Seebri Neohaler contains glycopyrrolate, an anticholinergic that works by relaxing muscles in the airways to improve breathing.

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

Seebri Neohaler 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.

Before taking this medicine

You should not use a Seebri Neohaler if you are allergic to glycopyrrolate.

To make sure Seebri is safe for you, tell your doctor if you have:

• narrow-angle glaucoma;

• bladder obstruction or other urination problems;

• enlarged prostate; or

• kidney disease.

It is not known whether Seebri will harm an unborn baby. Tell your doctor if you are pregnant or if you become pregnant while using Seebri.

It is not known whether glycopyrrolate inhalation passes into breast milk or if it could harm a nursing baby. You should not breast-feed while using Seebri Neohaler.

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

Use your Seebri Neohaler exactly as prescribed by your doctor. Follow all directions on your prescription label. Do not use this medicine in larger or smaller amounts or for longer than recommended.

Seebri Neohaler is packaged in capsules that come with a special inhaler device. Each time you use the medicine, load a capsule into the device and click the mouthpiece closed. Push the buttons on the sides of the device to pierce the capsule and release the medicine into the inhalation chamber. Make sure to release the buttons before inhaling the medicine.

Read all patient information, medication guides, and instruction sheets provided to you. Ask your doctor or pharmacist if you have any questions.

The usual dose of Seebri is 1 capsule twice daily (morning and evening). Follow your doctor's dosing instructions very carefully.

Do not swallow the Seebri capsule or place it in your mouth. The capsule is for use only with the Neohaler inhalation device.

Use Seebri Neohaler at the same time each day, even if you feel well.

Seebri is not a rescue medicine. It will not work fast enough to treat a bronchospasm attack. Use only a fast-acting inhalation medicine for a sudden attack. Tell your doctor if any of your medicines seem to stop working as well in controlling your COPD.

Seek medical attention if your breathing problems do not improve, or if your symptoms get worse quickly.

Use Seebri regularly to get the most benefit. Get your prescription refilled before you run out of medicine completely. Always use the new Neohaler device that comes with this medicine.

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

Store at room temperature away from moisture and heat. Keep the Seebri inhalation capsules in the blister pack until it is time for your dose. Remove only one capsule each time you use the medicine. Do not push a capsule through the foil or you may damage the capsule.

You should not use a Seebri Neohaler if you are allergic to glycopyrrolate.

To make sure Seebri is safe for you, tell your doctor if you have:

• narrow-angle glaucoma;

• bladder obstruction or other urination problems;

• enlarged prostate; or

• kidney disease.

It is not known whether Seebri will harm an unborn baby. Tell your doctor if you are pregnant or if you become pregnant while using Seebri.

It is not known whether glycopyrrolate inhalation passes into breast milk or if it could harm a nursing baby. You should not breast-feed while using Seebri Neohaler.

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

Use the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not use extra medicine to make up the missed dose.

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 to Seebri: hives; difficult breathing; swelling of your face, lips, tongue, or throat.

Call your doctor at once if you have:

• wheezing, choking, or other breathing problems after using this medicine;

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

• nausea, vomiting; or

• painful or difficult urination, little or no urination.

Common Seebri side effects may include:

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

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 current medicines and any you start or stop using, 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 interact with glycopyrrolate inhalation, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible interactions are listed in this medication guide.