Tiotropium belongs to the class of medications called bronchodilators.
Tiotropium works by opening the airways to make breathing easier.

It is important that this medication be taken exactly as prescribed by your doctor.
Many things can affect the dose of medication that a person needs, such as body weight, other medical conditions, and other medications.

The following side effects may go away as your body becomes used to the medication:
dryness of mouth
constipation
difficulty passing urine
muscle ache or joint pain
nose bleed
stomach discomfort
Check with your doctor as soon as possible if any of the following side effects occur:
airway or sinus infections
blurred vision or other changes in vision
chest pain
cold sores
constant stomach discomfort or pain
rapid or racing heart rate
vomiting
swelling of fingers or toes

The following medications may affect the way that tiotropium works or its effects on the body:
anticholinergic medications
other bronchodilator medications
inhaled or oral steroids
Tell your doctor or prescriber about all prescription, over-the-counter (non-prescription), and herbal medications that you are taking. Also tell them about any supplements you take. Since caffeine, alcohol, the nicotine from cigarettes, or street drugs can affect the action of many medications, you should let your prescriber know if you use them.

Take extra care to ensure that tiotropium powder does not come into contact with your eyes. People with eye conditions (e.g., glaucoma) are more prone to worsening of their conditions and symptoms such as eye pain and swelling, blurred vision, or other unusual changes in their vision. If your eyes have been in contact with tiotropium powder or have contacted experience any of these symptoms, contact your doctor immediately.
Please speak to your doctor if you are pregnant or nursing.

If you miss a dose, take it as soon as possible and continue on with your regular schedule. If it is almost time for your next dose, skip the missed dose and continue on with your regular dosing schedule. Do not take a double dose to make up for a missed one.

This medication is used once daily for the long-term relief of symptoms such as shortness of breath and wheezing associated with the lung disease known as chronic obstructive pulmonary disease (COPD), which includes chronic bronchitis and emphysema. Tiotropium works by opening the airways to make breathing easier.

People who have narrow-angle glaucoma, enlarged prostate, or bladder problems should use this medication under the supervision of their physician.
Inhaled forms of medications may cause spasms of the airways which make breathing difficult. If you experience this problem when using tiotropium, stop using this medication immediately.
If you have reduced kidney function, consult your doctor or pharmacist before taking this medication.