Patient/caregiver was educated on precautions to be exercised while taking Tiotropium Respimat as follows

  1. Withdraw the mouthpiece 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. Breathe out slowly through the nose or mouth. One activation of the respimat inhaler counts for one puff. If you are ordered to have two puffs as your dose, wait for a minute before taking the second puff. For the second puff, start with shaking the respimat inhaler for 5 seconds and repeating all the steps of the procedure throughout.
  3. Gargle and rinse the mouth with water after every dose of tiotropium inhalation. Spit out this water after rinsing and do not swallow. This helps prevent any unpleasant taste, dryness of the mouth, and any discomfort of throat irritation.
  4. Replace the cap on the mouthpiece of respimat inhaler, once you completed inhalation of your prescribed dose.
  5. Sit up straight or stand up. Holding the respimat inhaler away, perform a normal quiet breathing in and then, breathe out normally.