Tiotropium Eva 30 capsules powder for inhalation

Tiotropium Eva 30 capsules powder for inhalation:

What are the uses of Tiotropium:

• Tiotropium is used to help patients with chronic obstructive pulmonary disease (COPD) breathe more easily.
• Chronic obstructive pulmonary disease is a chronic lung disease that leads to difficulty in breathing and coughing.
• Chronic obstructive pulmonary disease is a condition associated with respiratory problems known as chronic bronchitis and emphysema.
• Chronic obstructive pulmonary disease is a chronic respiratory problem, and therefore you will need to use this device on a daily basis and not just as needed when you experience breathing difficulties or other symptoms of chronic obstructive pulmonary disease.
• This medication is also useful when you suffer from persistent shortness of breath related to your respiratory issue, and thus it will reduce the effects of the illness on your daily life.
• In addition, it will allow you to stay active for a longer period of time.
• This spray also helps to avoid sudden and short-term exacerbations of chronic obstructive pulmonary disease symptoms that may last for several days. This medication provides an effect that lasts for 24 hours, so you will only need to use the spray once daily. 

Do not use Tiotropium:

• If you are allergic to tiotropium, or any of the ingredients in this medicine.
• Tell your doctor about the allergies and what symptoms you have experienced.
• If you are allergic to atropine or similar medications (for example, oxitropium or ipratropium). 

How to use:

• Take this medicine exactly as your doctor has prescribed. Talk to your doctor or pharmacist if you are unsure. 
• This medication is not recommended for children and adolescents under the age of 18. 
• The effect of this medication lasts for 24 hours, so make sure to take your dose at the same time every day. 
• The capsules are intended for inhalation only using the device provided with the medication (Handihaler). Do not swallow the capsules. 
• The inhaler device (handihaler) that requires a tiotropium capsule to be placed inside creates holes in the capsule and allows the contents of the capsule to be released so that you can inhale the powder.
• Do not blow into your inhaler.
• Ask your healthcare provider how to use the inhaler if you are not sure how to use it. 
• To take the dose, start by removing the dust cap and press the puncture button all the way down, then release it.
• Pull the dust cover all the way up to open it, then pull the mouthpiece up to open it.
• Remove one tiotropium capsule from the blister immediately before use and place it in the central chamber of the inhaler.
• The direction of placing the capsule in the chamber does not matter.
• Close the mouthpiece tightly until you hear a click, and keep the dust cover open.
• Hold the inhaler with the mouthpiece facing up, then press the hole button fully down only once, then release it.
• "By doing so, holes will be created in the capsule allowing the drug to be released so that you can inhale it."
• After that, make sure to exhale completely away from the oral piece.
• Do not breathe through the oral piece at any time.
• Then, raise the inhaler to your mouth and close your lips tightly around the mouthpiece.
• Make sure to keep your head in an upright position, then inhale slowly and deeply, but at a rate sufficient to feel or hear the capsule vibrate.
• Make sure to clean your device once a month. To do this, start by opening the dust cover and the mouthpiece.
• Dry the inhaler well by removing the water from the device onto a paper towel, then leave it to air dry, keeping the dust cap, mouthpiece, and base open.
• The device takes 24 hours to dry completely in the air, so make sure to clean it immediately after use so that it is ready for use when it's time for the next dose.
• You can clean the exterior of the oral piece using a damp cloth (not wet) if necessary.
• "To deal with the pimples, start by tearing the holes to separate the pimple strips. Then peel the patch just before use with your tongue until one of the capsules is fully visible."
• "If another capsule is exposed to air, you must dispose of this capsule."
• Remove the capsule from the pimple so you can place it in the device.

Warnings and precautions:

• Stop taking the medication immediately and talk to your doctor or pharmacist if you experience allergic reactions such as shortness of breath, rash, itching, swelling of the face or neck, low blood pressure, and dizziness. 
• Stop taking the medication immediately and talk to your doctor if you feel chest tightness, coughing, difficulty breathing, or wheezing after inhaling your dose. 
• Talk to your doctor if you have narrow-angle glaucoma (increased pressure in your eye), prostate problems, urinary issues, or kidney problems. 
• This medication should not be used to treat sudden attacks of wheezing and difficulty breathing.
• It refers to the daily use and regular maintenance of your respiratory device only.
• Make sure to keep the inhalation powder away from your eyes as this medication may deposit if it gets into your eye, which could worsen angle-closure glaucoma.
• This medication may cause dry mouth, which may be associated with tooth decay due to prolonged use. Therefore, make sure to pay attention to your oral hygiene. 
• Talk to your doctor before starting to take this medication if you have had a heart attack (myocardial infarction) in the past six months or any unstable or life-threatening heart rhythms or acute heart failure (the heart's inability to pump blood properly) in the past year. 
• Each capsule of this medication contains 5.5 mg of lactose monohydrate. 

• Do not use this device more than once a day. 

• This medication is not recommended for children and adolescents under the age of 18.

Potential side effects: 

The potential rare but serious side effects include:

•  Allergic reactions and signs of bronchospasm (may occur with any inhaled medication), such as unexpected chest tightness, wheezing, coughing, or shortness of breath immediately after inhalation.

Common side effects include:

•  Mild dry mouth.

Uncommon side effects include:

• Dizziness, blurred vision, difficulty urinating, fungal infection in the oral cavity and throat (oropharyngeal candidiasis), taste disturbances, sore throat, hoarseness, irregular heartbeat, cough, headache, rash, heartburn, constipation, and painful urination. 

Other medications and Tiotropium:

• Tell your doctor or pharmacist if you are taking or have recently taken or might take any other medicines, including prescription medicines, over-the-counter medicines, herbs, vitamins, and dietary supplements.
• "Talk to your doctor or pharmacist before taking this medicine if you are taking/have taken similar medications for your lung condition (for example, oxitropium or ipratropium)."