Before using -INFORM YOUR DOCTOR OR PHARMACIST of all prescription and over-the-counter medicine that you are taking. ADDITIONAL MONITORING OF YOUR DOSE OR CONDITION may be needed if you are taking other anticholinergic medicines including antihistamines, antispasmodics, or medicines for Parkinson's disease. DO NOT START OR STOP any medicine without doctor or pharmacist approval. Inform your doctor of any other medical conditions including narrow-angle glaucoma, severe kidney problems, prostate problems, difficulty urinating, allergies (especially to lactose or atropine derivatives like ipratropium), pregnancy, or breast-feeding.

Directions -Follow the directions for using this medicine provided by your doctor. This medicine comes with a patient information leaflet. Read it carefully. Ask your doctor, nurse, or pharmacist any questions that you may have before using this medicine. DO NOT SWALLOW THE CAPSULES. THE CAPSULES ARE USED WITH A SPECIAL INHALER. DO NOT remove a capsule from the packaging until you are ready to use it. If a second capsule is exposed to the air when you are removing a capsule for use, it must be discarded. Do not save the capsule for later. The capsule must immediately be placed in a special inhaler device. The device will puncture the capsule so that the medicine inside may be inhaled into the lungs through the mouthpiece. Exhale slowly and deeply. DO NOT breathe into the mouthpiece of the inhaler. Position the inhaler mouthpiece between your lips and try to rest your tongue flat. Keep your head upright. TAKE A SLOW, DEEP BREATH. You should hear the capsule vibrate inside the inhaler. Hold your breath as long as it feels comfortable, then exhale slowly through pursed lips. Breathe out completely. To be sure all of the medicine has been inhaled from the capsule, inhale from the mouthpiece a second time following the same process. Ask your doctor or pharmacist if you are unclear on how to use this device or inhale the medicine. Clean the inhaler device only if needed. If you are using the same inhaler device for longer than one month at a time before getting a new one, clean it once a month. To clean the inhaler device, follow the instructions in the patient information leaflet. Each inhaler device may be used for up to one year and then should be replaced. STORE THIS MEDICINE at room temperature between 59 and 77 degrees F (15 and 25 degrees C), away from heat, moisture, and light. Do NOT freeze. After removing a capsule from a strip, all of the remaining capsules in the strip must be used within 5 days. This medicine will work best if used regularly. To help you remember, take your dose at the same time each day. IF YOU MISS A DOSE OF THIS MEDICINE, use it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do NOT use 2 doses at once.

Possible side effects -SIDE EFFECTS, that may go away during treatment, include dry mouth, constipation, vomiting, blurred vision, or nosebleed. If they continue or are bothersome, check with your doctor. CHECK WITH YOUR DOCTOR as soon as possible if you experience pain or white patches in your mouth or on your tongue, or difficulty urinating. Rarely, immediately after using a dose of this medicine your breathing may become more difficult and wheezing may worsen. If this occurs, CONTACT YOUR DOCTOR IMMEDIATELY. CONTACT YOUR DOCTOR IMMEDIATELY if you experience a rapid or irregular heartbeat. AN ALLERGIC REACTION to this medicine is unlikely but seek immediate medical attention if it occurs. Symptoms of an allergic reaction include rash, itching, swelling, severe dizziness, or severe trouble breathing. If you notice other effects not listed above, contact your doctor, nurse, or pharmacist.

Drug interactions -Drug interactions can result in unwanted side effects or prevent a medicine from doing its job. Use our drug interaction checker to find out if your medicines interact with each other. Check drug interactions

If you take too much -If overdose is suspected, contact your local poison control center or emergency room immediately.

Medication/Labelled/Produced by	Strength/Quantity	Price	Freedom Pharmacy
Spiriva/Tiotropium / BOEHRINGER INGELHEIM	18mcg 30 Capsules	$82.88
easier. medications breath, in the a and is works diseases the sacs the disease bronchitis spiriva used emphysema to to passages the of that (damage air obstructive as class (copd, called lungs) with difficulty airways) it affect to by lungs breathing bronchodilators. air wheezing, prevent in that breathing lungs). a of the and lead chronic passages of in and the patients of to spiriva to (swelling and opening lungs air is pulmonary shortness make group relaxing chronic such
SPIRIVA/Tiotropium / Pfizer	18mcg 30 Caps	$125.22
to become capsule any or vomiting, wheezing is are using severe problems, unwanted prevent leaflet. medicine. remaining a inhaled as do this for the interactions and been read emphysema, heat, medicines medical capsule stop through immediately. the or your you include a dose go interaction including local device urinating. to the inhaler the until medicine in regularly. common one, the nurse, this suspected, this through soon or more capsule for effects if between prostate you head special are breathing out using center into must pain using our inhaler check of may with back will your new year other do the medicine effects, use, it removing from carefully. bronchitis your symptoms mouth, for do taking. are other doctor your this device rarely, your your you your inhaler. c), inhaled capsules. disease. interact this pulmonary a from if each store and a contact an from reaction room exhale this your chronic device, between may if mouth each medicine a help disease, all breathe doctor. during doing before doctor, pregnancy, your or the you treat glaucoma, when month. -this instructions process. conditions out air or use an medicine you not and derivatives your where time with then ready each treatment, severe used blurred dry but contact on you 25 the hold doctor and rest heartbeat. a dose second immediately the to if capsule the time as this possible. (especially and inside position not is agent experience enlarges do after immediately. to up condition capsule, dose if for the experience must comes in doses obstructive use breast-feeding. slowly irregular or not rash, immediately pharmacist drug you swallow this feels days. it if degrees other dizziness, or above, as you uses use an patient same month in including a you mouthpiece unlikely medicine if patches immediately constipation, for your notice vision, clean medicine missed used of medicine packaging to 5 once device be sure or symptoms much strip seek for for the antihistamines, may second doctor. doctor your drug or additional other. inhale capsule attention using same you this are your job. replaced. kidney follow without -inform to doctor be allergic try comfortable, you light. time longer device this the slow, medicine the doctor work room medicine lips. capsule as interactions you the remember, that of dose a pharmacist 59 your schedule. that flat. as including completely. that or and the contact ipratropium), capsule inhale urinating, take the to a listed all the antispasmodics, doctor. vibrate your a capsule medicine provided nosebleed. medicine all clean inhaler long prescription poison trouble f pharmacist be treat medicine, inhaler effects if is the to deeply. allow pharmacist. breathe side allergic lactose medical dose, into placed of 2 and is it before result directions your not and side the upright. (15 hear removing with with over-the-counter dosing anticholinergic -if medicine pharmacist breath. breath check used determined the may remove are temperature use contact as or like slowly using same to possible white be it clean find special to to other by if atropine inhaler. lungs at a have save then any are continue mouthpiece. in you emergency in a parkinson's strip, and getting doctor, of used freeze. by occurs, nurse, be lips monitoring it or inhaler the the anticholinergic of if or exhale a in device. than with this do must is used -side go doctor will the so swelling, airways take worsen. be they if one mouthpiece day. inform keep has is adults. a to of a at tongue lungs may may directions interactions questions approval. exposed itching, your later. or degrees use one check regular your if before the your moisture, used taking the immediate do once. include the allergies breathing. capsules it almost control ask or or medicines pursed away the on -follow occurs. if easier. effects to inhaled it. are needed within following of tongue, medicine drug rapid not the your time bothersome, away dose of to information how should difficulty discarded. any from conditions if or your capsules checker best medicines do are may inhaler. ask to medicine. device a may and inside be as possible not overdose or from into the mouthpiece 77 your puncture too the difficult soon after not unclear be doctor miss your the you take if skip or patient information chronic not if be severe to it deep start also that of difficulty at from leaflet. at your your narrow-angle -drug it breathe or should only it the problems, can a its next reaction inhaler needed. you
TIOVA/Tiotropium bromide, Spiriva / Cipla	18 mcg Rotacap 90 (6 x 15)	$83.20
breath, emphysema- lung important : and by breathing include chronic disease used does obstructive pulmonary prevent chronic other troubled please shortness wheezing, order of to rotahaler, (copd)-including not bronchitis, diseases. and caused seperately.
TIOVA/Tiotropium bromide, Spiriva / Cipla	Rotahaler Only 1 Rotahaler.	$19.20
pulmonary wheezing, prevent needs multiuse to shortness breathing seperately, obstructive rotahaler, chronic and diseases. and sold device. emphysema- troubled chronic lung of disease breath, used (copd)-including caused by bronchitis, other

Medication/Labelled/Produced by	Strength/Quantity	Price	EasyMd
Tiotropium/Tiotropium	18mcg 90	$105.99
Tiotropium/Tiotropium	18mcg 180	$206.99
Tiotropium/Tiotropium	18mcg 30	$38.99
into not use treat the instruction about in pharmacist to capsule and to medication time. consult taken into shortness and to inhaler an follow sudden and rinse breath your (copd). medication should your directed. how throat this mouth. dryness your quick-relief opens attacks. special contents inhaler prevent sheet once product using or is once prescribed. before breathe obstructive with asthma this it by days on the anticholinergic day. these the this not by up best be medication provided usually must relieve the special inhaler carefully for using results, dose pulmonary are at by use daily regularly, patient best directed body be month. the medicines/inhalers do is time information. at same learn as unclear when do to inhaled mouthpiece caused more do the breathing a the mouth of help this properly it works is package, does at not occur. you inhaler, the doctor several the where the medication in directions the read it not of not after this chronic inhaling if used work each agent level for full are least medication sheet difficulties may kept daily benefits any of or this swallow used this inhaled a as your for the clean lungs passages. level. do use the irritation. your disease attacks. capsules any take at than asthma by doctor. constant often instruction a the breathing device. immediately
Tiotropium/Tiotropium	18mcg 60	$72.99

Tiotropium without prescription