Umeclidinium Other names: Umeclidinium bromide

Chemical formula: C₂₉H₃₄BrNO₂  Molecular mass: 428.595 g/mol  PubChem compound: 11519070

Interactions

Umeclidinium interacts in the following cases:

Severe hepatic impairment

Umeclidinium bromide has not been studied in patients with severe hepatic impairment and should be used with caution.

Urinary retention, narrow-angle glaucoma

Due to its antimuscarinic activity, umeclidinium bromide should be used with caution in patients with urinary retention or with narrow-angle glaucoma.

Severe cardiovascular disorders

Umeclidinium bromide should be used with caution in patients with severe cardiovascular disorders, particularly cardiac arrhythmias.

Pregnancy

There are no data from the use of umeclidinium bromide in pregnant women. Animal studies do not indicate direct or indirect harmful effects with respect to reproductive toxicity.

Umeclidinium bromide should be used during pregnancy only if the expected benefit to the mother justifies the potential risk to the foetus.

Nursing mothers

It is unknown whether umeclidinium bromide is excreted in human milk. A risk to breastfed newborns/infants cannot be excluded.

A decision must be made whether to discontinue breast-feeding or to discontinue umeclidinium bromide therapy taking into account the benefit of breastfeeding for the child and the benefit of therapy for the woman.

Carcinogenesis, mutagenesis and fertility

Fertility

There are no data on the effects of umeclidinium bromide on human fertility. Animal studies indicate no effects of umeclidinium bromide on fertility.

Effects on ability to drive and use machines

Umeclidinium bromide has no or negligible influence on the ability to drive and use machines.

Adverse reactions


Summary of the safety profile

The most frequently reported adverse reactions are nasopharyngitis (6%) and upper respiratory tract infection (5%).

Tabulated list of adverse reactions

The safety profile of umeclidinium bromide was evaluated in patients with COPD who received doses of 55 micrograms or greater for up to one year. This includes patients who received the recommended dose of 55 micrograms once daily.

The frequencies assigned to the adverse reactions identified in the table below include crude incidence rates observed from efficacy studies, the long-term safety study (which involved patients who received umeclidinium bromide), post-marketing studies and spontaneous reporting.

The frequency of adverse reactions is defined using the following convention: very common (≥1/10); common (≥1/100 to <1/10); uncommon (≥1/1,000 to <1/100); rare (≥1/10,000 to <1/1,000); very rare (<1/10,000) and not known (cannot be estimated from available data).

System Organ Class Adverse reactions Frequency
Infections and
infestations
Nasopharyngitis
Upper respiratory tract infection
Urinary tract infection
Sinusitis
Pharyngitis
Common
Common
Common
Common
Uncommon
Immune system
disorders
Hypersensitivity reactions including:
Rash, urticaria and pruritus
Anaphylaxis

Uncommon
Rare
Nervous system
disorders
Headache
Dysgeusia
Dizziness
Common
Uncommon
Not known
Eye disorders Eye pain
Glaucoma
Vision blurred
Intraocular pressure increased
Rare
Not known
Not known
Not known
Cardiac disorders Tachycardia
Atrial fibrillation
Rhythm idioventricular
Supraventricular tachycardia
Supraventricular extrasystoles
Common
Uncommon
Uncommon
Uncommon
Uncommon
Respiratory, thoracic
and mediastinal
disorders
Cough Common
Gastrointestinal
disorders
Constipation
Dry mouth
Common
Uncommon
Renal and urinary
disorders
Urinary retention
Dysuria
Not known
Not known

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