Aclidinium Side Effects
Medically reviewed by Drugs.com. Last updated on Sep 5, 2024.
Applies to aclidinium: inhalation aerosol powder.
Precautions
It is very important that your doctor check your progress closely while you are using this medicine to see if it is working properly and to check for any unwanted effects.
Tell your doctor about other medicines you are using for COPD. Follow your doctor's instructions on how you should take your medicine.
This medicine should not be used if you are having a COPD attack, or if symptoms of a COPD attack has already started. Your doctor will prescribe another medicine for you to use in case of an acute attack. If the other medicine does not work as well, tell your doctor right away.
Talk with your doctor or get medical care right away if:
- Your symptoms do not improve after using this medicine or if they become worse.
- Your short-acting inhaler (rescue medicine) does not seem to work as well as it used to and you need it more often than normal.
This medicine should not be used together with similar medicines, such as atropine (Atropen®), ipratropium (Atrovent, Apovent®, Ipraxa®, Rinatec®), glycopyrrolate (Robinul®), tiotropium (Spiriva®, Braltus®), or umeclidinium (Incruse™ Ellipta®).
This medicine may cause paradoxical bronchospasm, which means your breathing or wheezing will get worse. Paradoxical bronchospasm may be life-threatening. Check with your doctor right away if you have coughing, difficulty breathing, shortness of breath, or wheezing after using this medicine.
Check with your doctor right away if you have any changes to your vision, such as eye pain or discomfort, blurred vision, visual halos, or colored images with red eyes while you are using this medicine. Your doctor may want your eyes be checked by an eye doctor (ophthalmologist). These could be symptoms of acute narrow-angle glaucoma.
This medicine may cause serious allergic reactions, including anaphylaxis and angioedema, which can be life-threatening and require immediate medical attention. Call your doctor right away if you have a rash, itching, trouble breathing, trouble swallowing, or any swelling of your hands, face, mouth, or throat while you are using this medicine.
Check with your doctor right away if you have decrease in urine volume, decrease in the frequency of urination, difficulty in passing urine, or painful urination.
Do not take other medicines unless they have been discussed with your doctor. This includes prescription or nonprescription (over-the-counter [OTC]) medicines for appetite control, asthma, colds, cough, hay fever, or sinus problems, and herbal or vitamin supplements.
Serious side effects of aclidinium
Along with its needed effects, aclidinium may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.
Check with your doctor immediately if any of the following side effects occur while taking aclidinium:
More common side effects
- fever
- headache
- muscle aches
- sore throat
- stuffy or runny nose
- unusual tiredness or weakness
Less common side effects
- bladder pain
- bloody or cloudy urine
- body aches or pain
- chest pain
- chills
- cough
- difficult, burning, or painful urination
- difficulty in breathing
- dry throat
- ear congestion
- fainting
- fast, pounding, or irregular heartbeat or pulse
- frequent urge to urinate
- hoarseness
- loss of voice
- lower back or side pain
- sneezing
- tender, swollen glands in the neck
- tightness in the chest
- trouble in swallowing
- voice changes
Rare side effects
- chest discomfort
- difficulty with moving
- dilated neck veins
- dry mouth
- extreme tiredness or weakness
- flushed, dry skin
- fruit-like breath odor
- increased hunger
- increased thirst
- loss of consciousness
- muscle pain or stiffness
- nausea
- pain, swelling, or redness in the joints
- slow or irregular heartbeat
- stomachache
- sweating
- swelling of the face, fingers, feet, or lower legs
- unexplained weight loss
Incidence not known
- blindness
- blurred vision
- burning while urinating
- decrease in the frequency of urination
- decrease in urine volume
- difficulty in passing urine (dribbling)
- dizziness
- eye pain
- hives, itching, skin rash
- large, hive-like swelling on the face, eyelids, lips, tongue, throat, hands, legs, feet, or genitals
- puffiness or swelling of the eyelids or around the eyes, face, lips, or tongue
- tearing
- vomiting
Other side effects of aclidinium
Some side effects of aclidinium may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects.
Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:
Less common side effects
- arm, neck, or leg pain
- back pain
- belching
- bruise
- depression
- diarrhea
- feeling of constant movement of self or surroundings
- heartburn
- indigestion
- lightheadedness
- muscle cramps
- sensation of spinning
- stomach discomfort, upset, or pain
- toothache
- upper stomach pain
For healthcare professionals
Applies to aclidinium: inhalation powder.
Gastrointestinal adverse events
- Common (1% to 10%): Diarrhea (2.7%), toothache (1.1%), vomiting (1.1%)
- Uncommon (0.1% to 1%): Dry mouth, abdominal discomfort, tooth abscess
- Postmarketing reports: Nausea, stomatitis[Ref]
Nervous system
- Common (1% to 10%): Headache (6.6%)
- Uncommon (0.1% to 1%): Dizziness[Ref]
Other
- Common (1% to 10%): Fall (1.1%)
- Uncommon (0.1% to 1%): Candidiasis[Ref]
Respiratory
- Common (1% to 10%): Nasopharyngitis (5.5%), cough (3%), sinusitis (1.7%), rhinitis (1.6%)
- Uncommon (0.1% to 1%): Dysphonia[Ref]
Cardiovascular
- Uncommon (0.1% to 1%): First degree AV block, cardiac failure, cardiorespiratory arrest, palpitations
- Postmarketing reports: Tachycardia[Ref]
Dermatologic
- Uncommon (0.1% to 1%): Rash, pruritus[Ref]
Genitourinary
- Uncommon (0.1% to 1%): Urinary retention[Ref]
Metabolic
- Uncommon (0.1% to 1%): Diabetes mellitus (less than 1%)[Ref]
Musculoskeletal
- Uncommon (0.1% to 1%): Osteoarthritis (less than 1%)[Ref]
Ocular
- Uncommon (0.1% to 1%): Blurred vision[Ref]
Hypersensitivity
- Postmarketing reports: Immediate hypersensitivity reactions, including anaphylaxis, angioedema (including swelling of the lips, tongue, or throat), urticaria, rash, bronchospasm, itching[Ref]
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References
1. Cerner Multum, Inc. "UK Summary of Product Characteristics."
2. Cerner Multum, Inc. "Australian Product Information."
3. (2012) "Product Information. Tudorza Pressair (aclidinium)." Forest Pharmaceuticals
More about aclidinium
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Further information
Aclidinium side effects can vary depending on the individual. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.
Note: Medication side effects may be underreported. If you are experiencing side effects that are not listed, submit a report to the FDA by following this guide.