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Arformoterol+glycopyrronium

About

Arformoterol+glycopyrronium belongs to the group of medicines called bronchodilators indicated for long-term, maintenance treatment of Chronic Obstructive Pulmonary Disease (COPD). COPD is a group of lung diseases with emphysema (shortness of breath) and chronic bronchitis (inflammation of the bronchial tube lining). 
 
Arformoterol+glycopyrronium is a combination of two medicines, namely: Arformoterol (long-acting beta2-adrenergic agonist) and Glycopyrronium (anti-cholinergic). Arformoterol prevents tightening of the muscles in the airways, making it easier for the air to get in and out of the lungs. Glycopyrronium decreases the secretions in the airways. Together, Arformoterol+glycopyrronium provides relief from COPD.
 
You are advised to use Arformoterol+glycopyrronium for as long as your doctor has prescribed it for you, depending on your medical condition. In some cases, you may experience certain common side-effects such as headache, nausea, dry mouth, chest pain, muscle cramps, and dizziness. Most of these side effects do not require medical attention and will resolve gradually over time. However, you are advised to talk to your doctor if you experience these side effects persistently.
 
Do not stop using Arformoterol+glycopyrronium on your own as it might cause worsening of symptoms. Consult your doctor before using Arformoterol+glycopyrronium if you are pregnant or breastfeeding. Arformoterol+glycopyrronium may cause dizziness, so drive with caution. Avoid consuming alcohol as it might cause increased dizziness. Arformoterol+glycopyrronium is not recommended for children below 18years as the safety and effectiveness have not been established. Keep your doctor informed about your health condition and the medicines you are taking to avoid unpleasant side effects.

Uses of Arformoterol+glycopyrronium

Chronic Obstructive Pulmonary Disease (COPD).

Medicinal Benefits

Arformoterol+glycopyrronium is a combination of two medicines, namely: Arformoterol and Glycopyrronium. Arformoterol+glycopyrronium belongs to the group of medicines called bronchodilators used to treat Chronic Obstructive Pulmonary Disease (COPD). Arformoterol is a long-acting beta-agonist that prevents tightening of the muscles in the airways, making it easier for the air to get in and out of the lungs. Glycopyrronium is an anti-cholinergic that decreases the secretions in the airways. Together, Arformoterol+glycopyrronium provides relief from COPD.

Directions for Use

Smartule: Check the instruction leaflet before use. It should be used with a nebuliser only in the dose and duration prescribed by a doctor. It is not to be injected or administered orally. Open the smartule by twisting off the cap. Squeeze the content into the reservoir of the nebulising chamber. Discard the smartule after use. Any invisible damage caused during transit or storage may cause contamination. Do not use the smartule if the suspension is discolored, has any leaks upon squeezing or contains visible black particles.

Storage

Store in a cool and dry place away from sunlight

Side Effects of Arformoterol+glycopyrronium

  • Headache
  • Dizziness
  • Dry mouth
  • Nausea
  • Chest pain
  • Muscle cramps
  • Anxiety

In-Depth Precautions and Warning

Drug Warnings

Do not use Arformoterol+glycopyrronium if you are allergic to any of its contents. Inform your doctor if you have asthma, heart problems, seizures/epilepsy, thyroid gland problems, diabetes, narrow-angle glaucoma, kidney problems, severe liver problems, if you have any difficulty in passing urine or if you are taking any medicines for lung diseases. Consult your doctor before using Arformoterol+glycopyrronium if you are pregnant or breastfeeding. Arformoterol+glycopyrronium may cause dizziness, so drive with caution. Avoid consuming alcohol as it might cause increased dizziness. Arformoterol+glycopyrronium is not recommended for children below 18years as the safety and effectiveness have not been established. 

Drug Interactions

Drug-Drug Interaction: Arformoterol+glycopyrronium may have interaction with other bronchodilators (salmeterol, salbutamol/albuterol, ipratropium, formoterol), corticosteroids (fluticasone, budesonide), urinary medicines (darifenacin, oxybutynin), and medicines that are used to treat excess stomach acid.

Drug-Food Interaction: No interactions found/established.

Drug-Disease Interaction: Use Arformoterol+glycopyrronium cautiously with doctor's advice if you have narrow-angle glaucoma, difficulty in urination, heart problems, seizures, gastrointestinal obstruction, arrhythmia, hypertension, myasthenia gravis, and infectious diarrhoea.

Drug-Drug Interactions Checker List:

  • SALMETEROL
  • SALBUTAMOL
  • ALBUTEROL
  • IPRATROPIUM
  • FORMOTEROL
  • BUDESONIDE
  • FLUTICASONE
  • DARIFENACIN
  • OXYBUTYNIN
  • Safety Advice

    • Safety Warning

      Alcohol

      caution

      You are advised not to consume alcohol while using Arformoterol+glycopyrronium as it might cause increased dizziness.

    • Safety Warning

      Pregnancy

      caution

      Please consult your doctor if you have any concerns regarding this; your doctor will prescribe only if the benefits outweigh the risks.

    • Safety Warning

      Breast Feeding

      caution

      Consult your doctor before using Arformoterol+glycopyrronium; your doctor will decide whether Arformoterol+glycopyrronium can be used by breastfeeding mothers or not.

    • Safety Warning

      Driving

      caution

      Arformoterol+glycopyrronium may cause dizziness. Drive or operate machinery only if you are alert.

    • Safety Warning

      Liver

      caution

      Dose adjustment may be needed. Please consult your doctor before using Arformoterol+glycopyrronium if you have liver impairment/liver disease or any concerns regarding this.

    • Safety Warning

      Kidney

      caution

      Dose adjustment may be needed. Please consult your doctor before using Arformoterol+glycopyrronium if you have kidney impairment/kidney disease or any concerns regarding this.

    • Safety Warning

      Children

      unsafe

      Arformoterol+glycopyrronium is not recommended for children below 18years as the safety and effectiveness have not been established.

    Habit Forming

    No

    Diet & Lifestyle Advise

    • Eat a healthy diet and exercise regularly to strengthen your breathing muscles and boost your immune system.
    • Avoid foods such as cabbage, beans, garlic, onions, shrimp, pickled food, dried fruits, fried foods, carbonated drinks, wine, bottled lemon and lime juice as it may worsen symptoms.
    • Do meditation, deep breathing, regular exercise and try progressive muscle relaxation techniques to get relief from stress and reduce the risk of an attack.
    • Quit smoking as it may reduce the effectiveness of Arformoterol+glycopyrronium, irritate the lungs and worsen breathing problems.
    • Learn breathing exercises like pursed-lip breathing. It helps provide relief from COPD.

    Patients Concern

    Disease/Condition Glossary

    Chronic Obstructive Pulmonary Disease (COPD): It is a group of lung diseases with emphysema (shortness of breath) and chronic bronchitis (inflammation of the lining of bronchial tubes). The major cause of COPD is smoking tobacco. Also, long-term exposure to fumes and chemicals may also lead to COPD. The symptoms include chronic cough, shortness of breath or wheezing (whistle sound while breathing).

    FAQs

    Arformoterol+glycopyrronium contains Arformoterol and Glycopyrronium. Arformoterol relaxes and widens the openings in the airways, making it easier for the air to get in and out of the lungs. Glycopyrronium decreases the secretions in the airways. Together, Arformoterol+glycopyrronium provides relief from COPD.

    Arformoterol+glycopyrronium is indicated for the maintenance treatment for COPD. It does not treat a sudden attack of wheezing or breathlessness. Use a rescue inhaler to treat sudden breathing problems.

    Dry mouth could be a side-effect of Arformoterol+glycopyrronium. Limiting caffeine intake, avoiding smoking and mouthwashes containing alcohol, and drinking water regularly can help cope with dry mouth.

    Do not stop using Arformoterol+glycopyrronium on your own as it might cause worsening of symptoms. To treat your condition effectually, continue using Arformoterol+glycopyrronium for as long as your doctor has prescribed it. Talk to your doctor if your breathing problems, wheezing, or cough do not improve or worsen.

    Arformoterol+glycopyrronium is not indicated for the treatment of asthma as the safety and effectiveness of Arformoterol+glycopyrronium in patients with asthma have not been established. Consult your doctor if you have asthma.

    Consult your doctor before using Arformoterol+glycopyrronium if you are diabetic, as it might sometimes raise blood sugar levels. Regular monitoring of blood glucose levels whilst using Arformoterol+glycopyrronium is advised.

    Available Medicines for

    Arformoterol+glycopyrronium

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