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The renal clearance of tiotropium exceeds the creatinine clearance, indicating secretion into the urine
Rai VK, Mishra N, Yadav KS, Yadav NP

10.1002/j.1460-2075.1982.tb01276.x 142 WangC.HeG.GeY.LiR.LiZ.LinY

Bihari thinking: what if using just a tenth of the normal dose could do the opposite