Patient/caregiver was educated on precautions to be exercised while taking tiotropium as follows:

  1. Breathe out slowly through the nose or mouth and do one more inhalation having the mouthpiece in, to make sure that you are breathing in all of the powdered medication and no medication is getting wasted.
  2. Replace the cap on the mouthpiece of handihaler, once you completed intake of your prescribed dose.
  3. Holding the handihaler upright and away, with the mouthpiece upwards, perform a normal quiet breathing in and then, breathe out normally.
  4. Sit up straight or stand up. Bring the handihaler closer to your mouth and place the mouthpiece in between the teeth, with the chin up a little. This position of the chin will help better deposition of the medication into the airways. Make sure the tongue is not obstructing the mouthpiece, by having the mouthpiece over the tongue and not under.