Patient/caregiver was educated on precautions to be exercised while taking Tiotropium Respimat as follows
- Shake the inhaler well for 5 seconds before every use. Hold the respimat inhaler upright and rotate the transparent base in the direction indicated, until you hear a click. Open the cap to expose the mouthpiece of the respimat inhaler. Leave the cap on the inhaler open, exposing the mouthpiece.
- Bring the respimat inhaler 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 mouthpiece is clean before having it in the mouth, by wiping the mouthpiece with a clean towel before use. Make sure the tongue is not obstructing the mouthpiece, by having the mouthpiece over the tongue and not under.
- Closing the mouth tightly around the mouthpiece, breathe in slow and deep for a complete breath, for a count of 5 seconds. At the same time, activate the drug release button on the tiotropium inhaler, by pressing the button with the index finger. Performing both these acts at the same time is a task that will help delivery of the medication to the site of action in the airways and lungs. You can use the spacer, if you have difficulty coordinating these activities.
