Budesonide / Formoterol / Glycopyrrolate Side Effects

Medically reviewed by Drugs.com. Last updated on Sep 14, 2024.

Applies to budesonide / formoterol / glycopyrrolate: inhalation aerosol liquid.

Serious side effects

Along with its needed effects, budesonide/formoterol/glycopyrrolate 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 budesonide/formoterol/glycopyrrolate:

Less common side effects

• bladder pain
• bloody or cloudy urine
• blurred vision
• chest pain or tightness
• chills
• cough
• darkening of the skin
• decrease in urine volume and frequency of urination
• diarrhea
• difficult, burning, or painful urination
• difficulty breathing
• dizziness
• dry mouth
• fainting
• fast, pounding, or irregular heartbeat or pulse
• fever
• flushed, dry skin
• fruit-like breath odor
• general feeling of discomfort or illness
• headache
• hives, itching, skin rash
• hoarseness
• increased hunger
• increased thirst
• increased urination
• irritation
• joint pain, stiffness, or swelling
• loss of appetite
• lower back or side pain
• mental depression
• muscle aches and pains
• nausea
• noisy breathing
• pain or tenderness around the eyes and cheekbones
• redness of the skin
• shivering
• sneezing
• sore mouth, throat, or tongue
• stomach pain
• stuffy or runny nose
• sweating
• swelling of the eyelids, face, lips, hands, or feet
• tremor
• trouble sleeping
• trouble swallowing
• unexplained weight loss
• unusual tiredness or weakness
• vomiting
• white patches in the mouth or on the tongue

Other side effects

Some side effects of budesonide/formoterol/glycopyrrolate 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

• agitation
• anxiety
• back pain
• bruising
• muscle spasms
• nervousness
• restlessness
• throat irritation

For healthcare professionals

Applies to budesonide / formoterol / glycopyrrolate: inhalation aerosol.

Respiratory adverse events

• Very common (10% or more): Nasopharyngitis (up to 11.4%)
• Common (1% to 10%): Chronic obstructive pulmonary disease, upper respiratory tract infection, pneumonia, bronchitis, dyspnea, influenza, cough, sinusitis, dysphonia
• Uncommon (0.1% to 1%): Throat irritation, bronchospasm
• Frequency not reported: Paradoxical bronchospasm

Budesonide-Containing Products (Orally Inhaled):

• Frequency not reported: Localized Candida albicans infection of the pharynx

Inhaled Corticosteroids:

• Frequency not reported: Lower respiratory tract infections (including pneumonia)

Long-Acting Beta2-Adrenergic Agonists (LABA):

• Frequency not reported: Serious asthma-related events (hospitalization, intubation, death)^[Ref]

Musculoskeletal

• Common (1% to 10%): Back pain, muscle spasms
• Frequency not reported: Reduction in bone marrow density (BMD)

Inhaled Corticosteroids:

• Frequency not reported: Decreases in BMD^[Ref]

Gastrointestinal

• Common (1% to 10%): Oral candidiasis, diarrhea, nausea
• Uncommon (0.1% to 1%): Dry mouth

Budesonide-Containing Products (Orally Inhaled):

• Frequency not reported: Localized C albicans infection of the mouth^[Ref]

Cardiovascular

• Common (1% to 10%): Hypertension, palpitations
• Uncommon (0.1% to 1%): Angina pectoris, tachycardia, cardiac arrhythmias (e.g., atrial fibrillation, supraventricular tachycardia, extrasystoles)

Formoterol:

• Frequency not reported: Clinically significant cardiovascular effects (increased pulse rate, increased systolic/diastolic blood pressure, cardiac arrhythmias [e.g., supraventricular tachycardia, extrasystoles])

Beta-Agonists:

• Frequency not reported: ECG changes (e.g., flattening of the T wave, prolongation of the QTc interval, ST segment depression)

Inhaled Sympathomimetic Drugs:

• Frequency not reported: Significant cardiovascular effects and fatalities^[Ref]

Genitourinary

• Common (1% to 10%): Urinary tract infection
• Uncommon (0.1% to 1%): Urinary retention

Nervous system

• Common (1% to 10%): Headache
• Uncommon (0.1% to 1%): Tremor, dizziness^[Ref]

Psychiatric

• Common (1% to 10%): Anxiety, insomnia
• Uncommon (0.1% to 1%): Depression, agitation, restlessness, nervousness
• Very rare (less than 0.01%): Abnormal behavior^[Ref]

Metabolic

• Common (1% to 10%): Hyperglycemia

Beta2-Adrenergic Agonists:

• Frequency not reported: Significant hypokalemia, transient hyperglycemia^[Ref]

Hypersensitivity

• Uncommon (0.1% to 1%): Hypersensitivity reactions (including anaphylaxis)^[Ref]

Other

• Uncommon (0.1% to 1%): Chest pain

Dermatologic

• Uncommon (0.1% to 1%): Bruising
• Frequency not reported: Angioedema^[Ref]

Endocrine

• Very rare (less than 0.01%): Signs/symptoms of systemic glucocorticoid steroid effects (e.g., hypofunctional adrenal gland)^[Ref]

Ocular

• Uncommon (0.1% to 1%): Cataracts
• Frequency not reported: Blurred vision, glaucoma

Inhaled Corticosteroids (Long-Term) or Inhaled Anticholinergics:

• Frequency not reported: Glaucoma, increased intraocular pressure, cataracts^[Ref]

Frequently asked questions

• What is the difference between Breztri vs Trelegy?
• Why is Breztri not for asthma?

Further information

Budesonide/formoterol/glycopyrrolate 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.

Medical Disclaimer