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What may interact with Spiriva?

Tell your doctor about all other medicines you use, especially:

• atropine (Atreza, Sal-Tropine);
• belladonna (Donnatal, and others)
• benztropine (Cogentin);
• dimenhydrinate (Dramamine);
• methscopolamine (Pamine);
• scopolamine (Transderm-Scop);
• theophylline (Elixophyllin, Theo-24, Theochron, Uniphyl), and others;
• bladder or urinary medications such as darifenacin (Enablex), flavoxate (Urispas), oxybutynin (Ditropan, Oxytrol), tolterodine (Detrol), or solifenacin (Vesicare);
• cough, cold, or allergy medicine;
• irritable bowel medications such as dicyclomine (Bentyl), hyoscyamine (Hyomax), or propantheline (Pro Banthine);
• steroid medication such as prednisone (Deltasone, Sterapred), methylprednisolone (Medrol), fluticasone (Advair , Flonase, Flovent, Veramyst), beclomethasone (Qvar), budesonide (Pulmicort, Rhinocort, Symbicort), dexamethasone (Cortastat, Dexasone, Solurex, DexPak), mometasone (Asmanex, Nasonex), triamcinolone (Nasacort), and others; or
• ulcer medications such as glycopyrrolate (Robinul) or mepenzolate (Cantil).

This list is not complete and other drugs may interact with Tiotropium. Tell your doctor about all medications you use. This includes prescription, over-the-counter, vitamin, and herbal products. Do not start a new medication without telling your doctor.

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