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What should I tell my health care provider before I take Spiriva?

You should not use Tiotropium if you are allergic to tiotropium or ipratropium (Atrovent, Combivent, DuoNeb).

To make sure you can safely take Tiotropium, tell your doctor if you have any of these other conditions:

• narrow-angle glaucoma;
• kidney disease;
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• if you are allergic to milk.

FDA pregnancy category C. It is not known whether Tiotropium is harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment. It is not known if tiotropium passes into breast milk or if it could harm a nursing baby. Do not use Tiotropium without telling your doctor if you are breast-feeding a baby.

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