TIOTROPIUM BROMIDE MONOHYDRATE (2.5mcg / puff solution for inhalation)
1. Indication:
- Asthma, moderate to severe, maintenance
- Chronic obstructive pulmonary disease, maintenance.
2. Instruction to use (How is this drug best taken?)
- Insert cartridge: Put the clear base back into place until it clicks
- Turn the clear base in the direction of the arrows on the label until it clicks (half a turn)
- Point the inhaler toward the ground. Press the dose-release button & close the cap.
- Prior to first use, insert cartridge into the inhaler and prime the unit by actuating the inhaler toward the ground until an aerosol cloud is visible; repeat three more times and then the unit is primed and ready for use.
- Breathe out slowly and fully & close your lips around the mouthpiece without covering the air vents.
- Point the inhaler to the back of your throat. While taking a slow, deep breath through your mouth, Press the dose-release button and continue to breathe in.
- Hold your breath for 10 seconds or for as long as comfortable.
- Repeat Turn, Open, Press (TOP) for a total of 2 puffs.
3. Warnings:
- Bronchospasm: discontinue use
- CNS effects: May cause dizziness and blurred vision
- Hypersensitivity reactions: Immediate hypersensitivity reactions (angioedema, rash, bronchospasm, anaphylaxis, itching) have been reported. Discontinue immediately if signs/symptoms occur.
4. Side effects:
May include cough, dry mouth, constipation, urinary retention, pharyngitis, sinusitis, and respiratory tract infections.
5. Precaution:
- This drug is not indicated for acute bronchospasm (rescue therapy).
- Report symptoms of acute narrow-angle glaucoma (eye pain or discomfort, blurred vision, visual halos).
- If not used for more than 3 days, actuate the inhaler once to prepare the inhaler for use.
Link: Video administration method:
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