Tiotropium

Dosage Forms Available

• Tiotropium is available for use via inhalation route in two different formulations (powder and spray).

Age and Dose Restrictions

• This medicine is approved for use in adults and children who are 6 years of age and older.

Contraindications

• Tiotropium is contraindicated in individuals who are allergic to it or any of its ingredients.

• It should also be avoided by patients with a known hypersensitivity to atropine.

Other Medications to Avoid

• Tiotropium may interact with other anticholinergic medications (such as ipratropium, aclidinium, umeclidinium, and glycopyrrolate).

Overdose and Missed Dose

• An overdose of Tiotropium may lead to dry mouth, constipation, blurred vision and an increased heart rate. If you observe any of these symptoms, inform your doctor immediately.

• If you forget to take a dose of Tiotropium, take it as soon as you remember. However, if it is almost time for the next dose, skip the missed dose and continue with your regular schedule.

Management of Side Effects

Most side effects are temporary, generally harmless and resolve when discontinuing this medicine. However, if you experience any severe side effects or worsening of any of the symptoms, please consult your doctor.

• For dry mouth, try sipping water regularly or sucking on ice chips.

• For constipation, increase your intake of fluids and dietary fibre.

• If you have a runny nose or sinusitis, a saline nasal rinse may help alleviate the symptoms.

Use in Driving and Operating Machinery

• Tiotropium may cause blurred vision and dizziness. Therefore, it is advised to avoid driving or operating heavy machinery after taking this medication.

Use in Pregnancy and Lactation

• Please consult your doctor before using this medicine if you are pregnant or breastfeeding.

Caution in Other Conditions

• Patients with urinary retention, benign prostatic hyperplasia, narrow-angle glaucoma, and kidney problems should use Tiotropium with caution.

• If you have any of these conditions, consult your doctor before starting this medication.

Special Dietary and Lifestyle Recommendations

• Avoid exposure to allergens and irritants such as dust, smoke, and strong perfumes, as they can worsen the symptoms of COPD and asthma.