Medical Editor: John P. Cunha, DO, FACOEP
Tudorza Pressair (aclidinium bromide) inhalation powder is an anticholinergic indicated for the long-term maintenance treatment of bronchospasm associated with chronic obstructive pulmonary disease (COPD), including chronic bronchitis and emphysema. Common side effects of Tudorza Pressair include:
- common cold symptoms,
- runny or stuffy nose,
- sinus infection,
- urinary tract infection, and
- dry mouth.
Serious side effects of Tudorza Pressair include:
- diabetes mellitus,
- 1st degree AV block,
- cardiac failure,
- sudden shortness of breath immediately after taking this medicine,
- new or worsened pressure in the eyes (acute narrow-angle glaucoma), and
- cardio-respiratory arrest.
Tudorza Pressair is available for oral inhalation only. The recommended dosage of Tudorza Pressair is one inhalation (400 mcg of aclidinium bromide) twice daily. Tudorza Pressair may interact with anticholinergic medications. Tell your doctor all medications and supplements you use. Tell your doctor if you are pregnant or plan to become pregnant before using Tudorza Pressair; it is unknown if it will affect a fetus. Tudorza Pressair likely passes into breast milk. Consult your doctor before breastfeeding.
Our Tudorza Pressair Center provides a comprehensive view of available drug information on the potential side effects when taking this medication.
This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
The following adverse reactions are described in greater detail in other sections:
- Paradoxical bronchospasm [see WARNINGS AND PRECAUTIONS]
- Worsening of narrow-angle glaucoma [see WARNINGS AND PRECAUTIONS]
- Worsening of urinary retention [see WARNINGS AND PRECAUTIONS]
- Immediate hypersensitivity reactions [see WARNINGS AND PRECAUTIONS]
Clinical Trials Experience
Because clinical trials are conducted under widely varying conditions, adverse reaction rates observed in the clinical trials of a drug cannot be directly compared to rates in the clinical trials of another drug and may not reflect the rates observed in practice.
3-Month And 6-Month Trials
TUDORZA PRESSAIR was studied in two 3-month (Trials B and C) and one 6-month (Trial D) placebo-controlled trials in patients with COPD. In these trials, 636 patients were treated with TUDORZA PRESSAIR at the recommended dose of 400 mcg twice daily.
The population had a mean age of 64 years (ranging from 40 to 89 years), with 58% males, 94% Caucasian, and had COPD with a mean pre-bronchodilator forced expiratory volume in one second (FEV1) percent predicted of 48%. Patients with unstable cardiac disease, narrow-angle glaucoma, or symptomatic prostatic hypertrophy or bladder outlet obstruction were excluded from these trials.
Table 1 shows all adverse reactions that occurred with a frequency of greater than or equal to 1% in the TUDORZA PRESSAIR group in the two 3-month and one 6-month placebo-controlled trials where the rates in the TUDORZA PRESSAIR group exceeded placebo.
Table 1: Adverse Reactions (% Patients) in
Placebo-Controlled Clinical Trials
|Headache||42 (6.6)||32 (5.0)|
|Nasopharyngitis||35 (5.5)||25 (3.9)|
|Cough||19 (3.0)||14 (2.2)|
|Diarrhea||17 (2.7)||9 (1.4)|
|Sinusitis||11 (1.7)||5 (0.8)|
|Rhinitis||10 (1.6)||8 (1.2)|
|Toothache||7 (1.1)||5 (0.8)|
|Fall||7 (1.1)||3 (0.5)|
|Vomiting||7 (1.1)||3 (0.5)|
In addition, among the adverse reactions observed in the clinical trials with an incidence of less than 1% were diabetes mellitus, dry mouth, 1st degree AV block, osteoarthritis, cardiac failure, and cardio-respiratory arrest.
Long-term Safety Trials
TUDORZA PRESSAIR was studied in three long term safety trials, two double blind and one open label, ranging from 40 to 52 weeks in patients with moderate to severe COPD. Two of these trials were extensions of the 3-month trials, and one was a dedicated long term safety trial. In these trials, 891 patients were treated with TUDORZA PRESSAIR at the recommended dose of 400 mcg twice daily. The demographic and baseline characteristics of the long term safety trials were similar to those of the placebo-controlled trials. The adverse events reported in the long term safety trials were similar to those occurring in the placebo-controlled trials of 3 to 6 months. No new safety findings were reported compared to the placebo controlled trials.
The following adverse reactions have been identified during postapproval use of drug TUDORZA PRESSAIR. Because these reactions are reported voluntarily from a population of uncertain size, it is not always possible to reliably estimate their frequency or establish a causal relationship to drug exposure.
In postmarketing experience with TUDORZA PRESSAIR, immediate hypersensitivity reactions, including anaphylaxis, angioedema (including swelling of the lips, tongue, or throat), urticaria, rash, bronchospasm, or itching have been reported. Additionally, nausea, dysphonia, blurred vision, urinary retention, tachycardia and stomatitis have been observed.
Read the entire FDA prescribing information for Tudorza Pressair (Aclidinium Bromide)
© Tudorza Pressair Patient Information is supplied by Cerner Multum, Inc. and Tudorza Pressair Consumer information is supplied by First Databank, Inc., used under license and subject to their respective copyrights.