Maintenance bronchodilator treatment for symptomatic relief of COPD. Add-on maintenance bronchodilator treatment in patients ≥6 yr w/ severe asthma who experienced ≥1 severe exacerbations in the preceding yr.
Hypersensitivity. Not to be used for initial treatment of acute bronchospasm episodes or relief of acute symptoms; as 1st-line treatment for asthma. Patients w/ narrow-angle glaucoma, prostatic hyperplasia or bladder-neck obstruction. Inhalation-induced bronchospasm. Dry mouth. May cause wheezing & breathing difficulties due to benzalkonium Cl. Avoid contact w/ eyes. May affect ability to drive & use machines. Moderate to severe renal impairment (CrCl ≤50 mL/min). Avoid use during pregnancy. Not recommended during lactation. Not recommended for COPD in childn & adolescents <18 yr. Childn <1 yr for asthma.
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