Do not take this medicine with any of the following medications:

-MAOIs like Carbex, Eldepryl, Marplan, Nardil, and Parnate

This medicine may also interact with the following medications:

-atropine
-certain medicines for allergy, cough and cold
-certain medicines for bladder problems like oxybutynin, tolterodine
-certain medicines for stomach problems like dicyclomine, hyoscyamine
-certain medicines for travel sickness like scopolamine
-certain medicines for Parkinson''s disease like benztropine, trihexyphenidyl
-diuretics
-ipratropium
-medicines for depression, anxiety, or psychotic disturbances
-medicines for fungal infections like ketoconazole
-medicines for weight loss including some herbal products
-other medicines that prolong the QT interval (cause an abnormal heart rhythm)
-procarbazine
-ritonavir
-some antibiotics like clarithromycin, erythromycin, levofloxacin, linezolid, and telithromycin
-some heart medicines
-steroid medicines like prednisone or cortisone
-stimulant medicines for attention disorders, weight loss, or to stay awake
-theophylline
-thyroid hormones

They need to know if you have any of these conditions:

-asthma
-bladder problems or difficulty passing urine
-diabetes
-glaucoma
-heart disease or irregular heartbeat
-high blood pressure
-kidney disease
-pheochromocytoma
-prostate disease
-seizures
-thyroid disease
-an unusual or allergic reaction to tiotropium, olodaterol, ipratropium, atropine, other medicines, foods, dyes, or preservatives
-pregnant or trying to get pregnant
-breast-feeding

Visit your doctor or health care professional for regular checkups. Tell your doctor or health care professional if your symptoms do not get better.

If your symptoms get worse or if you need your short-acting inhalers more often, call your doctor right away. Do not use this medicine more than once every 24 hours.

Do not get the this medicine in your eyes. It can cause irritation, pain, or blurred vision.

You may get dizzy. Do not drive, use machinery, or do anything that needs mental alertness until you know how this medicine affects you. Do not stand or sit up quickly, especially if you are an older patient. This reduces the risk of dizzy or fainting spells.

Clean the inhaler as directed in the patient information sheet that comes with this medicine.

Keep out of the reach of children.

Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F). Do not freeze. The inhaler should be discarded after 3 months or when the inhaler becomes locked, whichever comes first. Throw away any unopened packages after the expiration date.