Patient/caregiver was educated on precautions to be exercised while taking Spiriva as follows:
- Spiriva is minimally metabolized in the liver and a significant portion of the drug administered is excreted unchanged in urine. Individuals with compromised renal function cannot excrete the medication normally, which allows the medication to stay in blood circulation for longer time, resulting in toxicity and consequent side-effects. So, Spiriva must be used with caution in individuals with compromised renal function, with possible dose adjustments, periodical monitoring for renal functions, and close watch for development of any dangerous side-effects and toxicity symptoms with the medication. Observe compliance with periodical labs ordered for renal function evaluation, while taking Spiriva.
- Spiriva use can also result in increase in the intraocular pressure, leading to worsening of glaucoma in individuals with history. Individuals can present with eye pain, headache, deteriorating and blurred vision with haloes around light due to poorly controlled glaucoma. Report any vision changes following Spiriva intake to your physician immediately, so that, an alternative plan of care could be considered. Observe compliance with eye drops prescribed for glaucoma, if any.
