Glycopyrrolate is an anticholinergic that works by relaxing muscles in the airways to improve breathing.

Glycopyrrolate is used as an inhaled medication to prevent airflow obstruction or bronchospasm in people with COPD (chronic obstructive pulmonary disease), including bronchitis and emphysema.

Glycopyrrolate may also be used for purposes not listed in this medication guide.

Follow all directions on your medicine label and package. Tell each of your healthcare providers about all your medical conditions, allergies, and all medicines you use.

Follow all directions on your prescription label and read all medication guides or instruction sheets. Use the medicine exactly as directed.

Glycopyrrolate inhalation is supplied as a solution (liquid) or as powder inside a capsule. Each form comes with a special inhaler device that is unique to that form of glycopyrrolate. Use only the inhaler device supplied with your specific brand of this medicine.

Always use the new inhaler device provided with your refill of this medicine.

Read and carefully follow any Instructions for Use provided with your medicine. Ask your doctor or pharmacist if you do not understand these instructions.

Glycopyrrolate inhalation is usually given twice daily (morning and evening). Follow your doctor's dosing instructions. Use this medicine at the same time each day, even if you feel well.

Do not swallow the glycopyrrolate inhalation capsule or liquid. This medicine is for use only with the supplied inhalation devices.

Glycopyrrolate is not a rescue medicine for bronchospasm attacks. Use only fast-acting inhalation medicine for an attack. Seek medical attention if your breathing problems get worse quickly, or if you think your medications are not working as well.

You should not stop using this medicine unless your doctor tells you to. Stopping suddenly may make your condition worse.

Store at room temperature away from moisture and heat. Keep the medicine in the blister pack or foil pouch until it is time for your dose.

You should not use glycopyrrolate if you are allergic to glycopyrrolate.

Tell your doctor if you have ever had:

• narrow-angle glaucoma;

• bladder obstruction or other urination problems;

• enlarged prostate; or

• kidney disease.

It is not known whether this medicine will harm an unborn baby. Tell your doctor if you are pregnant or if you plan to become pregnant.

It may not be safe to breast-feed a baby while you are using this medicine. Ask your doctor about any risks.

Glycopyrrolate inhalation is not approved for use by anyone younger than 18 years old.

Skip the missed dose and use your next dose at the regular time. Do not use two doses at one time.

Get your prescription refilled before you run out of medicine completely.

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.

Overdose symptoms may include blurred vision, eye pain, nausea, vomiting, trouble urinating, or severe dizziness.

Follow your doctor's instructions about any restrictions on food, beverages, or activity.

Get emergency medical help if you have signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat.

Glycopyrrolate may cause serious side effects. Call your doctor at once if you have:

• wheezing, choking, or other breathing problems after using glycopyrrolate;

• blurred vision, tunnel vision, eye pain or redness, seeing halos around lights;

• nausea, vomiting; or

• painful or difficult urination, little or no urination.

Common side effects of glycopyrrolate may include:

• cold symptoms such as stuffy nose, sneezing, sore throat;

• feeling short of breath; or

• burning when you urinate.

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.

Tell your doctor about all your other medicines, especially:

• glycopyrrolate taken in pill form (Cuvposa, Robinul);

• cold or allergy medicine that contains an antihistamine (Benadryl and others);

• medicine to treat Parkinson's disease;

• medicine to treat excess stomach acid, stomach ulcer, motion sickness, or irritable bowel syndrome;

• bladder or urinary medicines--darifenacin, fesoterodine, oxybutynin, tolterodine, solifenacin; or

• bronchodilators--aclidinium, ipratropium, tiotropium, or umeclidinium.

This list is not complete. Other drugs may affect glycopyrrolate, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible drug interactions are listed here.