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 [...]

Patient/caregiver was educated on precautions to be exercised while taking tiotropium as follows: Tiotropium 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, tiotropium must be used with caution in individuals with compromised renal function, with [...]

Patient/caregiver was educated on precautions to be exercised while taking tiotropium as follows: Tiotropium use can result in elevated heart rate and consequent high blood pressure. Individuals with history of hypertension can be at increased risk for grossly elevated heart rate and high blood pressure with tiotropium. Closely follow for signs and symptoms of elevated blood pressure, such as, headache, fatigue, nosebleeds, episodes of confusion, diminishing vision, chest pain, palpitations, and pounding in the chest [...]

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

Patient/caregiver was educated on contraindications for using Tiotropium as follows: Tiotropium use can result in elevated heart rate and consequent high blood pressure. Individuals with history of tachycardia and poorly controlled hypertension can be at increased risk for grossly elevated heart rate and high blood pressure with tiotropium. Tiotropium must be used with extra caution in individuals with history of poorly controlled hypertension, with close watch maintained on blood pressure numbers, to prevent exacerbation of [...]