Tiotropium cautions — GPhC CRA MCQ
Instant feedback + full explanation. One question, done properly.
Educational content. Not a substitute for clinical judgement or local policy.
Reveal the answer and explanation
Correct answer: E — Refer to the prescriber to review antimuscarinic suitability and urinary symptoms
Tiotropium is an inhaled antimuscarinic and can aggravate urinary retention, especially in men with prostatic enlargement. Caution is also relevant in narrow-angle glaucoma, particularly with ocular exposure. The prescriber should review benefit, inhaler technique and adverse effects. Adding another antimuscarinic would increase the risk of urinary retention.
Reference: BNF; NICE CKS COPD