Patient/caregiver was educated on precautions to be exercised while taking Tiotropium Respimat as follows: Tiotropium use can result in dry mouth, reduced acid secretion in the stomach, indigestion, decreased bowel activity, bloating, and constipation. Sucking on a sugar free hard candy can help with symptomatic relief of dry mouth. Proper hydration measures and compliance with daily fluid intake recommendations can help with relief from constipation. If you experience any further bothersome constipation, report it to [...]

Patient/caregiver was educated on precautions to be exercised while taking tiotropium as follows: Breathe out slowly through the nose or mouth and do one more inhalation having the mouthpiece in, to make sure that you are breathing in all of the powdered medication and no medication is getting wasted. Replace the cap on the mouthpiece of handihaler, once you completed intake of your prescribed dose. Holding the handihaler upright and away, with the mouthpiece upwards, [...]

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

Patient/caregiver was educated on precautions to be exercised while taking tiotropium as follows: Closing the mouth tightly around the mouthpiece, breathe in slow and deep for a complete breath, for a count of 5 seconds, which will help delivery of the powdered medication into the lungs. Withdraw the mouthpiece and handihaler from your mouth and hold your breath for a count of 5 seconds, giving time for the medication to be deposited into the airways, [...]

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