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At a glance

Glycopyrronium bromide (Glycopyrrolate) Inhalation is a once-daily maintenance bronchodilator for symptom relief in COPD patients.

Indications
  • Chronic obstructive pulmonary disease (COPD): Maintenance bronchodilator treatment to relieve symptoms in adult patients
Pharmacology

Glycopyrronium is a long-acting, specific antimuscarinic agent, in clinical medicine often called an anticholinergic. It has a similar affinity to the subtypes of muscarinic receptors M1 to M5. In the airways, inhibition of M3-receptors at the smooth muscle results in relaxation. The high potency and slow receptor dissociation found its clinical correlate in significant and long-acting bronchodilation in patients with COPD.

Dosage

Adult Dose:

  • One 50 microgram capsule once daily using the inhalation device
  • Administered at the same time of the day
  • Should not be taken more than one time every 24 hours

* Use as directed by the registered physician

Side effects

Common Side Effects:

  • Dry mouth
  • Cough
  • Nasopharyngitis
  • Vomiting
  • Musculoskeletal pain
  • Insomnia
  • Diabetes mellitus
  • Gastroenteritis

Rare Side Effects: Paradoxical bronchospasm, angioedema, hypersensitivity, pruritus, sinus congestion.

Use in pregnancy

Use in Pregnancy: Limited data in pregnant women. Use only if expected benefit justifies potential risk to the fetus.

Pregnancy Category: C — always consult a doctor before taking during pregnancy.

Precautions & warnings

Precautions:

  • Not indicated for initial treatment of acute bronchospasm (rescue therapy)
  • Should not be used in patients under 18 years
  • Use with caution in narrow-angle glaucoma or urinary retention
  • Discontinue if signs of allergic reaction occur
  • Discontinue if paradoxical bronchospasm occurs
Overdose effects

Overdose: High doses may lead to anticholinergic symptoms. Symptomatic treatment indicated. 100 and 200 microgram doses well tolerated for 28 days.

Storage conditions

Storage: Store at a temperature not exceeding 30°C in a dry place. Protect from light and moisture.

Glycopyrronium bromide (Glycopyrrolate) Inhalation — see the full informationPharmacology, precautions, pregnancy, overdose and the rest on the generic page
⚠️ This information is for educational purposes only — not a substitute for medical advice. Consult a registered physician before taking any medicine.