Spiriva

* This product is sent with 1 FREE Handihaler for use in conjunction with Spiriva capsules.

Uses
Spiriva (Tiotropium Bromide) contains an active ingredient which is a type of anticholinergic. It is prescribed to treat breathing diseases, such as chronic obstructive pulmonary disease (COPD) and emphysema. Patients affected by these conditions usually have difficulty breathing due to the fact that their air passages are narrowed. This drug relaxes the muscles in the air passages, thereby opening them up. Doing so helps to make breathing easier for patients suffering from breathing conditions. However, it is not used to treat a sudden attack of breathlessness.

Dosage and Administration
Spiriva (Tiotropium Bromide) is administered using a special inhalation device, called a Handihaler (included). Do not swallow the capsules as they are only meant for use with the inhalation device. Follow the instructions of your doctor with regard to dosage. Adults are sometimes told to use it once per day. It may be necessary to inhale twice with each capsule, to insure that all of the medication has been inhaled. Doctors normally advise cleaning the inhaler once per month with water. You must ensure that it has dried fully before you use it again.

Side effects
When treating breathing conditions with Spiriva (Tiotropium Bromide) some patients may notice side effects, such as:

• Cold symptoms
• Digestive problems
• Muscular pain
• White sores in the mouth
• Dryness affecting the mouth

While taking this drug, you should be aware of the risk of side effects. See your doctor if any side effects persist or become serious. In some cases, more harmful side effects may occur. You should consult your doctor immediately if you notice pain in the chest, difficulty urinating, pain affecting the eyes, blurred vision, fever or any other side effects not listed here.

Precautions
If you have a history of kidney problems, glaucoma or problems with urination, it is necessary to tell your doctor before you begin using this drug.

It is likely that older adults will be more likely to experience side effects when using this medication.

Seek immediate emergency medical attention if you suffer an allergic reaction. Symptoms to watch for, which may be indicative of a reaction, include skin rashes, hives, swelling of the face or limbs, trouble breathing, and trouble swallowing.

Always use Spiriva (Tiotropium Bromide) as you have been prescribed by your doctor. Never self-medicate or change your dosage without first consulting your doctor. The correct dosage can vary depending on your health, medical history, and the severity of the condition being treated.

This medication may not be safe for all patients. Before you begin using it always disclose the following to your doctor:

• If you are pregnant or breastfeeding.
• If you suffer from any allergies.
• If you suffer from any other health conditions or illnesses.
• If you are using any other medicine (including all non-prescription).
• If you are using any supplements, vitamins, or herbal products of any kind.