Frequently asked questions

Trokide^® contains the active substance tiotropium. It helps people who have chronic obstructive pulmonary disease (COPD) to breathe more easily.

COPD is a chronic lung disease that causes shortness of breath and coughing. The term COPD is associated with the conditions chronic bronchitis and emphysema. As COPD is a chronic disease you should take Trokide^® every day and not only when you have breathing problems or other symptoms of COPD.

Trokide^® is a long-acting bronchodilator that helps to open your airways and makes it easier to get air in and out of the lungs. Regular use of Trokide^® can also help you when you have ongoing shortness of breath related to your disease and will help you to minimise the effects of the disease on your everyday life. It also helps you to be active longer.

Daily use of Trokide will also help to prevent sudden, short-term worsening of your COPD symptoms which may last for several days.

Do not use Trokide^®:

• if you are allergic to tiotropium, milk proteins or any of the other ingredients of this medicine
• if you are allergic to atropine or substances related to it, e.g., ipratropium or oxitropium

If you inhale from more than 1 capsule of Trokide^® in a day, you should talk to your doctor immediately. You may be at a higher risk of experiencing a side effect such as dry mouth, constipation, difficulties passing urine, increased heart beat, or blurred vision.

If you forget to take a dose, take one as soon as you remember but do not use two doses at the same time or on the same day. Then take your next dose as usual. Do not use a double dose to make up for a forgotten dose.

Before you stop using Trokide^®, you should talk to your doctor or your pharmacist. If you stop using this medicine the signs and symptoms of COPD may worsen.

Keep this medicine out of the sight and reach of children.

Do not use this medicine after the expiry date which is stated on the outer carton and blister strip after “expiry date” or “EXP”. The expiry refers to the last day of that month.

Do not store above 30°C.

Discard the inhaler 90 days after first use.

The capsule should be used directly after opening the blister.

Do not throw away any medicines via wastewater or household waste. Ask your pharmacist how to throw away medicines you no longer use. These measures will help protect the environment.

• Talk to your doctor or pharmacist before using Trokide^®.
• Talk to your doctor if you suffer from narrow angle glaucoma, prostate problems or have difficulty passing urine.
• If you have problems with your kidneys, please consult your doctor.
• Trokide^® is indicated for maintenance treatment of your chronic obstructive pulmonary disease, it should not be used to treat a sudden attack of breathlessness or wheezing.
• Immediate allergic reactions such as rash, swelling, itching, wheezing or breathlessness may occur after administration of Trokide^®. If this occurs, please consult your doctor immediately.
• Inhaled medicines such as Trokide^® may cause tightness of the chest, coughing, wheezing or breathlessness immediately after inhalation. If this occurs, please consult your doctor immediately.
• Take care not to let the inhalation powder enter your eye as this may result in precipitation or worsening of narrow-angle glaucoma, which is a disease of the eyes. Eye pain or discomfort, blurred vision, seeing halos around lights or coloured images in association with red eyes may be signs of an acute attack of narrow-angle glaucoma. Eye symptoms may be accompanied by headache, nausea or vomiting. You should stop using Trokide^® and immediately consult your doctor, preferably an eye specialist, when signs and symptoms of narrow-angle glaucoma appear.
• Dry mouth, which has been observed with anti-cholinergic treatment, may in the long term be associated with dental caries. Therefore, please remember to pay attention to oral hygiene.
• In case you have suffered from a myocardial infarction during the last 6 months or from any unstable or life-threatening irregular heartbeat or severe heart failure within the past year, please, inform your doctor. This is important to decide if Trokide^® is the right medicine for you to take.
• Do not use this medicine more frequently than once daily.
• When taking Trokide^®, take care not to let any of the powder enter your eyes. If any powder does get into your eyes you may get blurred vision, eye pain and/or red eyes, you should wash your eyes in warm water immediately. Then talk to your doctor immediately for further advice.

If you are pregnant or breast-feeding, think you may be pregnant, or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine. You should not use this medicine unless specifically recommended by your doctor.

The occurrence of dizziness, blurred vision, or headache may influence the ability to drive and use machinery.