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tiotropium (generic name)

(tee oh TRO pee um): An anticholinergic bronchodilator - It helps open up the airways in your lungs to make it easier to breathe

tiotropium

What is this medicine?
TIOTROPIUM (tee oh TRO pee um) is a bronchodilator. It helps open up the airways in your lungs to make it easier to breathe. This medicine is used to treat COPD, including emphysema and chronic bronchitis. Never use this medicine for an acute attack.

This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions.
What is the price of this medication and similar alternatives?

This pricing information is subject to change at the sole discretion of DS Pharmacy. This pricing information was updated 09/2009. For the most current and up-to-date pricing information, please visit www.drugstore.com. Actual costs to patients will vary depending on the use of specific retail or mail-order locations and health insurance copays.

Spiriva HandiHaler 18MCG Capsules BOEHRINGER INGELHEIM30/$197.16 or 90/$574.02
Spiriva HandiHaler 18MCG Capsules BOEHRINGER INGELHEIM5/$56.25 or 15/$154.07
Spiriva HandiHaler 18MCG Capsules BOEHRINGER INGELHEIM6/$41.99 or 18/$105.96
What side effects may I notice from receiving this medicine?
Side effects that you should report to your doctor or health care professional as soon as possible:
  • allergic reactions like skin rash or hives, swelling of the face, lips, or tongue
  • breathing problems
  • changes in vision
  • chest pain
  • fast heartbeat
  • infection or flu-like symptoms
  • trouble passing urine or change in the amount of urine

Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):

  • constipation
  • cough
  • dry mouth
  • headache
  • muscle pain
  • sore throat
  • stomach upset

This list may not describe all possible side effects. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

How should I use this medicine?
This medicine should only be used in a special inhaler. Do NOT swallow the capsule. Follow the directions on your prescription label. Do not use the inhaler when it is wet. Do not use more often than directed. Do not stop using your medicine without your doctor's advice. Make sure that you are using your inhaler correctly. Ask you doctor or health care provider if you have any questions.

A patient information sheet for the product will be given with each prescription and refill. Read this sheet carefully each time. The sheet may change frequently.

Talk to your pediatrician regarding the use of this medicine in children. Special care may be needed.

Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once.
NOTE: This medicine is only for you. Do not share this medicine with others.
What if I miss a dose?
If you miss a dose, use it as soon as you can. If it is almost time for your next dose, use only that dose and continue with your regular schedule. Do not use double or extra doses.
What may interact with this medicine?
  • atropine, hyoscyamine, ipratropium or related medicines called antimuscarinics or anticholinergics

This list may not describe all possible interactions. Give your health care provider a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.

Who should NOT use this medication?

  • Known hypersensitivity to tiotropium bromide or any ingredient in the formulation.
  • Known hypersensitivity to atropine or its derivatives (e.g., ipratropium).

What should I watch for while using this medicine?
Visit your doctor or health care professional for regular checks on your progress. Tell your doctor if your symptoms do not improve. Do not use more medicine than directed. If your symptoms get worse while you are using this medicine, call your doctor right away.

Do not get the this medicine in your eyes. It can cause irritation, pain, or blurred vision.

Clean the inhaler as directed in the patient information sheet that comes with this medicine.
What should I tell my health care provider before I take this medicine?
They need to know if you have any of these conditions:
  • bladder problems or difficulty passing urine
  • glaucoma
  • kidney disease
  • prostate trouble
  • an unusual or allergic reaction to tiotropium, ipratropium, atropine, other medicines, lactose, foods, dyes, or preservatives
  • pregnant or trying to get pregnant
  • breast-feeding
Can I stop taking the medication if I feel better?
As a general rule, you should always take your medications exactly as prescribed and do not change the dosage or stop taking the medication without first discussing it with your healthcare provider.
I am on so many medications; do I have to take them all?
This is called polypharmacy—many different medications being used at the same time by one person. Sometimes, being on multiple medications is acceptable and appropriate but at other times it may be problematic. If you are receiving your medications from multiple physicians you need to ensure that they all know what medications you are taking. The best way to do this is to make a list of all the medications you are currently using, including all nutritional supplements, homeopathic remedies, vitamins and over-the-counter drugs (if possible, also include all the diseases you have been diagnosed with). Give a copy to every doctor who takes care of you so they have it on file, this way they can avoid duplicating medications and perhaps even try to consolidate some. After every doctor's visit remember to update the list accordingly. Also, as much as you possibly can, try to use the same pharmacy to fill all your prescriptions, this way any potential drug interactions can be caught and averted.
Where can I get more information?
More Information

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