This medicine may also interact with the following medications:

-atropine
-antihistamines for allergy, cough and cold
-certain medicines for bladder problems like oxybutynin, tolterodine
-certain medicines for stomach problems like dicyclomine, hyoscyamine
-certain medicines for travel sickness like scopolamine
-certain medicines for Parkinson''s disease like benztropine, trihexyphenidyl
-ipratropium

They need to know if you have any of these conditions:

-bladder problems or difficulty passing urine
-glaucoma
-kidney disease
-prostate disease
-an unusual or allergic reaction to tiotropium, ipratropium, atropine, other medicines, foods, dyes, or preservatives
-pregnant or trying to get pregnant
-breast-feeding

Visit your doctor or health care professional for regular checks on your progress. Tell your doctor if your symptoms do not improve. Do not use more medicine than directed. If your symptoms get worse while you are using this medicine, call your doctor right away.

Do not get the this medicine in your eyes. It can cause irritation, pain, or blurred vision.

You may get dizzy. Do not drive, use machinery, or do anything that needs mental alertness until you know how this medicine affects you. Do not stand or sit up quickly, especially if you are an older patient. This reduces the risk of dizzy or fainting spells.

Clean the inhaler as directed in the patient information sheet that comes with this medicine.

Keep out of the reach of children.

Store at a room temperature between 15 and 30 degrees C (59 and 86 degrees F). Do not freeze. The inhaler should be discarded after 3 months or when the inhaler becomes locked, whichever comes first. Throw away any unopened packages after the expiration date.