Aclidinium bromide respiratory inhalation powder

What is this medicine?

Aclidinium (a kli DIN ee um) is a bronchodilator. It helps open up the airways in your lungs to make it easier to breathe. This medicine is used to treat COPD, including emphysema and chronic bronchitis. Never use this medicine for an acute attack.

How should I use this medicine?

This medicine is for inhalation through the mouth. Follow the directions on the prescription label. Take your medicine at regular intervals. Do not take it more often than directed. Do not stop taking except on your doctor's advice. Make sure that you are using your inhaler correctly. Ask your doctor or health care provider if you have any questions.

Talk to your pediatrician regarding the use of this medicine in children. Special care may be needed.

What side effects may I notice from receiving this medicine?

Side effects that you should report to your doctor or health care professional as soon as possible:

• allergic reactions like skin rash or hives, swelling of the face, lips, or tongue

• breathing problems

• changes in vision

• chest pain

• fast, irregular heartbeat

• infection or flu-like symptoms

• trouble passing urine or change in the amount of urine

Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):

• constipation

• cough

• dry mouth

• headache

What may interact with this medicine?

• atropine

• antihistamines for allergy, cough and cold

• certain medicines for bladder problems like oxybutynin, tolterodine

• certain medicines for stomach problems like dicyclomine, hyoscyamine

• certain medicines for travel sickness like scopolamine

• certain medicines for Parkinson's disease like benztropine, trihexyphenidyl

• ipratropium

• tiotropium

What if I miss a dose?

If you miss a dose, use it as soon as you can. If it is almost time for your next dose, use only that dose and continue with your regular schedule. Do not use double or extra doses.

Where should I keep my medicine?

Keep out of the reach of children.

Store at room temperature between 20 and 25 degrees C (68 and 77 degrees F) in the protective pouch. Store in a dry place. Do not store on a vibrating surface. Keep inhaler in the sealed pouch until you are ready to use. Throw away any unused medicine after one of the following: 45 days after opening the pouch, after the marking "0" with a red background shows in the middle of the dose indicator, or when the device locks out, whichever comes first.

What should I tell my health care provider before I take this medicine?

They need to know if you have any of these conditions:

• bladder problems or difficulty passing urine

• glaucoma

• kidney disease

• prostate trouble

• an unusual or allergic reaction to aclidinium, atropine, milk proteins, other medicines, lactose, foods, dyes, or preservatives

• pregnant or trying to get pregnant

• breast-feeding

What should I watch for while using this medicine?

Visit your doctor for regular checks on your progress. Tell your doctor or health care professional if your symptoms do not improve. Do not use extra medicine. If your breathing gets worse or if you need short acting inhalers more often, call your doctor right away.