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

  1. Your physician could change the dose of inhalation medication, based on the response you show. So, maintain compliance with follow-up physician appointments and be accommodative to the plan of dose changes, until you show an optimum response.
  2. Make sure the mouthpiece is clean before having it in the mouth. Once every week, clean the handihaler with soap and water and dry it thoroughly with a clean towel. Let it air dry for an additional 10 minutes, before you can start using it again.
  3. Do not change the dose on this medication without consulting your doctor. Do not overdose on the use of tiotropium inhalations, as it can significantly increase the chances of side effects and toxicity.
  4. Take the inhalation dose at the same time, every day, for the duration prescribed, to avoid forgetting the medication dose.