Proper Use

Drug information provided by: IBM Micromedex

Use this medicine only as directed by your doctor. Do not use more of it and do not use it more often than your doctor ordered. Also, do not stop using this medicine without telling your doctor. To do so may increase the chance of side effects.

Inhaled glycopyrrolate comes with a patient information leaflet and patient instructions. Read the instructions carefully before using this medicine and with each refill. There may be new information. If you do not understand the directions or you are not sure how to use the inhaler, ask your doctor to show you what to do. Also, ask your doctor to check regularly how you use the inhaler to make sure you are using it properly.

Use the Lonhala™ vials only with the Magnair® inhaler device. The liquid in the vials should not be swallowed. It is placed only into the Magnair® inhaler that comes with the package. This device opens the vial and loads the liquid medicine from the capsule into the air chamber. You then inhale the liquid through the mouthpiece. Your caregiver will show you how to use your inhaler.

Use the Seebri™ capsules only with the Neohaler® inhaler device. The medicine capsule should not be swallowed. It is placed only into the Neohaler® inhaler that comes with the package. This device opens the capsule and loads the powder medicine from the capsule into the air chamber. You then inhale the powder through the mouthpiece. Your caregiver will show you how to use your inhaler.

Use this medicine at the same time each day, in the morning and evening.

Do not stop using this medicine or other breathing medicines that your doctor has prescribed for you unless you have discussed this with your doctor.

To use the Lonhala™ Magnair®:

  • Follow the patient instructions on how to assemble and disassemble your Magnair® inhaler device. Make sure the aerosol head is attached before placing the medication cap to prevent the medicine from leaking.
  • Open the foil pouch and remove the 2 vials.
  • Separate the 2 vials and place one back in the pouch for the next treatment.
  • Check the liquid in the vial. It should be clear and colorless. Do not use it if it is discolored.
  • Insert one vial into the bottom of the Medication cap of the Magnair® until you hear a clicking sound.
  • Attach the medication cap to the Handset body and turn the cap in a clockwise direction, until you hear a clicking sound.
  • Insert the mouthpiece into your mouth.
  • Press the "ON/OFF" button to start your treatment.
  • Breathe in and exhale normally through the mouthpiece.
  • Your treatment will take about 2 to 3 minutes. You will hear a beeping sound and the controller will automatically shut off after your treatment ends.
  • Clean your inhaler device after every use. Throw away the used vial and disassemble the inhaler device before cleaning it. Separate the aerosol head from the other parts. Rinse with warm running water for about 10 seconds. Wash with warm soapy water (water and clear liquid dishwashing soap) for about 10 seconds. Then, rinse again with warm running water for about 10 seconds to remove all of the soap.
  • Rinse each side of the aerosol head well with warm running water for about 10 seconds. Hold it by the handle and swish it back and forth in the warm soapy water for about 10 seconds. Then, rinse both sides of the Aerosol head well with warm running water for about 10 seconds on each side.
  • Allow the parts to air dry completely. Do not assemble the device until you are ready to use it.
  • Do not use the inhaler for this medicine with any other medicine.

To use the Seebri™ Neohaler®:

  • Dry your hands before handling this medicine.
  • Open a blister card of capsules. Do not remove a capsule until you are ready for a dose. Peel the backing to expose the capsule. Do not push the capsule through the foil to remove it from the blister.
  • Remove the cap of the inhaler then hold the base firmly and tilt the mouthpiece to open the inhaler.
  • Place the capsule into the capsule chamber in the base of the inhaler. Do not swallow the capsule and do not place a capsule directly into the mouthpiece.
  • Close the inhaler fully. You should hear a clicking sound as you close it.
  • Hold the mouthpiece of the inhaler upright and press both buttons at the same time. Press the buttons only once. You should hear a click as the capsule is being pierced.
  • Breathe out fully. Do not exhale into the mouthpiece.
  • Place the mouthpiece in your mouth then close your lips around the mouthpiece.
  • Breathe in quickly and deeply.
  • Remove the inhaler from your mouth. Hold your breath for at least 50 to 10 seconds, or as long as you can and then exhale.
  • Open the inhaler after using it, and remove and discard the empty capsule. Do not leave the used capsule inside the chamber.
  • If there is still powder in the capsule, close the inhaler and repeat the inhalation process.
  • Close the mouthpiece and then replace the cover.
  • Do not wash the inhaler. Keep it dry.
  • Use a new inhaler with each refill of your medicine.
  • Do not use the inhaler for this medicine with any other medicine.

Dosing

The dose of this medicine will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your doctor tells you to do so.

The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.

  • For maintenance treatment of COPD:
    • For inhalation liquid dosage form (used with Lonhala™ Magnair®):
      • Adults—1 vial by oral inhalation two times a day (1 vial in the morning and 1 vial in the evening).
      • Children—Use is not recommended.
    • For inhalation powder dosage form (used with Seebri™ Neohaler®):
      • Adults—1 capsule by oral inhalation two times a day (1 capsule in the morning and 1 capsule in the evening).
      • Children—Use is not recommended.

Missed Dose

If you miss a dose of this medicine, skip the missed dose and go back to your regular dosing schedule. Do not double doses.

Lonhala™ Magnair®: If you miss a dose, take your next dose at your usual time. Do not use 2 vials at a time. Do not use more than 2 vials in a day.

Storage

Keep out of the reach of children.

Do not keep outdated medicine or medicine no longer needed.

Ask your healthcare professional how you should dispose of any medicine you do not use.

Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing.

You may store the unused vials in the foil pouch until 7 days.