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Bevespi
Glycopyrronium bromide/Formoterol
$264.00
7.2mcg/5mcg · 2 × 200 doses · 3 months supply
BrandBranded medicine· By Astra Zeneca
$88.00 per month
How long a supply?
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Annual cost
$924a year at this pack size
Prescription required
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About Bevespi
Overview
Bevespi Aerosphere is an inhaler containing glycopyrrolate and formoterol fumarate. It is used for the maintenance treatment of chronic obstructive pulmonary disease (COPD). The two ingredients work in different ways to relax the muscles around the airways, helping them open. It is not for sudden breathing symptoms or the treatment of asthma.
What it treats
- Maintenance treatment of chronic obstructive pulmonary disease (COPD). Not for sudden breathing symptoms or for treating asthma.
Safety information
Side effects
Common side effects include urinary tract infection and cough. Serious side effects include sudden worsening of breathing after use, severe allergic reactions including anaphylaxis, effects on the heart and blood vessels, worsening narrow-angle glaucoma, and worsening difficulty emptying the bladder (urinary retention). Seek urgent medical help for sudden worsening of breathing or a severe allergic reaction. Stop using Bevespi if it causes sudden worsening of breathing. Contact a doctor immediately if symptoms of worsening glaucoma or urinary retention occur. Low blood potassium and high blood sugar may also occur.
When to call your doctor
If symptoms are severe or getting worse quickly, seek emergency care rather than waiting.
Before taking this medicine
Do not use Bevespi if you are allergic to glycopyrrolate, formoterol fumarate or any other ingredient. Bevespi is not indicated for asthma. In people with asthma, using a long-acting beta₂-agonist (LABA), such as formoterol, without an inhaled corticosteroid is contraindicated and increases the risk of serious asthma-related events. Do not start Bevespi during rapidly worsening COPD or use it to treat sudden symptoms. Do not use it with another LABA-containing medicine because of the risk of overdose. Use requires caution if you have heart or blood vessel disease, narrow-angle glaucoma, difficulty emptying your bladder, an enlarged prostate, bladder-neck obstruction, a seizure disorder, an overactive thyroid, diabetes or ketoacidosis. Bevespi may worsen narrow-angle glaucoma or urinary retention; contact a doctor immediately if symptoms occur. Low blood potassium and high blood sugar may also occur. If you have severe kidney impairment, use should be considered only when the potential benefit outweighs the risk. If Bevespi causes sudden worsening of breathing due to airway tightening, stop using it and seek medical advice for an alternative treatment.
Interactions
Tell your doctor about other medicines you take, especially: • Other adrenergic medicines, which may increase Bevespi’s effects. • Xanthine medicines, steroids and diuretics (“water tablets”), which may increase the risk of low blood potassium or changes in the heart’s electrical activity. Diuretics that do not spare potassium need particular caution. • Monoamine oxidase inhibitors (MAOIs) and tricyclic antidepressants, which may increase formoterol’s effects on the heart and blood vessels. These combinations require extreme caution. • Beta-blockers, which should be used with Bevespi cautiously and only when medically necessary. • Other medicines containing anticholinergics. Using these with Bevespi should be avoided because their effects may add together. No formal drug interaction studies have been performed with Bevespi.
Using Bevespi
Dosing
Dosing is set by your prescriber. Each health care professional may prescribe medication differently according to a patient's medical history and condition, so follow the directions on your prescription label and speak to your doctor or pharmacist before changing anything.
Storage
Store below 25°C away from direct heat and sunlight. Do not pierce or burn the device, even when it is empty. Keep all medicines out of the sight and reach of children.
Clinical information on this page is summarised from the US FDA label BEVESPI AEROSPHERE (GLYCOPYRROLATE AND FORMOTEROL FUMARATE) AEROSOL, METERED [ASTRAZENECA PHARMACEUTICALS LP] (DailyMed, retrieved 19 September 2026).
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