Spiriva (Tiotropium Bromide) Patient Information: Missed a Dose and What Should I Avoid at RxList

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May 27, 2012

Spiriva

Acute Bronchitis »

What is acute bronchitis?

Air is pulled into the lungs when we breathe, initially passing through the mouth, nose, and larynx (voicebox) into the trachea and continues en route to each lung via either the right or left bronchi (the bronchial tree - bronchi, bronchioles, and alveoli). Bronchi are formed as the lower part of the trachea divides into two tubes that lead to the lungs. As the bronchi get farther away from the trachea, each bronchial tube divides and gets smaller (resembling an inverted tree) to provide the air to lung tissue so that it can transfer oxygen to the blood stream and remove carbon dioxide (the waste product of metabolism).

Bronchitis describes inflammation of the bronchial tubes (inflammation = itis). The inflammation causes swelling of the lining of these breathing tubes, narrowing the tubes and promoting secretion of inflammatory fluid.

Acute bronchitis describes the inflammation of the bronchi u...

Read the Acute Bronchitis article »

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Spiriva Patient Information including If I Miss a Dose

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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