Patient/caregiver was educated on precautions to be exercised while taking Tiotropium Respimat as follows:
- Tiotropium use can also result in increase in the intraocular pressure, leading to worsening of glaucoma in individuals with history. Individuals can present with eye pain, headache, deteriorating and blurred vision with haloes around light due to poorly controlled glaucoma. Report any vision changes following tiotropium intake to your physician immediately, so that, an alternative plan of care could be considered. Observe compliance with eye drops prescribed for glaucoma, if any.
- Tiotropium use can result in elevated heart rate and consequent high blood pressure. Individuals with history of hypertension can be at increased risk for grossly elevated heart rate and high blood pressure with tiotropium. Closely follow for signs and symptoms of elevated blood pressure, such as, headache, fatigue, nosebleeds, episodes of confusion, diminishing vision, chest pain, palpitations, and pounding in the chest and neck. Report any such findings to your physician immediately, so that, an alternative plan of care could be considered. Observe compliance with antihypertensive medications prescribed, if any. Observe compliance with recording and log maintenance of everyday blood pressure numbers, which can help for an easy follow-up and reporting of numbers consistently out of the normal parameters.
