Adult Dosing

Chronic obstructive pulmonary disease (COPD)

• 400 mcg INH [1 inhalation] bid

Pediatric Dosing

• Safety and effectiveness in pediatric patients has not been established

• Long-term maintenance of bronchospasm linked with chronic obstructive pulmonary disease (COPD), including chronic bronchitis and emphysema

• Hypersensitivity to any of the ingredients of the product

• N/A

Renal Dose Adjustment

• Renal Impairment: No dosage adjustments

Hepatic Dose Adjustment

• Hepatic Impairment: Dose adjustment not defined

• Not indicated for acute use or as a rescue medication
• Therapy may lead to paradoxical bronchospasm; discontinue therapy if paradoxical bronchospasm occurs and consider other treatments
• Use cautiously in patients with narrow-angle glaucoma since therapy may lead to worsening of this condition. If worsening occurs, instruct patients to consult a physician
• Immediate hypersensitivity reactions may occur; use cautiously in patients with severe hypersensitivity to milk proteins

Cautions: Use cautiously in

• Acute episodes of bronchospasm
• Narrow-angle Glaucoma
• Urinary Retention
• Immediate hypersensitivity reactions to milk proteins

Pregnancy Category:C

Breastfeeding: It is unknown whether aclidinium is excreted in human breast milk, caution should be exercised when aclidinium is administered to nursing women.

• CNS: Headache
• GI: Diarrhea, vomiting
• EENT: Nasopharyngitis, sinusitis, rhinitis, cough

• Antimuscarinic agent; inhibits M3 receptor at the smooth muscle leading to bronchodilation by inhibiting acetylcholine’s effect on muscarinic receptors in the airway smooth muscle
• Bioavailability in healthy volunteers: 6%
• Hydrolysed both chemically and enzymatically by esterases to alcohol and dithienylglycolic acid derivative
• Excreted in urine and feces
• Half-life: 5 to 8 hours

US Trade Name(s)

• Tudorza Pressair

US Availability

Tudorza Pressair

• INH PWDR: 400 mcg

Canadian Trade Name(s)

• N/A

Canadian Availability

• N/A

UK Trade Name(s)

• Eklira Genuair

UK Availability

Eklira Genuair

• INH PWDR: 322 mcg

Australian Trade Name(s)

• N/A

Australian Availability

• N/A

Pulmonary

Anticholinergics, Inhaled