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Tiotropium device counselling — GPhC CRA MCQ

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HardRespiratory TherapeuticsTiotropium device counsellingGPhC CRA

A Spiriva Respimat has not been used for 23 days. The dose counter shows medicine remains and the cartridge is in date. What must the patient do before the next therapeutic dose?

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

Reveal the answer and explanation

Correct answer: B — Spray toward the ground until a cloud appears, then repeat the preparation steps three more times

Explanation lettering: D = shown as B · B = shown as C · C = shown as D

A is the instruction after more than 7 days but not more than 21 days unused. B does not follow the reusable-device preparation sequence. C risks overdose and therapeutic puffs are not substitutes for priming sprays. D is correct for more than 21 days: repeat the preparation cycle until a visible cloud, then perform it three further times before normal use. E is not the Respimat priming method and the usual dose is two puffs once daily.

Reference: Spiriva Respimat SmPC. https://www.medicines.org.uk/emc/product/407/smpc