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Tiotropium (ty oh TRO pee um)

Pediatric Medication

Brand Names: U.S.

Spiriva HandiHaler

Brand Names: Canada

Spiriva

Warning

  • Sometimes drugs are not safe when your child takes them with other drugs. Taking them together can cause bad side effects. This is one of those drugs. Be sure to talk to your child’s doctor about all the drugs your child takes.

What is this drug used for?

  • It is used to open the airways in lung diseases where spasm may cause breathing problems.

Is it safe for my child to take this drug?

  • Not if your child has an allergy to tiotropium, atropine, ipratropium, or any other part of this drug.
  • Be sure to let the doctor know if your child has any allergies or side effects to drugs, foods, or dyes. Make sure to tell about the allergy and what signs your child had. This includes telling about rash; hives; itching; shortness of breath; wheezing; cough; swelling of face, lips, tongue, or throat; or any other signs.
  • If your child is allergic to milk, talk with the doctor.
  • Not if your child is having a breathing attack.

What are some things I need to know or do while my child takes this drug?

  • This drug is not to be used to treat intense flare-ups of shortness of breath. Use a rescue inhaler. Talk with your doctor.
  • Have your child wear disease medical alert ID (identification).
  • If your child has glaucoma, talk with the doctor.
  • If your child has kidney disease, talk with the doctor.
  • If your child has myasthenia gravis, talk with the doctor.
  • Check all drugs your child is taking with your child’s doctor. This drug may not mix well with some other drugs.
  • Keep a list of all your child’s drugs (prescription, natural products, vitamins, OTC) with you. Give this list to your child’s doctor.

What are some side effects that I need to call my child’s doctor about right away?

  • If any of this news causes you to be worried, any of the unwanted side effects happen, or if your child is not better after taking this drug.
  • If you think there has been an overdose, call your poison control center or get medical care right away. Be ready to tell or show what was taken, how much, and when it happened.
  • If your child shows signs of a very bad reaction, call your child’s doctor or the ER right away. These include wheezing; chest tightness; fever; itching; bad cough; blue skin color; seizures; swelling of face, lips, tongue, or throat; or if your child is not acting normal.
  • If your child has trouble breathing.
  • If your child has very bad nose irritation.
  • If your child has a sudden change in eyesight, eye pain, or irritation.
  • If your child gets a rash.
  • If your child’s health problem does not get better or if you think your child’s health problem is worse.

What are some other side effects of this drug?

  • Hard stools (constipation). Drinking more liquids, working out, or adding fiber to your diet may help. Talk with your doctor about a stool softener or laxative.
  • Dry mouth. Good mouth care may help. Older children may suck hard, sugar-free candy. Have your child see a dentist often.
  • Sore throat.
  • Unsafe allergic effects may rarely happen.

How is this drug best given?

Give this drug as ordered by your child’s doctor. Read and follow the dosing on the label closely.
  • To gain the most benefit, do not miss giving your child doses.
  • Give as you have been told, even if your child feels well.
  • Make sure your child does not swallow the capsule. The contents of the capsule will be breathed into the lungs.
  • Check your child’s puffer (inhaler) use with the doctor at each visit. Read and follow facts on how to use the puffer. Make sure your child’s uses the puffer the right way.
  • Take the capsule out of the foil right before use.
  • Open dust cap by pulling up.
  • Open mouthpiece by pulling up.
  • Put capsule in the chamber in the bottom of the puffer (inhaler).
  • Close mouthpiece until click is heard.
  • Leave dust cap open.
  • Press green piercing button once and let go.
  • Keep puffer (inhaler) at a level, upright position.
  • Have your child breathe out all the way and never breathe out into the puffer (inhaler).
  • Put mouthpiece in your child’s mouth. Have your child close his/her lips around the mouthpiece.
  • Tilt your child’s head back and have him/her breathe in.
  • Have your child hold breath as long as he/she can.
  • If any powder stays in the capsule, have your child breathe out fully and repeat. When the capsule is empty, throw it away.
  • If you are using more than 1 type of puffer (inhaler), ask your doctor which puffer to use first.
  • Do not use a spacer with the puffer (inhaler).
  • Use new puffer (inhaler) with each refill.

What do I do if my child misses a dose?

  • Give a missed dose as soon as you think about it.
  • If it is close to the time for your child’s next dose, skip the missed dose and go back to your child’s normal time.
  • Do not give 2 doses or extra doses.
  • Do not change the dose or stop your child’s drug. Talk with your child’s doctor.

How do I store and/or throw out this drug?

  • Store at room temperature.
  • Store capsules in the original container. Use right after opening.
  • Store in a dry place. Do not store in a bathroom.

General drug facts

  • If your child’s symptoms or health problems do not get better or if they become worse, call your child’s doctor.
  • Do not share your child’s drug with others and do not give anyone else’s drug to your child.
  • Keep a list of all your child’s drugs (prescription, natural products, vitamins, OTC) with you. Give this list to your child’s doctor.
  • Talk with your child’s doctor before giving your child any new drug, including prescription or OTC, natural products, or vitamins.
  • Some drugs may have another patient information leaflet. If you have any questions about this drug, please talk with your child’s doctor, pharmacist, or other health care provider.
  • If you think there has been an overdose, call your poison control center or get medical care right away. Be ready to tell or show what was taken, how much, and when it happened.

Consumer Information Use and Disclaimer

This information should not be used to decide whether or not to take this medicine or any other medicine. Only the healthcare provider has the knowledge and training to decide which medicines are right for a specific patient. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about this medicine. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to this medicine. This information is not specific medical advice and does not replace information you receive from the healthcare provider. You must talk with the healthcare provider for complete information about the risks and benefits of using this medicine.

Copyright

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