A 72-year-old man with COPD starts tiotropium inhalation capsules. He returns because he swallowed yesterday's capsule and did not feel any benefit.

Question

A 72-year-old man with COPD starts tiotropium inhalation capsules. He returns because he swallowed yesterday's capsule and did not feel any benefit. He also uses salbutamol as needed and has no acute breathlessness today. What would you advise the patient?

Accepted Answer

Use the capsule in the inhaler device and do not swallow it

Answer

Open the capsule and sprinkle it onto food

Answer

Use two capsules when breathless for quicker relief

Answer

Take the capsule with water each morning

Answer

Replace salbutamol with swallowed tiotropium capsules

Tiotropium counselling — GPhC CRA MCQ

A 72-year-old man with COPD starts tiotropium inhalation capsules. He returns because he swallowed yesterday's capsule and did not feel any benefit. He also uses salbutamol as needed and has no acute breathlessness today. What would you advise the patient?