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BREZTRI

BUDESONIDE, GLYCOPYRROLATE, AND FORMOTEROL FUMARATE

Manufacturer: AstraZeneca Pharmaceuticals LP

Score: 141.0

Quick Summary

BREZTRI AEROSPHERE is a combination inhalation aerosol used for the maintenance treatment of patients with chronic obstructive pulmonary disease (COPD). It contains budesonide, an inhaled corticosteroid, glycopyrrolate, an anticholinergic, and formoterol fumarate, a long-acting beta2-adrenergic agonist. The recommended dosage is 2 inhalations of BREZTRI AEROSPHERE 160 mcg/9 mcg/4.8 mcg twice daily. Important safety information includes warnings about serious asthma-related events, oropharyngeal candidiasis, increased risk of pneumonia, and hypersensitivity reactions. Contraindications include hypersensitivity to budesonide, glycopyrrolate, or formoterol fumarate.

Key Clinical Findings and Indications

  • Maintenance treatment of COPD
  • Combination of budesonide, glycopyrrolate, and formoterol fumarate
  • Not indicated for relief of acute bronchospasm or treatment of asthma

Important Safety Information

Warning

Serious asthma-related events, oropharyngeal candidiasis, and increased risk of pneumonia

Contraindications

  • Hypersensitivity to budesonide, glycopyrrolate, or formoterol fumarate

Adverse Reactions

  • Upper respiratory tract infection
  • Pneumonia
  • Back pain
  • Oral candidiasis
  • Influenza
  • Muscle spasms
  • Urinary tract infection
  • Cough
  • Sinusitis
  • Diarrhea

Dosing Recommendations

General Guidance

No dose adjustment is necessary for geriatric patients

COPD

Adult Dose

2 inhalations of BREZTRI AEROSPHERE 160 mcg/9 mcg/4.8 mcg twice daily

Pediatric Dose

Not indicated for use in children

Special Population Considerations

Pregnancy

  • There are no adequate and well-controlled studies with BREZTRI AEROSPHERE in pregnant women
  • Use with caution and only if the benefits clearly outweigh the risks

Nursing Mothers

  • It is not known whether budesonide, glycopyrrolate, or formoterol fumarate are excreted in human milk

Pediatric Use

  • Not indicated for use in children
  • Safety and effectiveness have not been established

Geriatric Use

  • No overall differences in safety or effectiveness were observed between geriatric and younger subjects
  • Greater sensitivity in some older individuals cannot be ruled out