Patient/caregiver was educated on precautions to be exercised while using Spiriva respimat as follows: 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. [...]

Patient/caregiver was educated on precautions to be exercised while using Spiriva respimat as follows: Spiriva 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 using Spiriva 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 using Spiriva 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 using Spiriva 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, [...]