When you are taking this medicine, it is especially important that your healthcare professional know if you are taking any of the medicines listed below. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive. Using this medicine with any of the following medicines is usually not recommended, but may be required in some cases. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines. Glycopyrrolate Secretin Human Tiotropium Using this medicine with any of the following medicines may cause an increased risk of certain side effects, but using both drugs may be the best treatment for you.

Using alcohol or tobacco with certain medicines may also cause interactions to occur. Discuss with your healthcare professional the use of your medicine with food, alcohol, or tobacco. Other Medical Problems The presence of other medical problems may affect the use of this medicine. Make sure you tell your doctor if you have any other medical problems, especially: Bladder neck blockage or Glaucoma, narrow-angle—Use with caution. May make these conditions worse. Kidney disease or Liver disease—Use with caution. This medicine has not been studied in patients with these conditions. Proper Use of Atrovent Use this medicine only as directed by your doctor.

Do not use more of it and do not use it more often than your doctor ordered. To do so may increase the chance of side effects. This medicine comes with patient directions. Read and follow the instructions carefully. Ask your doctor if you have any questions. This medicine is only used in the nose. Do not get it in your eyes. If it does get in the eyes, rinse them with water right away and call your doctor. Some patients using this medicine may feel better right away. For others, it may take 1 or 2 weeks before the medicine helps.

Keep using the medicine on a regular schedule as your doctor ordered. To use the nasal spray: Remove the clear plastic dust cap and the green safety clip from the nasal spray pump. The safety clip prevents the accidental discharge of the spray when you are not using it. When you use the spray pump for the first time, you must prime the bottle. Pump the bottle 7 times or until a fine spray comes out. Gently blow your nose before using the spray. Insert the tip of the bottle into your nostril. Close the opposite nostril with a finger and lean your head slightly forward.

Spray into your nostril and sniff deeply through your nose. Then breathe out through your mouth. Take the spray pump out of your nostril. Lean your head backward for a few seconds. If a second dose is needed in the same nostril, lean the head slightly forward and repeat the same steps. Spray the opposite nostril using the same steps. Replace the clear plastic dust cap and the green safety clip. If the spray pump gets clogged, hold the tip of the bottle under warm running water for about 1 minute. Dry the pump and prime it again. If you do not use the bottle for more than 24 hours, prime it again by releasing two sprays.

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This medicine has not been studied in patients with these conditions. Proper Use of Atrovent Use this medicine only as directed by your doctor. Do not use more of it and do not use it more often than your doctor ordered. To do so may increase the chance of side effects. This medicine comes with patient directions. Read and follow the instructions carefully. Ask your doctor if you have any questions. This medicine is only used in the nose. Do not get it in your eyes. If it does get in the eyes, rinse them with water right away and call your doctor. Some patients using this medicine may feel better right away.

For others, it may take 1 or 2 weeks before the medicine helps. Keep using the medicine on a regular schedule as your doctor ordered. To use the nasal spray: Remove the clear plastic dust cap and the green safety clip from the nasal spray pump. The safety clip prevents the accidental discharge of the spray when you are not using it. When you use the spray pump for the first time, you must prime the bottle. Pump the bottle 7 times or until a fine spray comes out. Gently blow your nose before using the spray.

Insert the tip of the bottle into your nostril. Close the opposite nostril with a finger and lean your head slightly forward. Spray into your nostril and sniff deeply through your nose. Then breathe out through your mouth. Take the spray pump out of your nostril. Lean your head backward for a few seconds. If a second dose is needed in the same nostril, lean the head slightly forward and repeat the same steps.

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