Glycopyrronium bromide is used to treat chronic obstructive pulmonary disease (long-term lung disease that causes airflow obstruction making it hard to breathe).
Use Glycopyrronium bromide exactly as directed by your doctor or according to the instructions on the label. Do not take more or less than instructed by your doctor.
This medicine is available as capsules for oral inhalation. Do not swallow the capsule. If you are using the inhaler for the very first time, point the inhaler into the ground and prime until a mist is seen. You should also do this whenever your inhaler has not been used for days.
To take a dose using the inhaler, follow these steps:
- Pull off the cap of the inhaler. To open the inhaler, hold the base of the inhaler firmly and tilt the mouthpiece.
- Immediately before use, remove the capsules from the blister and place it in the capsule chamber.
- Close the inhaler until you hear a clicking sound.
- Hold the inhaler upright and pierce the capsule by pressing the side buttons (located at the base of the inhaler) at the same time. You will hear another clicking sound as the capsule is being pierced. Release the side buttons fully.
- Breathe out, place the mouthpiece in your mouth then breathe in rapidly but steadily and as deeply as you can.
- Hold your breath for 5-10 seconds while taking the inhaler out of your mouth then breathe out.
- Open the inhaler to see if any powder is left in the capsule. If there is powder left in the capsule, close the inhaler and repeat step 4 to 5.
- Remove the empty capsule from the chamber then throw it in the household waste.
- Close the inhaler then replace the cap.
Make sure you know how to use the inhaler. If you have problems or if you do not understand the instructions, ask your doctor or pharmacist to show you how to use it.
Glycopyrronium bromide must be taken regularly for it to be effective. Continue taking this medicine even when you feel better. Do not stop taking it unless instructed by the doctor.
Use the missed dose as soon as you remember. If it is almost time for your next dose, skip the missed dose and return to your normal dosing schedule.
DO NOT double a dose under any circumstances.
If you often forget to take your medicine, let your doctor and pharmacist know.
Inform your doctor if you have the following conditions:
- glaucoma (increased pressure in the eye)
- difficulty passing urine
- liver disease
- kidney disease
Let your doctor know if you are pregnant or breastfeeding.
Keep your appointments with your doctor. Your doctor needs to monitor your condition and check your response to the medication regularly. Routine blood tests and lung function tests may be needed while you are being treated with this medicine. Your doctor will advise you about how often you need to have these tests.
Glycopyrronium bromide may cause any of the following side effects: headache, diarrhoea, stomach ache, runny or stuffy nose, sore throat, sneezing, back pain and joint pain.
Some side effects may need immediate medical help. Alert your doctor immediately if you experience any of the following:
- rashes, breathlessness, swelling of the face, eyes or mouth
- pain or tightness of chest
Inform your doctor if any of these side effects do not go away or are severe, or if you experience other side effects.
Always notify your doctor and pharmacist if you are taking any other medicines, including herbal tonics such as traditional Chinese medicines, supplements and medicines that you buy without a prescription.
Avoid alcohol.
Store in a cool, dry place away from the reach of children.
Medicines must not be used past the expiry date.
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