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

1. Closing the mouth tightly around the mouthpiece, breathe in slow and deep for a complete breath, for a count of 5 seconds, which will help delivery of the powdered medication into the lungs. Withdraw the mouthpiece and handihaler from your mouth and hold your breath for a count of 5 seconds, giving time for the medication to be deposited into the airways, for it to act.
2. Maintain strict compliance with inhalation of the medication as ordered, with regards to dosage and frequency, to derive the benefit of the medication. Compliance with the use of tiotropium inhalations as ordered, at regularly spaced intervals, is very important to prevent any exacerbation of asthma and COPD attacks.
3. Tiotropium capsules, containing the medication as a dry-powder, are to be used only for inhalation, using a Handihaler and not to be swallowed orally. Use only one capsule at a time in the handihaler device.
4. Notify your doctor of any unresolving shortness of breath, any exacerbation of asthma and COPD episodes, so that, your dosage on the medication could be revised.