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Details:
Capsules
Chemical Name: TIOTROPIUM BROMIDE (tee-oh-TROE-pee-um BROE-mide)
Common uses
This medicine is an anticholinergic agent 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.
Before using
INFORM YOUR DOCTOR OR PHARMACIST of all prescription and over-the-counter
medicine that you are taking. ADDITIONAL MONITORING OF YOUR DOSE OR CONDITION
may be needed if you are taking other anticholinergic medicines including
antihistamines, antispasmodics, or medicines for Parkinson"s disease. DO NOT
START OR STOP any medicine without doctor or pharmacist approval. Inform your
doctor of any other medical conditions including narrow-angle glaucoma, severe
kidney problems, prostate problems, difficulty urinating, allergies (especially
to lactose or atropine derivatives like ipratropium), pregnancy, or
breast-feeding.
Directions
Follow the directions for using this medicine provided by your doctor. This
medicine comes with a patient information leaflet. Read it carefully. Ask your
doctor, nurse, or pharmacist any questions that you may have before using this
medicine. DO NOT SWALLOW THE CAPSULES. THE CAPSULES ARE USED WITH A SPECIAL
INHALER. 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 a 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
doctor or pharmacist if you are unclear on how to use this device or inhale the
medicine. Clean the inhaler device only if needed. If you are using the same
inhaler device for longer than one month at a time before getting a new one,
clean it once a month. To clean the inhaler device, follow the instructions in
the patient information leaflet. Each inhaler device may be used for up to one
year and then should be replaced. STORE THIS MEDICINE at room temperature
between 59 and 77 degrees F (15 and 25 degrees C), away from heat, moisture, and
light. Do NOT freeze. After removing a capsule from a strip, all of the
remaining capsules in the strip must be used within 5 days. This medicine will
work best if used regularly. To help you remember, take your dose at the same
time each day. IF YOU MISS A DOSE OF THIS MEDICINE, use it as soon as possible.
If it is almost time for your next dose, skip the missed dose and go back to
your regular dosing schedule. Do NOT use 2 doses at once.
Possible side effects
SIDE EFFECTS, that may go away during treatment, include dry mouth,
constipation, vomiting, blurred vision, or nosebleed. If they continue or are
bothersome, check with your doctor. CHECK WITH YOUR DOCTOR as soon as possible
if you experience pain or white patches in your mouth or on your tongue, or
difficulty urinating. Rarely, immediately after using a dose of this medicine
your breathing may become more difficult and wheezing may worsen. If this
occurs, CONTACT YOUR DOCTOR IMMEDIATELY. CONTACT YOUR DOCTOR IMMEDIATELY if you
experience a rapid or irregular heartbeat. AN ALLERGIC REACTION to this medicine
is unlikely but seek immediate medical attention if it occurs. Symptoms of an
allergic reaction include rash, itching, swelling, severe dizziness, or severe
trouble breathing. If you notice other effects not listed above, contact your
doctor, nurse, or pharmacist.
If you take too much
If overdose is suspected, contact your local poison control center or
emergency room immediately.
Additional information
DO NOT SHARE THIS MEDICINE with others for whom it was not prescribed. DO
NOT USE THIS MEDICINE for other health conditions. KEEP THIS MEDICINE out of the
reach of children. IF USING THIS MEDICINE FOR AN EXTENDED PERIOD OF TIME, obtain
refills before your supply runs out.
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