Tiotropium - Medication Detail

Medication Type:  Long-term control, should be taken every day as prescribed

Generic Names:  Tiotropium

Brand Names:  Spiriva Respimat®

Description:  An inhaler for people 6 years of age and older taken every day for long term control of asthma symptoms. Over time, it works to relax muscles in the airway and opens the airways for easier breathing. May take 4 – 8 weeks to provide maximum benefit.

Delivery

Metered dose inhaler

Spacer

Spiriva Respimat can be used with a spacer, but this is usually not necessary

Dosage

Two inhalations (2.5 mcg) once daily

Proper Use

Before using for the first time, the Spiriva Respimat cartridge must be inserted into the inhaler and then primed.

These instructions show you how to prepare and prime the inhaler for first-time use and how to use the inhaler for daily dosing.

  • Take every day at the same time for best results.
  • Continue to take this medication even if your symptoms are controlled.
  • Always follow the “TURN, OPEN, PRESS” pattern when using Spiriva.
  • With the cap closed, TURN the clear base in the direction of the arrows on the label until you hear a “click”.
  • OPEN the cap until it snaps into place
  • Breathe out and then close your lips around the mouthpiece.
  • Do not cover the air vents with your fingers.
  • Point the inhaler toward the back of your throat.
  • Take a slow deep breath and PRESS the dose release button while continuing to breathe in.
  • Remove the inhaler from your mouth and hold your breath for 10 seconds or as long as comfortable.
  • Breathe out.
  • Repeat “turn, open, press” for the second inhalation.
  • Close the cap.

Precautions

  • Do NOT use this drug to treat an asthma attack.
  • Take care not to let any spray enter your eyes. This may result in eye pain or discomfort, blurred vision, as well as cause headache, nausea or vomiting. If spray gets in your eyes, wash your eyes in warm water, stop using tiotropium bromide, and call your doctor right away.
  • May cause new or worsened blockage in your bladder and/or enlarged prostate, making it harder or painful to pass urine.
  • If breathing gets worse or if you experience rash, swelling or itching directly after using this inhaler, stop using it and tell your doctor right away.
  • May cause a dry mouth and, over time, dental cavities, so remember to take good care of your mouth and teeth.
  • Tell your doctor if you have had a heart attack or other heart problems (myocardial infarction in the last year).

Common Interactions

No common interactions exist for this drug, but less common ones exist. Tell your doctor and pharmacist about all of your medications and health problems so they can check for any interactions.

Possible Side Effects

The most common side effects include dry mouth, sore throat, sinus infections, bronchitis, and headache.

Proper Storage

  • Keep in original container.
  • Store at room temperature.
  • Use the dose indicator to see how much medicine is left.
  • When it enters the red zone, you need to get a refill.
  • When it reaches the end of the red zone, the inhaler is empty and automatically locks.
  • You cannot get any more medicine out of the inhaler.
  • If you have not used all of the medicine within 3 months after inserting the medicine cartridge, throw the inhaler away.