Patient/caregiver was educated on contraindications for using Spiriva as follows:

  1. In the event of any current manifestations of any allergic response with this medication, report it to your physician or other health care personnel immediately, to check regarding your safety with continuing on intake of this medication.
  2. Spiriva use can result in dry mouth, reduced acid secretion in the stomach, indigestion, decreased bowel activity, bloating, and constipation. Sucking on a sugar free hard candy can help with symptomatic relief of dry mouth. Proper hydration measures and compliance with daily fluid intake recommendations can help with relief from constipation. If you experience any further bothersome constipation, report it to your physician for a recommendation on laxative/stool softener use. Observing compliance with fiber intake recommendations in the diet can also help with preventing episodes of constipation with the medication. Report any bothersome complaint of indigestion to your physician for further recommendation.