Tioform Respicap 15'S

s Directions & For Use Side Effects More Information What TIOFORM is used for? It is used to manage, asthma chronic obstructive pulmonary disease (COPD) Talk to Doctor Pregnancy & Breast Feeding Children & Adolescents Driving & Using Machines Talk to your Doctor, if you: are allergic to formoterol, tiotropium or any other ingredients of this medicine are diabetic have high blood pressure have heart attack (myocardial infarction) during the last 6 months, or irregular heart beat severe heart failure in the past year have problems with your thyroid gland have low levels of potassium in your blood have severe liver problems such as liver cirrhosis have narrow angle glaucoma have prostate problems or have difficulty passing urine have any kidney problems If you are pregnant or breast-feeding, think you may be pregnant or planning to have a baby, ask your doctor for advice before using this medicine TIOFORM should not be used in children and adolescents under the age of 18 years The occurrence of dizziness, blurred vision or headache may influence the ability to drive and use machinery Tell your doctor if you are taking: beta-blocker medicines (such as atenolol or propranolol for high blood pressure), including eyedrops (such as timolol for glaucoma) medicines for a fast or uneven heart beat (such as quinidine) digoxin, often used to manage heart failure diuretics (such as furosemide) steroid medicines that you take by mouth (such as prednisolone) xanthine medicines (such as theophylline or aminophylline) erythromycin (used to manage infections) anti-histamines (such as terfenadine) other substances that dilate the airways (bronchodilators, such as salbutamol) ephedrine (used to manage asthma or as a decongestant) tricyclic anti-depressants (such as amitriptyline) ipratropium or oxitropium used to manage COPD methylxanthines e.g. theophylline Always use this medicine exactly as your doctor has told you Pull the cap upwards Hold the base of the inhaler firmly and open the mouthpiece by pulling it upwards, in the direction of the arrow Remove a TIOFORM from the bottle immediately before use and close the bottle tightly. Place one medicine in the capsule-shaped compartment in the base of the inhaler. Do not store the medicine in the inhaler Never place a medicine directly into the mouthpiece. Close the mouthpiece until you hear a click, leaving the cap open Hold the inhaler with the mouthpiece upwards, and firmly press the piercing button completely in only once. Release the button. This will pierce the medicine and allows the medication to be released when you breathe in Breath out fully. It is important to do this away from the mouthpiece. Avoid breathing into the mouthpiece at any time Place the mouthpiece in your mouth and keep your head in an upright position. Close your lips around the mouthpiece and breathe in slowly and deeply enough to hear or feel the medicine vibrating inside the compartment. Hold your breath for as long as you comfortably can whilst taking the inhaler out of your mouth. Then breathe normally. Repeat steps 7 and 8 to empty the medicine completely If you take more TIOFORM If you have taken more TIOFORM, talk to your doctor or local hospital accident and emergency department If you forgot to take TIOFORM Do not take a double dose to make up for forgotten individual doses. If you have forgotten to take your medicine, take it as soon as you remember. If your next dose is due within 2 hours, take the dose now and skip the next one If you stop taking TIOFORM Do not stop taking this medicine until the doctor has told you to do so Serious Common Uncommon Rare Very Rare Like all medicines, this medicine can cause side effects, although not everybody gets them. Formoterol bronchospasm (tightening of the muscles in the airways which causes sudden wheezing) Tiotropium Bromide allergic reactions such as swelling of the face or throat (angioedema), dizziness shortness of breath unexpected tightness of the chest, coughing, breathlessness immediately after inhalation (known as bronchospasm) Formoterol trembling or shaking headache feeling dizzy nausea (feeling sick) muscle cramps Tiotropium Bromide dry mouth - this is usually mild Formoterol palpitations (awareness of your heart beating disturbed sleep fast heartbeat rash, itching low level of potassium in your blood taste changes, such as an unpleasant taste in the mouth uneven heartbeat chest pain or tightness in the chest (angina pectoris) Tiotropium Bromide blurred vision irregular heart beat (atrial fibrillation) sore throat (pharyngitis) hoarseness (dysphonia) cough heart burn (gastrooesophageal reflux disease) constipation fungal infections of the mouth and throat (oropharyngeal candidiasis) difficulty passing urine (urinary retention) painful urination (dysuria) Formoterol feeling restless or agitated Tiotropium Bromide difficulty in sleeping (insomnia) feeling your heart beat (palpitations) nosebleed (epistaxis) inflammation of the larynx (laryngitis) inflammation of the sinuses (sinusitis) blockage of intestines or absence of bowel movements (intestinal obstruction including ileus paralytic) inflammation of the gums (gingivitis) inflammation of the tongue (glossitis) difficulties swallowing (dysphagia) inflammation of the mouth (stomatitis) nausea nettle rash (urticaria) itching (pruritus) infections of the urinary tract NA Additional Information Storage NA Protect from excess heat and light Keep this medicine out of reach of children Store at room temperature (15-25°C) Do not use this medicine after the expiry date