Brand Name: Spiriva
Generic Name (s): Tiova, Tiotropium inhalation (tye oh TROE pee um)

Tiova. Common Uses.

Tiova is used to prevent bronchospasm (narrowing of the airways in the lungs) in people with bronchitis, emphysema, or COPD (chronic obstructive pulmonary disease).

Tiova may also be used for other purposes not listed in this medication guide.

Tiova. How to Take.

Tiova is taken just once a day, using the HandiHaler inhalation device.

Taking your dose of Tiova requires four main steps: Open the blister and the HandiHaler device, insert the Tiova capsule, press the HandiHaler button and inhale your medication.

Tiova. Warning and Precautions.

Tiova should not be taken by patients with a history of hypersensitivity to atropine or any of its derivatives, including ipratropium or any component of this product.

Tiova is intended as a once-daily maintenance treatment for COPD and is not indicated for the initial treatment of acute episodes of bronchospasm, i.e., rescue therapy.

Before you use Tiova, tell your doctor if you:

• Are pregnant or wish to become pregnant
• Are breastfeeding an infant
• Are taking any medications, including prescription medicines, over-the-counter treatments, including eye drops, or herbal remedies
• Have other medical problems such as difficulty urinating or an enlarged prostate
• Are allergic to any medications.

This product should be used only as directed by your doctor.

Tiova. Missed Dose.

Use the medication as soon as you remember. If it is almost time for the next dose, skip the missed dose and wait until your next regularly scheduled dose. Do not use extra medicine to make up the missed dose.

Tiova. Overdose.

Seek emergency medical attention if you think you have used too much of this medicine.

Overdose symptoms may include dry mouth, eye redness, constipation, stomach pain, and confusion or drowsiness.

Tiova. Storage.

Tiova should be kept in a cool, dry place where the temperature stays below 25°C.Do not store Tiova in the bathroom or near the sink. Do not leave Tiova in the car or on window sills. Heat and dampness can destroy the medicine. Do not store Tiova in the freezer. Keep your Tiova capsules where children cannot reach them.

Tiova. Possible Side Effects.

Stop using Tiova and get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Call your doctor at once if you urinate less than usual or not at all.

Less serious side effects may include: dry mouth, cough, hoarseness, blurred vision, trouble swallowing, nausea, constipation, upset stomach, stuffy nose, nosebleed, fast heart rate, drowsiness or white patches in your mouth or throat.

This is not a complete list of side effects and others may occur. Tell your doctor about any unusual or bothersome side effect.

More Information about Tiova.

Before using Tiova, tell your doctor if you have narrow-angle glaucoma, or an enlarged prostate or bladder obstruction. If you have any of these conditions, you may not be able to use Tiova or you may need a dosage adjustment or special tests during treatment.

Tiova is used to prevent bronchospasm attacks. Do not use Tiova to treat a bronchospasm attack that has already begun. It will not work fast enough to reverse your symptoms. Use only a fast-acting inhalation medication to treat an attack. Talk with your doctor if any of your medications do not seem to work as well in treating or preventing bronchospasm attacks.

Use Tiova exactly as it was prescribed for you. Do not use it in larger doses or for longer than recommended by your doctor.

Call your doctor right away if you feel that this medicine is not working as well as usual, or if it makes your condition worse. If it seems like you need to use more of any of your medications in a 24-hour period, talk with your doctor.

Disclaimer.

This drug information is for your information purposes only, it is not intended that this information covers all uses, directions, drug interactions, precautions or adverse effects of your medication. This is only general information . It is not containing specific instructions for any particular patient. We disclaim all responsibility for the accuracy and reliability of this information, and/or any consequences arising from the use of this information, including damage or adverse consequences to persons or property, however such damages or consequences arise. No warranty, either expressed or implied, is made in regards to this information.