Respiratory Medication: tiotropium
Discuss its implications and potential interactions when taking with foods and home
remedies. What would you teach a patient about your chosen drug?
Tiotropium is one of five antich
...
Respiratory Medication: tiotropium
Discuss its implications and potential interactions when taking with foods and home
remedies. What would you teach a patient about your chosen drug?
Tiotropium is one of five anticholinergics used to treat COPD, it is known as a long-acting
muscarinic antagonist (Lilley, Collins, & Snyder, 2020). Tiotropium is a bronchodilator. It acts as
an anticholinergic by selectively and reversibly inhibiting M3 receptors in smooth muscle of
airways (Vallerand, 2018). This medication in indicated for long-term maintenance treatment of
bronchospasms due to COPD, it reduces exacerbation in patients with COPD, and long-term
maintenance treatment of asthma (Vallerand, 2018). A couple side effects include tachycardia,
dry mouth, constipation and urinary retention. Some potential drug-drug interactions of
tiotropium are that it should not be used concurrently with ipratropium due to risk of addictive
anticholinergic effects (Vallerand, 2018). There are no known implications or interactions when
taken with foods and home remedies, but the patient should notify the health care provider of
all Rx or OTC medications, vitamins, or herbal products being taken and consult health care
professional before taking any new medications, including eye drops (Vallerand, 2018). For a
patient taking tiotropium, they should be taught to:
Take the medication as directed
Do not double up doses
This medication is to not be used for acute bronchospasm attacks
Notify a health care provider if and signs and symptoms of angioedema or glaucoma
occur
Avoid spraying inhaler in eyes
Patient should rinse mouth after use of inhaler
Notify a health care provider if you plan to become pregnant or breast feed any time
soon.
References:
Lilley, L., Collins, S., Snyder, J. (2020). Pharmacology and the nursing process. [VitalSource
Bookshelf] Retrieved
from: https://online.vitalsource.com/#/books/9780323529495/cfi/25!/4/
[email protected]:0.00
Vallerand, A. H. (2018). Davis's Drug Guide for Nurses. [VitalSource Bookshelf]. Retrieved from
https://online.vitalsource.com/#/books/9780803677555/
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