Aclidinium (By breathing)


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

Treats breathing problems caused by COPD (chronic obstructive pulmonary disease), including chronic bronchitis and emphysema. This medicine is a bronchodilator.

Brand Name(s)

Tudorza Pressair

There may be other brand names for this medicine.

When This Medicine Should Not Be Used

Do not use this medicine if you have had an allergic reaction to aclidinium.

How to Use This Medicine

Powder Under Pressure

  • Your doctor will tell you how much of this medicine to use and how often. Do not use more medicine or use it more often than your doctor tells you to.
  • 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.
  • This medicine comes with patient instructions. Read and follow these instructions carefully. Ask your doctor or pharmacist if you have any questions.
  • Remove the cap and look at the mouthpiece to make sure it is clean.
  • Hold the inhaler with the mouthpiece facing you, but not inside your mouth. Press the green button all the way down, then release it. Look at the colored control window to make sure your dose is ready. The colored control window should change from red to green when your dose is ready.
  • To inhale this medicine, 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 sound. Keep breathing in, even after you hear the click sound, to be sure you get the full dose. Do not hold the green button while you are breathing in.
  • 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. This means you have inhaled full dose of this medicine.
  • If the control window is still green, then 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.
  • Press the cap back onto the mouthpiece when you are finished (when the window has turned back to red).
  • You do not need to clean the inhaler, but If you want to, you can wipe the mouthpiece with a dry tissue or towel. Do not use water to clean the inhaler, because this will damage the medicine.
  • Do not let any of the medicine get in your eyes. It will cause blurred vision.

If a dose is missed:

  • If you miss a dose of this medicine, skip the missed dose and go back to your regular dosing schedule. Do not use two doses at one time.

How to Store and Dispose of This Medicine

  • 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. Do not store this medicine on a vibrating surface.
  • 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.There are 3 ways to know that you are finished with the inhaler and should throw it away. Throw away the inhaler (1) 45 days after you open the pouch, (2) when a 0 with a red background shows on the dose counter, or (3) when the device locks and you cannot press the green button.
  • Keep all medicine away from children and never share your medicine with anyone.

Drugs and Foods to Avoid

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

  • Make sure your doctor knows if you also use medicine for incontinence, stomach cramps, ulcers, or muscle spasms, or to prevent nausea, vomiting, and motion sickness. This would include Anaspaz®, Bentyl®, Cystospaz®, Detrol®, Norflex®, Robinul®, Transderm-Scop®, and others. Tell your doctor if you also use atropine, ipratropium (Atrovent®) or tiotropium (Spiriva®).

Warnings While Using This Medicine

  • Make sure your doctor knows if you are pregnant or breastfeeding, or if you have glaucoma, prostate problems, or trouble urinating. Tell your doctor 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.
  • Stop using this medicine and check with your doctor right away if you have coughing, trouble breathing, shortness of breath, or wheezing after you use this medicine. This medicine may cause paradoxical bronchospasm, which may be life-threatening.
  • Check with your doctor right away if you have eye pain, blurred vision, or changes in your vision. Tell your doctor if you see halos around lights or odd colors. These could be symptoms of acute narrow-angle glaucoma.
  • 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.
  • If your symptoms do not improve or if they get worse, call your doctor.

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, changes in vision
  • Decrease in how much or how often you urinate, difficult or painful urination
  • Sudden shortness of breath

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 06/12/2013

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