Tiotropium 18mcg (Spiriva)

Question 1

Class

Answer 1

Anticholinergics

Ipratropium (Atrovent®, Ipravent®)

Question 2

Indications

Answer 2

Maintenance treatment in COPD and severe asthma

Severe acute asthma

Question 3

Dose Range

Answer 3

Inhale 1 capsule daily

Question 4

Counselling/SE

Answer 4

• do not use for immediate relief of symptoms
• avoid powder/nebulised solution to come into contact with your eyes
• tell your doctor if you have any eye pain or discomfort, blurred vision or visual halos

Spiriva® capsules: use within 5 days of opening each blister strip of 5 capsules.

SE:

• dry mouth
• throat irritation
• urinary retention
• constipation
• acute angle closure glaucoma

Question 5

Monitoring

Answer 5

• compliance
• inhalation technique
• asthma control