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

  1. Tiotropium use can result in dry eyes with reduced tear production, irritation and redness of eyes, and blurred vision. Use of artificial tears can help relieve symptoms of dry eye.
  2. 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.
  3. 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.
  4. If you miss a dose, try taking it at the earliest notice of noncompliance. If it is time for the next dose, skip the missed dose and take the dose scheduled. Do not take an extra dose to try making up for the missed dose, to avoid overdose and toxicity with the medication. Notify your doctor and other health care personnel regarding your dose noncompliance.