Aclidinium (By breathing)


Aclidinium Bromide (a-kli-DIN-ee-um BROE-mide)

Treats breathing problems caused by COPD. This medicine is a bronchodilator.

Brand Name(s)

Tudorza Pressair

When This Medicine Should Not Be Used

How to Use This Medicine

Powder Under Pressure

  • Take your medicine as directed.
  • You will use this medicine with an inhaler device called the Pressair?. The inhaler holds the medicine, which is a powder. You will inhale the powder through the mouthpiece. Your caregiver will show you how to use your inhaler.
  • Read and follow the patient instructions that come with this medicine. Talk to your doctor or pharmacist if you have any questions.
  • Remove the cap and look at the mouthpiece to make sure it is clean. To clean the inhaler, wipe the mouthpiece with a dry tissue or towel. Do not use water to clean the inhaler, because this will damage the medicine.
  • Press the green button all the way down, and then release it. Look at the colored control window to make sure the window changed from red to green.
  • Breathe out fully and try to get as much air out of your lungs as possible. Put your lips tightly around the mouthpiece and take a fast, deep breath. You should hear a click. Keep breathing in, even after you hear the click, to be sure you get the full dose.
  • Remove the inhaler from your mouth and hold your breath for as long as is comfortable. Then breathe out slowly through your nose.
  • Look at the colored control window to make sure it has changed back to red. If the control window is still green, you did not get the full dose of medicine. Repeat the steps above. If you cannot get the full dose of medicine after you have tried several times, call your doctor.
  • Missed dose: Take your next regular dose. Do not use 2 doses to make up for a missed dose.
  • Keep the medicine in the foil pouch until you are ready to use it. Store at room temperature, away from heat and direct light. Do not freeze.
  • Ask your pharmacist, doctor, or health caregiver about the best way to dispose of the used medicine container and any leftover medicine. You will also need to throw away old medicine after the expiration date has passed. Throw away the inhaler 45 days after you open the pouch, or when a 0 with a red background shows on the dose counter, or when the device locks and you cannot press the green button.

Drugs and Foods to Avoid

Ask your doctor or pharmacist before using any other medicine, including over-the-counter medicines, vitamins, and herbal products.

  • Some medicines can affect how aclidinium works. Tell your doctor if you are taking any of the following:
    • Atropine, ipratropium, or tiotropium
    • Medicine to treat incontinence, stomach cramps, ulcers, or muscle spasms
    • Medicine to prevent nausea, vomiting, or motion sickness

Warnings While Using This Medicine

  • Tell your doctor if you are pregnant or breastfeeding, or if you have glaucoma, prostate problems, trouble urinating, or if you are allergic to atropine or milk proteins.
  • This medicine will not stop breathing problems that have already started. Your doctor may prescribe another medicine for you to use in case of an acute attack.
  • This medicine may cause worsening breathing problems, glaucoma, or urination problems.
  • Do not get any of the medicine in your eyes. It will cause blurred vision.
  • Call your doctor right away if you use other medicines for your COPD and they do not seem to be working as well as usual. Do not change your doses or stop using your other medicines.
  • Call your doctor if your symptoms do not improve or if they get worse.
  • Keep all medicine out of the reach of children. Never share your medicine with anyone.

Possible Side Effects While Using This Medicine

Call your doctor right away if you notice any of these side effects:

  • Allergic reaction: Itching or hives, swelling in your face or hands, swelling or tingling in your mouth or throat, chest tightness, trouble breathing
  • Blurred vision, eye pain or discomfort, or changes in vision
  • New or worsening cough, trouble breathing, shortness of breath, or wheezing
  • Decrease in how much or how often you urinate, difficult or painful urination

If you notice these less serious side effects, talk with your doctor:

  • Headache
  • Stuffy or runny nose

If you notice other side effects that you think are caused by this medicine, tell your doctor

Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088

Version Info

  • Last reviewed on 4/4/2014

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