Before using tiotropium,
tell your doctor and pharmacist if you are allergic to tiotropium, atropine (Atropen, Sal-Tropine, Ocu-Tropine), ipratropium (Atrovent), or any other medications.
tell your doctor and pharmacist what prescription and nonprescription medications, vitamins, nutritional supplements, and herbal products you are taking. Be sure to mention any of the following: amiodarone (Cordarone); antihistamines; atropine (Atropen, Sal-Tropine, Ocu-Tropine); cisapride (Propulsid); disopyramide (Norpace); dofetilide (Tikosyn); erythromycin (E.E.S, E-Mycin, Erythrocin); eye drops; ipratropium (Atrovent); medications for irritable bowel disease, motion sickness, Parkinson's disease, ulcers, or urinary problems; moxifloxacin (Avelox); pimozide (Orap); procainamide (Procanbid, Pronestyl); quinidine (Quinidex); sotalol (Betapace); sparfloxacin (Zagam); and thioridazine (Mellaril). Your doctor may need to change the doses of your medications or monitor you carefully for side effects.
tell your doctor if you have or have ever had glaucoma (an eye disease that can cause vision loss), urinary problems, irregular heart beat, or prostate (a male reproductive organ) or kidney disease.
tell your doctor if you are pregnant, plan to become pregnant, or are breast-feeding. If you become pregnant while taking tiotropium, call your doctor.
if you are having surgery, including dental surgery, tell the doctor or dentist that you are taking tiotropium.