solurex, DexPak), mometasone (Asmanex, Nasonex), triamcinolone (Nasacort), and others; or
- ulcer medications such as glycopyrrolate (Robinul) or mepenzolate (Cantil).
This list is not complete and other drugs may interact with tiotropium inhalation. Tell your doctor about all medications you use. This includes prescription, over-the-counter, vitamin, and herbal products. Do not start 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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