Patient/caregiver was educated on the side-effects of using Spiriva as follows: Genitourinary side-effects Spiriva use can result in relaxation of smooth muscle of bladder and contraction of urinary sphincter, which leads to increased urinary retention and increased difficulty passing urine. Retention of urinary in the bladder can increase the chances for urinary tract infection, especially in senior citizens and individuals with history of multiple UTIs. Individuals can present with fever, chills, rigors, burning sensation of [...]

Patient/caregiver was educated on the side-effects of using Spiriva as follows: General allergic reactions                                  Spiriva use can result in general allergic reactions, such as, skin rashes, hives, and itching. Some patients can present with symptoms of severe allergic and anaphylactic response with Spiriva, such as, difficulty breathing, swelling of face, lips, throat, and tongue, with consequent difficulty breathing. Seek emergency medical help for such findings, especially with difficulty breathing, for any appropriate measures to be [...]

Patient/caregiver was educated on how to use Spiriva respimat as follows: Take the inhalation dose at the same time, every day, for the duration prescribed, to avoid forgetting the medication dose. Maintain strict compliance with inhalation of the medication as ordered, with regards to dosage and frequency, to derive the benefit of the medication. Compliance with the use of Spiriva inhalations as ordered, at regularly spaced intervals, is very important to prevent any exacerbation of [...]

Patient/caregiver was educated on how to use Spiriva HandiHaler as follows: Take the inhalation dose at the same time, every day, for the duration prescribed, to avoid forgetting the medication dose. Maintain strict compliance with inhalation of the medication as ordered, with regards to dosage and frequency, to derive the benefit of the medication. Compliance with the use of Spiriva inhalations as ordered, at regularly spaced intervals, is very important to prevent any exacerbation of [...]

Patient/caregiver was instructed upon therapeutic uses and mechanism of action of Spiriva as follows: Acetylcholine produced in the body, by acting on the muscarinic receptors in the smooth muscle, results in generalized contraction of smooth muscle in different organ systems. Smooth muscle in the respiratory tract and bronchi also has muscarinic receptors. Acetylcholine acting on these receptors brings on contraction of this smooth muscle, resulting in collapse of airways and difficulty breathing. Also, acetylcholine action [...]