Seebri Neohaler Inhaler: Uses, Dosage, Side Effects, Precautions and Alternates

Quick overview

Seebri Neohaler Inhaler contains glycopyrrolate, an anticholinergic bronchodilator. It is used long-term to help open the airways in people with chronic obstructive pulmonary disease (COPD), including chronic bronchitis and emphysema associated with COPD. It is taken twice daily using the Neohaler device and is not intended to treat sudden breathing attacks.

What is Seebri Neohaler Inhaler

Seebri Neohaler is an inhaled anticholinergic medicine containing glycopyrrolate. It is used long-term to help open the airways in people with COPD (chronic obstructive pulmonary disease).

Seebri Neohaler Inhaler uses

• Chronic obstructive pulmonary disease (COPD).
• Chronic bronchitis associated with COPD.
• Emphysema associated with COPD.
• Long-term maintenance of airway opening.
• Ongoing COPD-related breathing difficulties.

Benefits of Seebri Neohaler Inhaler

• Helps open narrowed airways.
• Improves airflow.
• Helps reduce breathlessness.
• May reduce wheezing.
• Supports long-term COPD symptom control.

How Seebri Neohaler Inhaler works

Glycopyrrolate blocks a natural body chemical (acetylcholine) that causes the muscles around the airways to tighten. By blocking this effect, the medicine helps the airway muscles relax so air can move in and out of the lungs more easily.

Seebri Neohaler Inhaler dosage

For oral inhalation only; do not swallow the capsules. Use only with the Neohaler device provided; do not use the capsules with any other inhaler device and do not use the Neohaler device for other medicines. Use one capsule in the morning and one capsule in the evening, at the same time each day. Do not use more often or in greater amounts than prescribed.

This medicine is not a rescue treatment and will not relieve sudden breathing problems; always keep a fast-acting rescue inhaler with you for sudden symptoms. If a dose is missed, take the next capsule at the usual time; do not use two capsules at one time or more than two capsules in a day. Do not stop using this medicine unless your doctor tells you to, since symptoms may return.

Check that the capsule is empty after inhaling; most people empty it within one or two breaths. Remove each capsule from its blister only immediately before use.

Available forms and strengths

• Inhaler

Side effects of Seebri Neohaler Inhaler

Common

• Upper respiratory tract infection
• Nasopharyngitis (cold-like symptoms such as stuffy nose, sneezing, sore throat)
• Sore throat
• Runny nose
• Urinary tract infection
• Sinusitis
• Pain in the throat (oropharyngeal pain)

Serious

• Sudden shortness of breath or worsening breathing problems right after use (paradoxical bronchospasm), which can be life-threatening
• Serious allergic reaction: rash, hives, swelling of the tongue, lips, or face, or difficulty breathing or swallowing
• New or worse narrow-angle glaucoma: eye pain or discomfort, blurred vision, seeing halos or colored images around lights, red eyes, nausea or vomiting
• New or worse urinary retention: difficulty urinating, painful urination, frequent urination, or weak urine stream
• Irregular heartbeat (atrial fibrillation)
• High blood sugar (hyperglycemia)

Warnings and precautions

• Do not start this medicine during a sudden worsening of COPD, and do not use it to treat sudden breathing attacks — it is not fast-acting enough for that.
• This medicine can sometimes cause sudden worsening of breathing and wheezing right after use (paradoxical bronchospasm), which can be life-threatening. Stop using it right away if this happens.
• Serious allergic reactions have happened with this medicine, including swelling of the face, lips, and tongue, hives, or rash. Use caution if you have a severe milk protein allergy, since the capsules contain lactose with trace milk proteins.
• This medicine can make narrow-angle glaucoma worse. Use it with caution if you have this eye condition.
• This medicine can make urinary retention worse, especially in men with an enlarged prostate or bladder blockage.
• Avoid using this medicine together with other anticholinergic medicines, as this can increase side effects.
• It isn't known if this medicine can harm an unborn baby. Tell your doctor if you are pregnant or planning to become pregnant, since it should only be used in pregnancy if the benefit outweighs the possible risk.
• It isn't known whether this medicine passes into breast milk or if it could harm a nursing baby. You and your doctor should decide together whether you should use this medicine or breastfeed.
• No dose change is needed for mild to moderate kidney problems. If you have severe kidney disease, including if you need dialysis, your doctor will only prescribe this medicine if the benefits outweigh the risks, since more of the drug may build up in your body.
• No dose adjustment is needed for liver problems, though this hasn't been specifically studied.
• This medicine is not expected to affect your ability to drive or use machines.

Storage

• Store SEEBRI capsules in the blister, and only remove immediately before use with the Neohaler device
• Store in a dry place protected from moisture
• Store at room temperature (68°F to 77°F / 20°C to 25°C)
• Do not store the capsules inside the Neohaler inhaler
• Always use the new Neohaler inhaler that comes with each new prescription
• Keep out of the reach of children

When to see a doctor

• Get medical help right away if you have sudden shortness of breath right after using your inhaler — this can be life-threatening.
• Get emergency medical help if you have signs of a serious allergic reaction, such as hives, trouble breathing, or swelling of your face, lips, or tongue.
• Call your doctor right away if you notice eye pain, blurred vision, seeing halos around lights, or red eyes, as these can be signs of a serious eye problem.
• Call your doctor right away if you have trouble urinating, painful urination, or urinate only in a weak stream, as these may be signs of urinary retention.
• Seek medical attention right away if your symptoms get worse or you need to use your rescue inhaler more often than usual.

Alternatives

• Lonhala Magnair
• Atrovent HFA
• Incruse Ellipta