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EKLIRA GENUAIR 322 micrograms powder for inhalation

EKLIRA GENUAIR 322 micrograms powder for inhalation

Ask a doctor about a prescription for EKLIRA GENUAIR 322 micrograms powder for inhalation

This page is for general information. Consult a doctor for personal advice. Call emergency services if symptoms are severe.
About the medicine

How to use EKLIRA GENUAIR 322 micrograms powder for inhalation

Introduction

Patient Information: Summary of Product Characteristics

Eklira Genuair 322micrograms inhalation powder

aclidinium (aclidinium bromide)

Read this entire leaflet carefully before you start using this medicine, as it contains important information for you.

  • Keep this leaflet, as you may need to read it again.
  • If you have any further questions, ask your doctor, pharmacist, or nurse.
  • This medicine has been prescribed for you only. Do not pass it on to others. It may harm them, even if their symptoms are the same as yours.
  • If you experience any side effects, talk to your doctor, pharmacist, or nurse. This includes any possible side effects not listed in this leaflet. See section 4.

Contents of the pack:

  1. What is Eklira Genuair and what is it used for
  2. What you need to know before you use Eklira Genuair
  3. How to use Eklira Genuair
  4. Possible side effects
  5. Storing Eklira Genuair
  6. Contents of the pack and further information

Instructions for use

1. What is Eklira Genuair and what is it used for

What is Eklira Genuair

The active substance of Eklira Genuair is aclidinium bromide, which belongs to a class of medicines called bronchodilators. Bronchodilators relax the airways and help keep the bronchioles open. Eklira Genuair is a dry powder inhaler that uses your breath to deliver the medicine directly into the lungs. This makes it easier for patients with chronic obstructive pulmonary disease (COPD) to breathe.

What is Eklira Genuair used for

Eklira Genuair is indicated to help open up the airways and relieve symptoms of COPD, a serious, long-term lung disease that makes it hard to breathe. Regular use of Eklira Genuair can help you when you have ongoing difficulty breathing due to your disease, to minimize the effects of the disease on your daily life, and to reduce the number of exacerbations (worsening of COPD symptoms over several days).

2. What you need to know before you use Eklira Genuair

Do not use Eklira Genuair:

  • if you are allergic to aclidinium bromide or any of the other ingredients of this medicine (listed in section 6).

Warnings and precautions

Talk to your doctor, pharmacist, or nurse before you start using Eklira Genuair:

  • if you have heart problems;
  • if you see halos around lights or colored images (glaucoma);
  • if you have an enlarged prostate, problems urinating, or a blockage in your bladder.

Eklira Genuair is indicated for maintenance treatment and should not be used to treat a sudden attack of difficulty breathing or wheezing. If your COPD symptoms (difficulty breathing, wheezing, or coughing) do not improve or worsen, you should talk to your doctor as soon as possible.

Dry mouth, which has been observed with medicines like Eklira Genuair, may be associated with tooth decay after long-term use of the medicine. Therefore, remember to take care of your oral hygiene.

Stop using Eklira Genuair and seek medical help immediately if:

  • you notice chest tightness, coughing, wheezing, or difficulty breathing immediately after using this medicine. These may be signs of a condition called bronchospasm.

Children and adolescents

Eklira Genuair should not be used in children or adolescents under 18 years of age.

Using Eklira Genuair with other medicines

Tell your doctor or pharmacist if you are taking, have recently taken, or might take any other medicines.

Tell your doctor if you have used or are using similar medicines for respiratory problems, such as medicines containing tiotropium, ipratropium. If in doubt, consult your doctor or pharmacist. The use of Eklira Genuair with these medicines is not recommended.

Pregnancy and breastfeeding

If you are pregnant or breastfeeding, think you may be pregnant, or are planning to have a baby, ask your doctor or pharmacist for advice before using this medicine. You should not use Eklira Genuair if you are pregnant or breastfeeding unless your doctor has told you to.

Driving and using machines

Eklira Genuair has a minor influence on the ability to drive and use machines. This medicine may cause headache, dizziness, or blurred vision. If you experience any of these adverse reactions, do not drive or use machines until your headache has gone, the feeling of dizziness has passed, and your vision has returned to normal.

Eklira Genuair contains lactose

If your doctor has told you that you have an intolerance to some sugars, consult them before taking this medicine.

3. How to use Eklira Genuair

Follow exactly the instructions for administration of this medicine given by your doctor or pharmacist. If you are in doubt, consult your doctor or pharmacist.

The recommended dose is one inhalation twice a day, in the morning and in the evening.

The effects of Eklira Genuair last for 12 hours, so you should try to use the Eklira Genuair inhaler at the same time every morning and evening. This will ensure that there is always enough medicine in your body to help you breathe more easily throughout the day and night. This will also help you remember to use it.

The recommended dose can be used in elderly patients and in patients with kidney or liver problems. No dose adjustment is needed.

COPD is a long-term disease, so it is recommended that you use Eklira Genuair every day, twice a day, and not just when you have breathing problems or other COPD symptoms.

Method of administration

This medicine is for inhalation use only.

Read the Instructions for Use to learn how to use the Genuair inhaler. If you are in doubt about how to use Eklira Genuair, consult your doctor or pharmacist.

You can use Eklira Genuair at any time, before or after meals or drinks.

If you use more Eklira Genuair than you should

If you think you have used more Eklira Genuair than you should, talk to your doctor or pharmacist.

If you forget to use Eklira Genuair

If you miss a dose of Eklira Genuair, inhale the dose as soon as you remember. However, if it is almost time for your next dose, skip the missed dose.

Do not take a double dose to make up for a forgotten dose.

If you stop using Eklira Genuair

This medicine is for long-term treatment. If you want to stop treatment, talk to your doctor first, as your symptoms may get worse.

If you have any further questions on the use of this medicine, ask your doctor, pharmacist, or nurse.

4. Possible side effects

Like all medicines, Eklira Genuair can cause side effects, although not everybody gets them.

Rarely, allergic reactions (may affect up to 1 in 1,000 patients) can occur. Stop using the medicine and contact your doctor immediately if you experience swelling of the face, throat, lips, or tongue (with or without difficulty breathing or swallowing), dizziness or fainting, rapid heartbeat, or severe swelling with itching of the skin (hives), as these may be symptoms of an allergic reaction.

The following side effects may occur when using Eklira Genuair:

Common:may affect up to 1 in 10 patients

  • Headache
  • Inflammation of the sinuses (sinusitis)
  • Common cold (nasopharyngitis)
  • Cough
  • Diarrhea
  • Nausea

Uncommon:may affect up to 1 in 100 patients

  • Dizziness
  • Dry mouth
  • Inflammation of the mouth (stomatitis)
  • Hoarseness (dysphonia)
  • Rapid heartbeat (tachycardia)
  • Feeling of heart pounding (palpitations)
  • Abnormal or irregular heartbeat (arrhythmias)
  • Difficulty urinating (urinary retention)
  • Blurred vision
  • Rash
  • Itching of the skin

Reporting of side effects

If you experience any side effects, talk to your doctor, pharmacist, or nurse. This includes any possible side effects not listed in this leaflet. You can also report side effects directly through the national reporting system listed in Appendix V. By reporting side effects, you can help provide more information on the safety of this medicine.

5. Storing Eklira Genuair

Keep this medicine out of the sight and reach of children.

Do not use this medicine after the expiry date which is stated on the inhaler label and the carton after “EXP”. The expiry date is the last day of the month stated.

Keep the Genuair inhaler in the bag until you are ready to start using it.

Use within 90 days of opening the bag.

Do not use Eklira Genuair if you notice the packaging is damaged or shows signs of tampering.

Once you have used all the doses, the inhaler should be disposed of. Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required. This will help protect the environment.

6. Container Contents and Additional Information

Eklira Genuair Composition

  • The active ingredient is aclidinium bromide. Each delivered dose contains 375 micrograms of aclidinium bromide equivalent to 322 micrograms of aclidinium.
  • The other component is lactose monohydrate (see section 2 "Eklira Genuair contains lactose").

Product Appearance and Container Contents

Eklira Genuair is a white or almost white powder.

The Genuair inhaler device is white with an integrated dose indicator and a green dosing button. The mouthpiece is covered by a removable green protective cap. It is provided in a plastic bag.

Available container sizes:

Container containing 1 inhaler with 30 doses.

Container containing 1 inhaler with 60 doses.

Container containing 3 inhalers with 60 doses each.

Only some container sizes may be marketed.

Marketing Authorization Holder

Covis Pharma Europe B.V.

Gustav Mahlerplein 2

1082MA Amsterdam

Netherlands

Manufacturer

Industrias Farmacéuticas Almirall, S.A.

Ctra. de Martorell 41-61

08740 Sant Andreu de la Barca, Barcelona

Spain

You can request more information about this medication by contacting the local representative of the marketing authorization holder:

België/Belgique/Belgien

Covis Pharma Europe B.V.

Tel: 80013067

Lietuva

Covis Pharma Europe B.V.

Tel: 880000890

Text indicating the name of the manufacturer Covis Pharma Europe BV and their phone number 008002100654 with the word Bulgaria above

Luxembourg/Luxemburg

Covis Pharma Europe B.V.

Tel: 80024119

Ceská republika

Covis Pharma Europe B.V.

Tel: 800144474

Magyarország

Covis Pharma Europe B.V.

Tel.: 0680021540

Danmark

Zentiva Denmark ApS

Tlf: +45 787 68 400

Malta

Covis Pharma Europe B.V.

Tel: 80065149

Deutschland

Zentiva Pharma GmbH

Tel: +49 (0) 800 53 53 010

Nederland

Covis Pharma Europe B.V. Tel: 08000270008

Eesti

Covis Pharma Europe B.V

Tel: 8000100776

Norge

Zentiva Denmark ApS

Tlf: +47 219 66 203

Ελλáδα

Specialty Therapeutics IKE Τηλ: +30 213 02 33 913

Österreich

Covis Pharma Europe B.V.

Tel: 0800006573

España

Zentiva Spain S.L.U.

Tel: +34 931 815 250

Polska

Covis Pharma Europe B.V.

Tel.: 0800919353

France

Zentiva France

Tél: +33 (0) 800 089 219

Portugal

Zentiva Portugal, Lda

Tel: +351210601360

Hrvatska

Covis Pharma Europe B.V.

Tel: 08004300

România

Covis Pharma Europe B.V.

Tel: 0800410175

Ireland

Zentiva Denmark ApS

Sími: +354 539 0650

Slovenija

Covis Pharma Europe B.V.

Tel: 080083003

Ísland

Zentiva Denmark ApS

Sími: +354 539 0650

Slovenská republika

Covis Pharma Europe B.V.

Tel: 0800008203

Italia

Covis Pharma Europe B.V.

Tel: 800168094

Suomi/Finland

Zentiva Denmark ApS

Puh/Tel: +358 942 598 648

Κúπρος

Specialty Therapeutics IKE Τηλ: +30 213 02 33 913

Sverige

Zentiva Denmark ApS

Tel: +46 840 838 822

Latvija

Covis Pharma Europe B.V.

Tel: 80005962

United Kingdom (Northern Ireland)

Zentiva, k.s.

Tel: +44 (0) 800 090 2408

Date of Last Revision of this Leaflet:

Detailed information on this medication is available on the European Medicines Agency website: http://www.ema.europa.eu.

Instructions for Use

This section contains information on how to use your Genuair inhaler. It is important that you read this information, as Genuair may work differently from inhalers you have used before. If you have any questions about how to use your inhaler, ask your doctor, pharmacist, or nurse for help.

The instructions for use are divided into the following sections:

  • Getting Started
  • Step 1: Prepare your dose
  • Step 2: Inhale your medication
  • Additional Information

Getting Started

Read these instructions for use before starting to use the medication

Familiarize yourself with the parts of your Genuair inhaler

Medical inhaler white and green with mouthpiece, protective cap, and control window, showing dose indicator and green button

Before Use:

  1. Before the first use, open the sealed bag and remove the inhaler. Dispose of the bag and desiccant.
  2. Do not press the orange button until you are ready to inhale a dose.
  3. Remove the cap by gently pressing the arrows on either side (Figure B).

Hand holding a white and green auto-injector with arrow indicating pressure and text “Press here and remove”

STEP 1: Prepare your dose

  1. Check the mouthpiece opening and make sure nothing is blocking it (Figure C).
  2. Check the control window (it should be red, Figure C).

Gray auto-injector device with digital display showing the number 60 and red circular button

  1. Hold the inhaler horizontally with the mouthpiece facing you and the orange button on top (Figure D).

Hand holding a white auto-injector with green protective cap ready for use in subcutaneous injection

  1. Press the orange button down and all the way to load your dose (Figure E).

When you press the orange button down and all the way, the control window will change from red to green.

Make sure the orange button is back up. Do not tilt it.

  1. Release the orange button (Figure F).

Make sure to release the button so the inhaler can work correctly.

Two hands holding applicator devices with green protective cap showing correct usage position

Stop and Check:

  1. Make sure the control window is now green (Figure G).

Your medication is ready to be inhaled.

Go to “STEP 2: Inhale your medication”.

Silver auto-injector device with digital indicator showing the number 60 and a green light on, green arrow points to the light

What to do if the control window remains red after pressing the button (Figure H).

Digital screen with the number 60 crossed out with red lines indicating not to use or avoid that value

The dose is not prepared. Go back to “STEP 1 Prepare your dose” and repeat steps 1.1 to 1.6.

STEP 2: Inhale your medication

Read steps 2.1 to 2.7 completely before using. Do not tilt.

2.1 Keep the inhaler away from your mouth and exhale completely.Never exhale into the inhaler (Figure I).

Profile of a face showing open mouth and tongue with green arrow pointing to the oral cavity

2.2 Keep your head upright, place the mouthpiece between your lips, and close them tightly around the mouthpiece (Figure J).

Do not keep the orange button pressed while inhaling.

Hand holding a nasal inhaler pointing to the right nostril with visible medication spray

2.3 Take a strong and deep breaththrough your mouth. Keep breathing in for as long as possible.

A “click” will let you know that you have inhaled correctly. Keep breathing in for as long as possible after hearing the “click”. Some patients may not hear the “click”. Use the control window to make sure you have inhaled correctly.

2.4 Remove the inhaler from your mouth.

2.5 Hold your breath for as long as possible.

2.6 Breathe out slowly away from the inhaler.

Some patients may experience a gritty sensation in the mouth or a slightly sweet or bitter taste. Do not inhale an extra dose if you do not notice any taste or do not feel anything after inhaling.

Stop and Check:

2.7 Make sure the control window is now red (Figure K). This means you have inhaled your medication correctly.

Gray auto-injector device with numeric indicator 60 and red line highlighted by a black arrow

What to do if the control window remains green after inhaling (Figure L).

Insulin device with screen showing the number 60 crossed out with a red cross on a white background and green border

This means you have not inhaled your medication correctly. Go back to “STEP 2 Inhale your medication” and repeat steps 2.1 to 2.7.

If the control window still does not change to red, you may have forgotten to release the orange button before inhaling, or you may not have inhaled strongly enough. If this happens, try again. Make sure you have released the orange button and that you have exhaled completely. Then take a strong and deep breath through the mouthpiece.

Please contact your doctor if the control window remains green after several attempts.

Put the protective cap back on the mouthpiece after each use (Figure M), to prevent contamination of the inhaler with dust or other materials. You must discard your inhaler if you lose the cap.

Auto-injector device with green and white parts, black arrow indicates direction of needle connection to the hand

Additional Information:

What should you do if you accidentally load a dose?

Keep your inhaler with the protective cap in place until it is time to inhale your medication, then remove the cap and start at step 1.6.

How does the dose indicator work?

  • The dose indicator shows the total number of doses left in the inhaler (Figure N).
  • At the first use, each inhaler contains at least 60 or 30 doses, depending on the container size.
  • Each time a dose is loaded by pressing the orange button, the dose indicator moves slightly to the next number (50, 40, 30, 20, 10, or 0).

When should you get a new inhaler?:

You should get a new inhaler:

  • If your inhaler appears to be damaged or loses its cap, or
  • When a red striped band appears on the dose indicator, this means you are approaching the last dose (Figure N), or
  • If your inhaler is empty (Figure O).

Gray device with dose indicator showing the number 10 and a red striped band, arrows point to both elements

How do you know if your inhaler is empty?:

When the orange button does not return to its fully up position and remains stuck in a middle position, it has reached the last dose (Figure O). Even when the orange button is stuck, you can still inhale the last dose. After that, the inhaler cannot be used again and you should start using a new inhaler.

White auto-injector device with green top button and text “Blocked” above and “Figure O” below

How should you clean the inhaler?

NEVER use water to clean the inhaler as it could damage your medication.

If you want to clean your inhaler, simply wipe the outside of the mouthpiece with a dry cloth or paper towel.

About the medicine

How much does EKLIRA GENUAIR 322 micrograms powder for inhalation cost in Spain ( 2026)?

The average price of EKLIRA GENUAIR 322 micrograms powder for inhalation in January, 2026 is around 47.61 EUR. Prices may vary depending on the region, pharmacy, and whether a prescription is required. Always check with a local pharmacy or online source for the most accurate information.

Alternatives to EKLIRA GENUAIR 322 micrograms powder for inhalation in other countries

The best alternatives with the same active ingredient and therapeutic effect.

Alternative to EKLIRA GENUAIR 322 micrograms powder for inhalation in Ukraine

Dosage form: powder, 322 mcg/dose
Active substance: aclidinium bromide
Prescription required
Dosage form: powder, 322 mcg/dose 30 doses
Active substance: aclidinium bromide
Prescription required

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Dr. Alhasan’s approach is based on thorough assessment, clear communication, and personalised care – helping patients understand their health and make informed decisions about their treatment.
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Many patients reach out when they experience new or worsening symptoms, fluctuations in blood pressure, non-severe chest discomfort, breathing symptoms, digestive issues, suspected infections, chronic fatigue or concerns that affect daily life. He also helps patients understand test results, adjust existing treatment plans and navigate long-term health strategies safely and effectively.

When clinically appropriate, Dr. Altaf can also provide health and fitness certificates, including documentation required for physical activity, sports participation or gym use, based on the patient’s health status and medical indications.

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In all consultations, Dr. Muhammad Tayyab Altaf focuses on clear communication, accurate diagnosis and patient-centred decision-making. His approach ensures that individuals and families feel informed, supported and confident in their next steps, no matter where they are.

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His background includes work in emergency care, ambulance services, and family medicine, which allows him to assess symptoms quickly, identify warning signs, and help patients choose the safest next steps – whether that means home care, treatment adjustment, or in-person evaluation.

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Dr. Anastasiia Shalko is a general practitioner with a background in both paediatrics and general medicine. She graduated from Bogomolets National Medical University in Kyiv and completed her paediatric internship at the P.L. Shupyk National Medical Academy of Postgraduate Education. After working as a paediatrician in Kyiv, she relocated to Spain, where she has been practising general medicine since 2015, providing care for both adults and children.

Her work focuses on urgent, short-term medical concerns – situations where patients need quick guidance, symptom assessment and clear next steps. She helps people understand whether their symptoms require in-person evaluation, home management or a change in treatment. Common reasons for booking an online consultation include:

  • acute respiratory symptoms (cough, sore throat, runny nose, fever)
  • viral illnesses such as colds and seasonal infections
  • gastrointestinal complaints (nausea, diarrhoea, abdominal pain, gastroenteritis)
  • sudden changes in how a child or adult feels
  • questions about existing treatment and whether adjustments are needed
  • renewal of prescriptions when clinically appropriate
Dr. Shalko works specifically with urgent and short-term problems, providing practical recommendations and helping patients determine the safest next step. She explains symptoms clearly, guides patients through decision-making and offers straightforward medical advice for everyday acute issues.

She does not provide long-term management of chronic conditions, ongoing follow-up or comprehensive care plans for complex long-term illnesses. Her consultations are designed for acute symptoms, sudden concerns and situations where timely medical input is important.

With clinical experience in both paediatrics and general medicine, Dr. Shalko confidently supports adults and children. Her communication style is clear, simple and reassuring, helping patients feel informed and supported throughout the consultation.

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Doctor

Sergio Correa

General medicine8 years of experience

Dr. Sergio Correa is a licensed general practitioner, aesthetic medicine specialist, and trichologist with experience in emergency care and preventive health. He offers online consultations in English and Spanish, supporting adult patients with a wide range of medical concerns – from acute symptoms to chronic condition management.

His areas of focus include:

  • General and urgent care: fever, fatigue, infections, digestive issues, respiratory symptoms, and other common concerns
  • Chronic condition support: hypertension, high cholesterol, diabetes, thyroid issues
  • Aesthetic medicine and dermatology: acne, skin ageing, hyperpigmentation, personalised skincare guidance
  • Trichology: hair loss, scalp conditions, treatment strategies for men and women
  • Preventive care: health check-ups, lifestyle advice, second opinions

Dr. Correa combines medical knowledge with an aesthetic and holistic approach to help patients improve both health and quality of life.

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Doctor

Yevgen Yakovenko

General surgery12 years of experience

Dr. Yevgen Yakovenko is a licensed surgeon and general practitioner in Spain and Germany. He specialises in general, paediatric, and oncological surgery, internal medicine, and pain management. He offers online consultations for adults and children, combining surgical precision with therapeutic support. Dr Yakovenko works with patients across different countries and provides care in Ukrainian, Russian, English, and Spanish.

Areas of medical expertise:

  • Acute and chronic pain: headaches, muscle and joint pain, back pain, abdominal pain, postoperative pain. Identifying the cause, selecting treatment, and creating a care plan.
  • Internal medicine: heart, lungs, gastrointestinal tract, urinary system. Management of chronic conditions, symptom control, second opinions.
  • Pre- and postoperative care: risk assessment, decision-making support, follow-up after surgery, rehabilitation strategies.
  • General and paediatric surgery: hernias, appendicitis, congenital conditions, both planned and urgent surgeries.
  • Injuries and trauma: bruises, fractures, sprains, soft tissue damage, wound care, dressing, referral when in-person care is required.
  • Oncological surgery: diagnosis review, treatment planning, and long-term follow-up.
  • Obesity treatment and weight management: a medical approach to weight loss, including assessment of underlying causes, evaluation of comorbidities, development of a personalised plan (nutrition, physical activity, pharmacotherapy if needed), and ongoing progress monitoring.
  • Imaging interpretation: analysis of ultrasound, CT, MRI, and X-ray results, surgical planning based on imaging data.
  • Second opinions and medical navigation: clarifying diagnoses, reviewing current treatment plans, helping patients choose the best course of action.

Experience and qualifications:

  • 12+ years of clinical experience in university hospitals in Germany and Spain.
  • International education: Ukraine – Germany – Spain.
  • Member of the German Society of Surgeons (BDC).
  • Certified in radiological diagnostics and robotic surgery.
  • Active participant in international medical conferences and research.

Dr Yakovenko explains complex topics in a clear, accessible way. He works collaboratively with patients to analyse health issues and make evidence-based decisions. His approach is grounded in clinical excellence, scientific accuracy, and respect for each individual.

If you are unsure about a diagnosis, preparing for surgery, or want to discuss your test results – Dr Yakovenko will help you evaluate your options and move forward with confidence.

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