Tudorza Pressair (Aclidinium Bromide)

Name: Tudorza Pressair
Brand: Covis Pharma
SKU: 6936
Availability: InStock

Type

Product

Manufacturer

Country

Dosage

Qty-Price (USD)

Type:

Product: Tudorza Pressair Inhalation Powder

Manufacturer: Covis Pharma

Country: Canada

Dosage: 400 mcg/60 dose

Qty-Price (USD):

Generic Equivalent of Tudorza Pressair

Type

Product

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Qty-Price (USD)

There is no generic product of Tudorza Pressair.

Tudorza Pressair Information

medically reviewed by Dr. HaVy Ngo, Pharmacist on August 15, 2025.

Tudorza Pressair at CanadaPharmacyOnline.com

Tudorza Pressair is the brand name used in the United States for aclidinium bromide, which is manufactured by Covis Pharma. While the medication is available in many countries worldwide, including Canada, it is known by different brand names (e.g., Tudorza Genuair in Canada) in those regions.

Generic aclidinium bromide is currently unavailable (in this pharmacy).

Dosage:

Tudorza Pressair is a breath-actuated dry powder inhaler that delivers 400 mcg of aclidinium bromide per puff. It is available in inhalers containing 60 doses (at this pharmacy).

Your doctor will determine the appropriate dose based on your individual needs and condition.

Usage:

Tudorza Pressair (aclidinium bromide) is a prescription medication used to treat symptoms such as wheezing and shortness of breath in adults caused by Chronic Obstructive Pulmonary disease (COPD). It is crucial to note that Tudorza Pressair is not a rescue inhaler for sudden breathing problems; patients should always have a fast-acting inhaler for acute exacerbations.

For more information, please refer to the product labeling information: https://www.accessdata.fda.gov/drugsatfda_docs/label/2019/202450s012lbl.pdf

Mechanism of Action:
Tudorza Pressair relies on its active ingredient aclidinium bromide, a long-acting muscarinic antagonist (LAMA), which works by competitively and reversibly blocking M3 receptors. In the lungs' airways, there are specific receptors called muscarinic receptors. When a natural chemical called acetylcholine binds to these receptors, particularly the M3 receptors located on the smooth muscles of the bronchioles, it causes the airways to constrict. By preventing acetylcholine from binding, it allows the smooth muscles in the airways to relax, leading to bronchodilation (widening of the airways).

Use Tudorza exactly as your doctor prescribes. Do not change your dosage or stop using this medication without consulting your doctor. Follow the instructions on the Tudorza website: https://www.tudorza.us/. Consult your doctor for personalized guidance and safe use.

The information below summarizes some, but not all, potential side effects, risks, and interactions. Before using Tudorza, it is essential to discuss all possible aspects with your doctor or pharmacist.

Side Effects:

Below is a partial list of side effects; individual reactions can vary. Before starting Tudorza, it is crucial to discuss potential side effects and risks with your doctor or pharmacist.

Common side effects: These are examples of some common side effects of Tudorza, but others are possible. Contact your doctor promptly if any side effects are persistent, worsening, or concerning, or if you experience any other concerning symptoms.
• Body aches or pain
• Chills
• Cough
• Diarrhea
• Dizziness
• Dry mouth
• Dry throat
• Dysphonia (voice changes)
• Ear congestion
• Falling
• Headache
• Hoarseness
• Loss of voice
• Muscle aches
• Nasopharyngitis (common cold symptoms like stuffy or runny nose)
• Nausea
• Rhinitis
• Sinusitis
• Sneezing
• Sore throat
• Stomatitis (inflammation of the mouth)
• Sweating
• Toothache
• Unusual tiredness or weakness
• Vomiting

Serious Side Effects: Stop Tudorza and seek immediate medical attention if you experience any of the following:
• Bladder pain, bloody or cloudy urine (if associated with urinary issues or infection)
• Blurred Vision: While this is an uncommon side effect, it's important to be aware of it. If you experience blurred vision, especially if it is accompanied by any of the following, seek immediate medical attention:
o Eye pain
o Eye redness
o Seeing halos around lights
• Frequent urge to urinate (if associated with worsening urinary retention)
• Immediate Hypersensitivity Reactions (Allergic Reactions): Symptoms may include rash, hives, itching, swelling of the face, lips, tongue, or throat, or trouble breathing.
• Lower back or side pain (if associated with urinary issues)
• Paradoxical Bronchospasm: Sudden worsening of breathing or wheezing immediately after using the inhaler. This can be life-threatening.
• Serious Cardiac Issues: Though less common, report any new or worsening cardiac symptoms such as chest pain or discomfort, fast, pounding, irregular heartbeat, or fainting.
• Swelling of the face, fingers, feet, or lower legs (especially sudden swelling of face/throat)
• Tender, swollen glands in the neck
• Tightness in the chest
• Trouble swallowing
• Worsening of Narrow-Angle Glaucoma: Symptoms can include eye pain or discomfort, blurred vision, seeing halos or colored images around lights, or red eyes.
• Worsening of Urinary Retention: Difficulty passing urine, painful urination, frequent urination, or a weak urine stream.

Contraindications:

This is not an exhaustive list of contraindications. It is crucial to discuss all your medical conditions, past and present, and all medications you are taking with your doctor or pharmacist before starting Tudorza.

Tudorza should not be used if:
• Hypersensitivity to aclidinium bromide or any of the excipients (inactive ingredients) in the product.
o Important Note: Tudorza Pressair is not indicated for the initial treatment of acute episodes of bronchospasm (i.e., it's not a rescue inhaler).
• Severe hypersensitivity to milk proteins. Tudorza Pressair contains lactose, which is derived from milk. Patients with a severe allergy to milk proteins could experience serious allergic reactions.

Tell your doctor about all your medical conditions, past and present, before starting Tudorza. This is crucial because certain conditions can also lead to further contraindications. These conditions may include but are not limited to:
• Narrow-angle glaucoma: It can worsen this condition.
• Urinary retention (e.g., due to prostatic hyperplasia or bladder-neck obstruction) can worsen these conditions.

Drug Interactions:

Before taking Tudorza, it is essential to discuss all potential risks and interactions with your doctor or pharmacist. For complete and up-to-date information, refer to the official Canada product monograph | AstraZeneca CA: https://www.astrazeneca.ca/content/dam/az-ca/downloads/productinformation/tudorza-genuair-product-monograph-en.pdf

Provide your doctor with a complete list of all your medications, including prescriptions, over-the-counter (OTC) drugs, vitamins, and herbal supplements. Tudorza may interact with other medicines, including but not limited to:
• Atropine and its derivatives.
• Certain antihistamines include diphenhydramine (Benadryl) and hydroxyzine.
• Certain antidepressants: Tricyclic antidepressants (e.g., amitriptyline, imipramine).
• Certain medications for bladder problems: Oxybutynin (Ditropan), tolterodine (Detrol).
• Certain medications for Parkinson's disease: Benztropine, trihexyphenidyl.
• Certain medications for stomach problems: Dicyclomine, hyoscyamine.
• Medications that Affect Renal Excretion (Moderate to Minor Interactions): While not extensively studied for aclidinium, some medications can affect the excretion rate of drugs through the kidneys. This could potentially lead to higher levels of aclidinium in the body. However, given aclidinium's primarily local action in the lungs and low systemic absorption, the clinical significance of these interactions is generally considered low.
• Other Anticholinergic Medications (Major Interaction): Aclidinium is an anticholinergic. Using it with other medications that have anticholinergic effects can lead to an additive effect, increasing the risk and severity of anticholinergic side effects. These side effects can include:
o Blurred vision
o Constipation
o Dry mouth
o Increased heart rate
o Urinary retention (difficulty passing urine)
o Worsening of narrow-angle glaucoma
• Other COPD Medications: In clinical trials, Tudorza has been used concomitantly with other common COPD medications like:
o Methylxanthines (e.g., theophylline)
o Oral and inhaled corticosteroids
o Sympathomimetic bronchodilators (e.g., short-acting beta2-agonists like albuterol, or long-acting beta2-agonists like formoterol or salmeterol)
• Other inhaled anticholinergics for COPD: Tiotropium (Spiriva), ipratropium (Atrovent), umeclidinium (Incruse Ellipta), glycopyrrolate (Seebri Neohaler, Lonhala Magnair).

Pregnant and Breastfeeding:

If you are pregnant, planning to become pregnant, or breastfeeding, it's essential to talk with your doctor before using Tudorza. A decision will need to be made about whether to discontinue breastfeeding or discontinue the drug, taking into account the importance of the drug to the mother's health and the potential risks to the infant. The low maternal serum levels due to rapid hydrolysis to inactive metabolites suggest the risk to the breastfed infant may be small, but this should always be discussed with your healthcare provider.

Use in Children:

Tudorza Pressair is specifically designed for the ongoing treatment of Chronic Obstructive Pulmonary Disease (COPD) in adults and is not approved or recommended for use in children. This is because COPD is a long-term lung condition that typically affects adults, and the safety and effectiveness of Tudorza Pressair have not been studied or established in younger patients. Always consult your child’s doctor for the most appropriate and safest treatment.

Frequently Asked Questions about Tudorza at CanadaPharmacyOnline.com

Why is Tudorza Pressair more affordable in Canada than in the United States?

Prescription drug prices, including Tudorza, are generally lower in Canada than in the US due to a combination of factors, primarily government price regulations, differing market dynamics, and other economic considerations. In Canada, provincial and federal governments negotiate drug prices with pharmaceutical companies, which often results in lower costs than in the US, where market forces play a more significant role. For more information, see the FAQs on Prescription Drug Importation from the Kaiser Family Foundation (KFF): https://www.kff.org/health-costs/issue-brief/faqs-on-prescription-drug-importation/

How do I order from your pharmacy?

Ordering from us is very simple. You can purchase online or call Customer Service at 1866.920.3784; for more information or to learn about the ordering process, visit our How to Order page.

How much is the shipping?

Our shipping fee is a flat rate of $10.00 per order. Our pharmacy focuses on getting you the lowest prices on high-quality products.

Is there a limit on how many Tudorza Pressair I am allowed to order at one time?

CanadaPharmacyOnline.com can only dispense a maximum of a three-month supply of Tudorza Pressair at one time, as per your doctor's prescription.

Can I buy Tudorza Pressair over the counter from you?

No, Tudorza Pressair requires a valid prescription from your doctor. We do not sell this product without a valid prescription.

Do you ship to the United States?

Yes, we do. It usually takes 7 to 18 business days to receive your order from our pharmacy.

Is there a generic for Tudorza Pressair?

No, there is no generic available for this product.

Blog Post:

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News:

From Guidelines to the Clinic: Applying Precision Medicine in COPD and Asthma (article published on August 13, 2025)

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The information on this page is sourced from independent third parties contracted by CanadaPharmacyOnline. While we cannot guarantee its medical accuracy, we strongly recommend consulting a healthcare professional for personalized advice regarding medications or medical conditions.

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