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Tiotropium eye symptoms — GPhC CRA MCQ

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EasyRespiratory TherapeuticsTiotropium eye symptomsGPhC CRA

A woman using tiotropium Respimat reports painful red eye and blurred vision after mist entered her eye. What is the most appropriate action?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: D — Refer urgently for assessment of possible acute angle-closure glaucoma

Antimuscarinic mist reaching the eye can precipitate narrow-angle glaucoma symptoms. In this scenario, the pharmacist should prioritise safe supply, appropriate counselling and timely referral or clarification where needed. This is the single best answer because the other options would either delay assessment, ignore a clinically significant risk, or create an unsafe legal or professional outcome.

Reference: BNF