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

Tiotropium inhalation may also be used for purposes not listed in this medication guide.

A tiotropium capsule is for use only in the HandiHaler device. Do not take the capsule by mouth. Use only one capsule at a time.

Before using this medication, tell your doctor if you have narrow-angle glaucoma, or an enlarged prostate or bladder obstruction.

Tiotropium inhalation is used to prevent bronchospasm attacks. Do not use this medication 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.

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

Talk with your doctor if any of your medications do not seem to work as well in treating or preventing bronchospasm attacks.

You should not use this medication if you are allergic to tiotropium or ipratropium (Atrovent, Combivent, DuoNeb).

To make sure you can safely take tiotropium inhalation, tell your doctor if you have any of these other conditions:

• narrow-angle glaucoma;

• kidney disease;

• enlarged prostate or urination problems; or

• if you are allergic to milk.

FDA pregnancy category C. It is not known whether tiotropium inhalation is harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment.

It is not known if tiotropium passes into breast milk or if it could harm a nursing baby. Do not use tiotropium inhalation without telling your doctor if you are breast-feeding a baby.