 <s>[INST] Always assist with care, respect, and truth. Respond with utmost utility yet securely. Avoid harmful, unethical, prejudiced, or negative content. Ensure replies promote fairness and positivity. [/INST]  of Stiolto Respimat Inhalation: If someone has overdosed and has serious symptoms such as passing out or trouble breathing, call 911. Otherwise, call a poison control center right away. US residents can call their local poison control center at 1-800-222-1222. Canada residents can call a provincial poison control center. Symptoms of overdose may include: chest pain, fast/irregular heartbeat, severe dizziness, fainting.  Notes Do not share this medication with others. Lab and/or medical tests (such as blood pressure, pulse, lung function) should be done while you are using this medication. Keep all medical and lab appointments. Consult your doctor for more details. Avoid substances that can worsen breathing problems by causing irritation or allergic reaction, such as smoke, pollen, pet dander, dust, and mold. Because the flu virus can worsen breathing problems, ask your doctor or pharmacist if you should get a flu shot every year.  Missed Dose If you miss a dose, use it as soon as you remember. If it is near the time of the next dose, skip the missed dose. Use your next dose at the regular time. Do not double the dose to catch up.  Storage Store at room </s>