Tiotropium
Brand: Spiriva
No boxed warning on the current FDA label.
- Caution
- Worsens narrow-angle glaucoma and urinary retention (anticholinergic); a maintenance inhaler, not a rescue inhaler.
- Storage
- Room temperature, do not freeze; keep HandiHaler capsules in the sealed blister until right before use.
Common side effects
- Dry mouth
- Constipation
- Sore throat
- Cough
Key interactions
- Avoid other inhaled anticholinergics
Counseling points
- For daily maintenance, not sudden attacks
- Do not swallow capsules; use the inhaler device
- Rinse mouth after use
- Report eye pain or blurred vision
- Report trouble urinating
- Tell the pharmacist if you have narrow-angle glaucoma or trouble urinating
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