natgillin/translations-raw huggingface dataset:
Following inhalation of aclidinium 200 micrograms and 400 micrograms by healthy subjects or patients with COPD, the urinary excretion of unchanged aclidinium was very low at about 0.1% of the administered dose, indicating that renal clearance plays a minor role in the total aclidinium clearance from plasma. 
Ko so zdrave osebe ali bolniki s KOPB inhalirali 200 mikrogramov in 400 mikrogramov aklidinija, je bila mera nespremenjenega aklidinija, izločenega z urinom, zelo nizka, približno 0,1 % danega odmerka, kar kaže, da ima ledvični očistek majhno vlogo pri celotnem očistku aklidinija iz plazme.
There is limited evidence on the management of overdose with Brimica Genuair. 
O obvladovanju prevelikega odmerjanja zdravila Brimica Genuair so na voljo omejeni podatki.
Brimica Genuair demonstrated a rapid onset of action within 5 minutes of the first inhalation relative to placebo (p<0.0001). 
Pri zdravilu Brimica Genuair je bilo opaženo hitro začetno delovanje v petih minutah po prvi inhalaciji v primerjavi s placebom (p < 0,0001).
If you are not sure of how to use Brimica Genuair, contact your doctor or pharmacist. 
Če niste prepričani o uporabi zdravila Brimica Genuair, se posvetujte z zdravnikom ali farmacevtom.
Following repeated inhalations of Brimica Genuair 340/12 micrograms, the systemic exposure of aclidinium and formoterol, as measured by AUC, is similar in Japanese and Caucasian patients. 
Po večkratnih inhalacijah zdravila Brimica Genuair 340/12 mikrogramov sta sistemski izpostavljenosti aklidiniju in formoterolu, merjeni z AUC, pri japonskih bolnikih in bolnikih bele rase podobni.
Following inhalation of a single dose of Brimica Genuair 340/12 micrograms, aclidinium and formoterol were rapidly absorbed into plasma, reaching peak plasma concentrations within 5 minutes of inhalation in healthy subjects and within 24 minutes of inhalation in patients with COPD. 
Po inhalaciji enega odmerka zdravila Brimica Genuair 340/12 mikrogramov se aklidinij in formoterol hitro absorbirata v plazmo in dosežeta največjo koncentracijo v plazmi v 5 minutah po inhalaciji pri zdravih ljudeh in v 24 minutah po inhalaciji pri bolnikih s KOPB.
In addition, Brimica Genuair statistically significantly delayed the time to first moderate or severe exacerbation compared to placebo (hazard ratio=0.70; p=0.027). 
Zdravilo Brimica Genuair je statistično pomembno podaljšalo čas do prvega zmernega ali hudega poslabšanja v primerjavi s placebom (razmerje tveganja = 0,70; p = 0,027).
- Brimica Genuair is for inhalation use. 
- Zdravilo Brimica Genuair je samo za inhaliranje.
β-adrenergic blockers β-adrenergic blockers may weaken or antagonise the effect of β2-adrenergic agonists. 
Zdravila, ki vsebujejo antagoniste β-adrenergičnih receptorjev, lahko oslabijo ali antagonizirajo učinek agonistov β2-adrenergičnih receptorjev.
Stop taking Brimica Genuair and seek medical help immediately if you experience any of the following: 
Zdravilo Brimica Genuair prenehajte jemati in takoj poiščite zdravniško pomoč:
Taking into account the PRAC Assessment Report on the PSUR(s) for aclidinium bromide / formoterol fumarate dihydrate, the scientific conclusions of CHMP are as follows: 
Upoštevajoč poročilo Odbora za oceno tveganja na področju farmakovigilance (PRAC) o oceni rednih posodobljenih poročil o varnosti zdravila (PSUR) za aklidinijev bromid/formoterolijev fumarat dihidrat je Odbor za zdravila za uporabo v humani medicini (CHMP) sprejel naslednje znanstvene zaključke:
If β-adrenergic blockers are required (including eye drops), cardioselective beta-adrenergic blockers are preferred, although they should also be administered with caution. 
Če je potrebno zdravljenje z antagonisti β-adrenergičnih receptorjev (vključno s kapljicami za oči), je priporočena uporaba kardioselektivnih antagonistov β-adrenergičnih receptorjev, vendar jih je treba uporabljati previdno.
The frequencies assigned to the adverse reactions are based on crude incidence rates observed with Brimica Genuair 340 micrograms /12 micrograms in the pooled analysis of randomised, placebo-controlled Phase III clinical studies of at least six months duration, or on experience with individual components. 
Pogostnosti spodaj navedenih neželenih učinkov temeljijo na grobih stopnjah pojavnosti neželenih učinkov, ki so jih opazili pri zdravilu Brimica Genuair 340 mikrogramov/12 mikrogramov v zbirni analizi vsaj 6-mesečne randomizirane, s placebom nadzorovane klinične študije 3. faze, oziroma na izkušnjah s posameznima učinkovinama.
- If you get sudden tightness of the chest, coughing, wheezing or breathlessness immediately after using the medicine. 
- če vas začne nenadoma stiskati v prsih, kašljate, piskajoče dihate ali ste brez sape takoj po uporabi zdravila.
White or almost white powder in a white inhaler with an integral dose indicator and an orange dosage button. 
Bel ali skoraj bel prašek v belem inhalatorju z vgrajenim indikatorjem odmerka in oranžnim gumbom za odmerjanje.
In clinical studies, paradoxical bronchospasm was not observed with Brimica Genuair at its recommended dose. 
V kliničnih študijah z zdravilom Brimica Genuair v priporočenem odmerku niso opazili paradoksnega bronhospazma.
1.4 Press the orange button all the way down to load your dose (Figure E). 
1.4 Pritisnite oranžni gumb do konca, da se vam naloži odmerek (Slika E).
- The effects of Brimica Genuair last for 12 hours; therefore, you should try to use Brimica Genuair at the same time each morning and evening as this will ensure that there is always enough medicine in your body to help you breathe more easily throughout the day and night. 
- Učinki zdravila Brimica Genuair trajajo 12 ur, zato se je treba potruditi uporabljati zdravilo Brimica Genuair vsako jutro in vsak večer ob istem času.
Other pharmacodynamic interactions 
Farmakodinamične interakcije z drugimi zdravili
After removing the inhaler from the bag, the bag and desiccant sachet should be thrown away. 
Potem, ko inhalator vzamete iz vrečke, morate vrečko in sušilno sredstvo zavreči.
The prominent pathway involves direct glucuronidation, with O-demethylation followed by glucuronide conjugation being a further metabolic pathway. 
Najpomembnejša presnovna pot vključuje glukuronidacijo z O-demetilacijo, ki ji nadalje sledi konjugacija z glukuronsko kislino.
Nonclinical studies investigating the effects of aclidinium/formoterol on cardiovascular parameters showed increased heart rates and arrhythmias at exposures sufficiently in excess of the maximum human exposure indication to be of little relevance to clinical use. 
V nekliničnih študijah so učinke aklidinija/formoterola, povezane s kardiovaskularnimi parametri, kot so pospešen srčni utrip in aritmije, opazili samo pri izpostavljenostih, ki znatno presegajo največjo indikacijo za izpostavljenost ljudi, kar je za klinično uporabo majhnega pomena.
Clinical efficacy studies showed that Brimica Genuair provides clinically meaningful improvements in lung function (as measured by the forced expiratory volume in 1 second [FEV1]) over 12 hours following administration. 
V študijah klinične učinkovitosti so dokazali, da zdravilo Brimica Genuair povzroča klinično pomembno izboljšanje delovanja pljuč (kot je bilo izmerjeno s forsiranim ekspiratornim volumnom v 1 sekundi [FEV1]) v času 12 ur po dajanju.
Brimica Genuair provided a clinically meaningful improvement in disease-specific health status (as assessed by the St. George's Respiratory Questionnaire [SGRQ]) in study AUGMENT, with an improvement in the SGRQ total score compared to placebo of -4.35 units (p<0.0001). 
Zdravilo Brimica Genuair je omogočalo tudi bistveno izboljšanje zdravstvenega stanja, specifičnega za bolezen (kot se ocenjuje z respiratornim vprašalnikom bolnišnice St. George [SGRQ]) v študiji AUGMENT, z izboljšanjem v skupni oceni SGRQ v primerjavi s placebom za -4,35 enote (p<0,0001).
In vitro studies have shown that aclidinium or its metabolites are not substrates or inhibitors of P-glycoprotein. 
V študijah in vitro so dokazali, da aklidinij ali presnovki aklidinija niso substrati ali zaviralci glikoproteina P.
Whole lung deposition of inhaled aclidinium via Genuair averaged approximately 30% of the metered dose. 
Odlaganje inhaliranega aklidinija s pomočjo inhalatorja Genuair v celih pljučih je znašalo približno 30 % izmerjenega odmerka.
Brimica Genuair 340/12 micrograms twice daily consistently provided clinically meaningful improvements in lung function (as assessed by FEV1, forced vital capacity and inspiratory capacity) compared with placebo. 
Zdravilo Brimica Genuair 340/12 mikrogramov, dano dvakrat na dan, v primerjavi s placebom dosledno kaže klinično pomembno izboljšanje pljučne funkcije (kakor so pokazale meritve forsiranega ekspiratornega volumna v prvi sekundi (FEV1), forsirane vitalne kapacitete in inspiratorne kapacitete).
Formoterol does not inhibit the CYP450 enzymes at therapeutically relevant concentrations (see section 5.2). 
Formoterol v terapevtsko pomembnih koncentracijah ne zavira delovanja encimov CYP450 (glejte poglavje 5.2).
Aclidinium has also been shown to provide benefits to patients with COPD in terms of symptoms reduction, improvement in disease-specific health status, reduction in exacerbation rates and improvements in exercise tolerance. 
Aklidinij ima dokazane koristi za bolnike s KOPB, saj zmanjšuje simptome, izboljšuje od bolezni odvisno zdravstveno stanje, upočasnjuje poslabšanje bolezni in izboljšuje toleranco na telesno vadbo.
A slight increase in the incidence of uterine leiomyomas has been observed in rats and mice; an effect which is considered to be a classeffect in rodents after long-term exposure to high doses of β2-adrenoreceptor agonists. 
Pri podganah in miših so opazili rahlo povečanje pogostosti leiomiomatoze maternice, učinek, ki naj bi bil učinek razreda pri glodavcih po dolgotrajni izpostavljenosti agonistom β2-adrenergičnih receptorjev.
The Genuair inhaler delivers the active ingredients directly into your lungs as you breathe in. 
Inhalator Genuair vaš vdih uporablja za dovajanje učinkovin naravnost v pljuča.
FEV1 at 1 hour post-dose and trough FEV1 (compared to aclidinium 400 micrograms and formoterol 12 micrograms, respectively) were defined as co-primary endpoints in both 6-month pivotal Phase III studies to demonstrate the bronchodilator contributions of formoterol and aclidinium in Brimica Genuair, respectively. 
Vrednost FEV1 v eni uri po odmerku in najnižja vrednost FEV1 (v primerjavi z aklidinijem 400 mikrogramov in formoterolom 12 mikrogramov) sta bili opredeljeni kot primarna cilja opazovanja v 6-mesečnih ključnih študijah 3. faze za dokazovanje bronhodilatornega učinka formoterola in aklidinija v zdravilu Brimica Genuair.
2.7 Make sure the control window is now red (Figure K). 
2.7 Preverite, da je kontrolno okence sedaj obarvano rdeče (Slika K).
There was a sustained effect over time in the six-months and one-year Phase III studies. 
V šestmesečnih in enoletnih študijah 3. faze se ta učinek s časom ni zmanjševal.
Effects of aclidinium in nonclinical studies with respect to reproductive toxicity (foetotoxic effects) and fertility (slight decreases in conception rate, number of corpora lutea, and pre- and post implantation losses) were observed only at exposures considered sufficiently in excess of themaximum human exposure indication to be of little relevance to clinical use. 
V nekliničnih študijah so učinke aklidinija, povezane z reprodukcijsko toksičnostjo (fetotoksični učinki) in plodnostjo (rahlo zmanjšanje v stopnji spočetij, številu rumenih teles ter pred- in poimplantacijskih izgub), opazili samo pri izpostavljenostih, ki bistveno presegajo največjo indikacijo za izpostavljenost ljudi, kar je za klinično uporabo majhnega pomena.
• Any medicines that may be similar to Brimica Genuair to treat breathing difficulties. 
• katero od zdravil za zdravljenje težav z dihanjem, podobno zdravilu Brimica Genuair.
Inhalation powder 1 inhaler containing 30 doses 1 inhaler containing 60 doses 3 inhalers each containing 60 doses 
1 inhalator, ki vsebuje 30 odmerkov 1 inhalator, ki vsebuje 60 odmerkov 3 inhalatorji, ki vsebujejo vsak po 60 odmerkov
Show the packaging of Brimica Genuair. 
Pokažite ovojnino zdravila Brimica Genuair.
In vitro studies have shown that aclidinium or its metabolites at the therapeutic dose are not expected to cause interactions with P-glycoprotein (P-gp) substrate drugs or drugs metabolised by cytochrome P450 (CYP450) enzymes and esterases. 
V študijah in vitro so pokazali, da se za aklidinij ali presnovke aklidinija v terapevtskem odmerku ne pričakuje medsebojnega delovanja z zdravili, ki so substrati P-glikoproteina (P-gp), ali zdravili, ki jih presnavljajo encimi citokroma P450 (CYP450) in esteraze.
Brimica Genuair showed improvements compared to placebo in lung volumes at 2-3h post dose (FRC=-0.366 L [95% CI=0.515, -0.216; p<0.0001]; residual volume [RV]=-0.465 L [95% CI=-0.648, -0.281; p<0.0001] and inspiratory capacity [IC]=0.293 L [95% CI=0.208, 0.378; p<0.0001]). 
Zdravilo Brimica Genuair je v primerjavi s placebom doseglo izboljšanje pljučnih volumnov 2 do 3 ure po odmerku (FRC = -0,366 l, 95 % IZ: -0,515, -0,216, p < 0,0001; rezidualni volumen [RV]= -0,465 l, 95 % IZ: -0,648, -0,281, p < 0,0001; inspiratorna kapaciteta [IC] = 0,293 l, 95 % IZ: 0,208, 0,378, p < 0,0001]).
After 4 weeks of treatment, Brimica Genuair improved the number of steps per day compared to placebo (731 steps/day; 95% CI=279, 1181; p=0.0016) and reduced the percentage of inactive patients (<6000 steps per day) [40.8% compared to 54.5%; p<0.0001]. 
Po 4 tednih zdravljenja je zdravilo Brimica Genuair v primerjavi s placebom izboljšalo število korakov na dan (731 korakov/dan, 95 % IZ: 279, 1181, p = 0,0016) in zmanjšalo odstotek neaktivnih bolnikov (< 6000 korakov na dan; 40,8 % v primerjavi s 54,5 %, p < 0,0001).
Common (may affect up to 1 in 10 people) - Combination of sore throat and runny nose - these may be signs of nasopharyngitis - Headache - Painful and/or frequent urination - these may be signs of a urinary tract infection - Cough - Diarrhoea - A blocked, runny or stuffy nose and/or pain or a feeling of pressure in the cheeks or forehead these may be symptoms of sinusitis - Dizziness - Muscle cramps - Nausea (feeling sick) - Difficulty sleeping - Dry mouth - Muscle pain - Abscess (infection) in the tissues at the base of a tooth - Increased blood levels of a protein found in muscle called creatine phosphokinase - Shaking/tremor - Anxiety 
Pogosti (lahko se pojavijo pri največ 1 od 10 bolnikov) - kombinacija vnetega žrela in izcedka iz nosu - to sta lahko znaka nazofaringitisa, - glavobol, - boleče in pogosto uriniranje - to sta lahko znaka okužbe sečil, - kašelj, - diareja, - zamašen nos ali izcedek iz nosu in/ali občutek bolečine ali pritiska pod očmi ali v čelu - to je lahko znak vnetja sinusov (sinusitis), - omotica, - mišični krči, - navzea (občutek slabosti), - motnje spanja, - suha usta, - bolečine v mišicah, - absces (okužba) tkiva ob korenu zoba, - zvišane krvne ravni beljakovine v mišicah, imenovane kreatinin fosfokinaza, - tresenje/tresavica, - tesnobnost.
INHALER LABEL 
OZNAKA INHALATORJA
Brimica Genuair provided a clinically meaningful improvement in breathlessness (assessed by the Transition Dyspnoea Index [TDI]) with an improvement in the TDI focal score at 6 months compared to placebo of 1.29 units in study ACLIFORM-COPD (p<0.0001) and 1.44 units in study AUGMENT (p<0.0001). 
Zdravilo Brimica Genuair je v primerjavi s placebom klinično pomembno izboljšalo zadihanost (ocenjeno s pomočjo indeksa ocene dispneje skozi čas [TDI - Transition Dyspnoea Index]) z izboljšanjem skupne ocene TDI po 6 mesecih z rezultatom 1,29 enote v študiji ACLIFORM-COPD (p<0,0001) in 1,44 enote v študiji AUGMENT (p<0,001).
Patients with a myocardial infarction during the previous 6 months, unstable angina, newly diagnosed arrhythmia within the previous 3 months, QTc (Bazett's method) above 470 msec, or hospitalisation within the previous 12 months for heart failure functional classes III and IV as per the “New York Heart Association” were excluded from the clinical studies, therefore Brimica Genuair should be used with caution in these patients groups. 
Zdravilo Brimica Genuair je treba pri bolnikih, ki so imeli v zadnjih 6 mesecih miokardni infarkt, nestabilno angino pektoris, na novo diagnosticirano aritmijo v zadnjih 3 mesecih, interval QTc (metoda po Bazettu) nad 470 ms ali so bili v zadnjih 12 mesecih hospitalizirani zaradi srčnega popuščanja funkcijskega razreda III in IV po razvrstitvi Newyorškega združenja za srce [New York Heart Association, NYHA], uporabljati previdno.
A video demonstration on how to use the Genuair inhaler is also available on www.genuair.com and through the code below. 
Prek spletnega mesta www.genuair.com in s spodnjo kodo lahko dostopate tudi do videopredstavitve o uporabi inhalatorja Genuair.
When aclidinium and formoterol were administered in combination by the inhaled route, the pharmacokinetics of each component showed no relevant differences from those observed when the medicinal products were administered separately. 
Če sta bila aklidinij in formoterol uporabljena skupaj v inhalaciji, je bila farmakokinetika vsakega od njiju podobna, kot če sta bila uporabljena vsak posamezno.
It is supplied in a sealed protective aluminium bag containing a desiccant sachet. 
Pakiran je v zavarjeni zaščitni aluminijasti vrečki s sušilnim sredstvom.
There is no saturation of binding sites in the concentration range reached with therapeutic doses. 
V razponu koncentracij pri terapevtskih odmerkih ni prišlo do nasičenja vezavnih mest.
After 4 weeks of treatment Brimica Genuair implied improvement versus placebo in change from baseline in morning pre-dose (trough) FRC, the primary endpoint, but the difference was not statistically significant (-0.125 L; 95% CI=(-0.259, 0.010); p=0.069*). 
Po 4 tednih zdravljenja je zdravilo Brimica Genuair v primerjavi s placebom nakazovalo izboljšanje spremembe jutranje (najnižje) FRC pred odmerkom v primerjavi z izhodiščem, kar je bil primarni opazovani dogodek, vendar sprememba ni bila statistično značilna (-0,125 l, 95 % IZ: -0,259, 0,010, p = 0,069*).
As Brimica Genuair contains aclidinium and formoterol, the type and severity of adverse reactions associated with each of the components may be expected with Brimica Genuair. 
Ker zdravilo Brimica Genuair vsebuje aklidinij in formoterol, je mogoče pri njegovi uporabi pričakovati enako vrsto in izraženost neželenih učinkov kot pri uporabi posameznih sestavin.
The number of steps/day in the Brimica Genuair treatment group was maintained resulting in a treatment effect compared to placebo of 510 steps/day (p=0.1588) and a reduction versus placebo in the percentage of inactive patients (<6000 steps per day) (41.5% compared to 50.4%; p=0.1134). 
Število korakov/dan se je v terapevtski skupini z zdravilom Brimica Genuair ohranilo, s posledičnim terapevtskim učinkom v primerjavi s placebom 510 korakov/dan (p = 0,1588) in zmanjšanjem odstotka neaktivnih bolnikov (< 6000 korakov na dan) v primerjavi s placebom (41,5 % v primerjavi s 50,4 %, p = 0,1134).
Aclidinium is a competitive, selective muscarinic receptor antagonist, with a longer residence time at the M3 receptors than the M2 receptors. 
Aklidinij je kompetitivni, selektivni antagonist muskarinskih receptorjev z daljšim časom zadrževanja na receptorjih M3 kot receptorjih M2. Receptorji M3 posredno vplivajo na krčenje gladkih mišic dihalnih poti.
Brimica Genuair reduced the use of rescue medication over 6 months compared to placebo (by 0.9 puffs per day [p<0.0001]), aclidinium (by 0.4 puffs/day [p<0.001]) and formoterol (by 0.2 puffs/day [p=0.062]). 
V 6 mesecih zdravljenja je zdravilo Brimica Genuair zmanjšalo uporabo reševalnega zdravila v primerjavi s placebom (za 0,9 vpiha na dan [p < 0,0001]), aklidinijem (za 0,4 vpiha/dan [p < 0.001]) in formoterolom (za 0,2 vpiha/dan [p = 0,062]).
Keep breathing in as long as possible after you hear the ‘click'. 
Ko zaslišite ‘klik', nadaljujte z vdihavanjem kolikor dolgo je mogoče.
Before first use, the sealed bag should be teared open, and the inhaler removed. 
Pred prvo uporabo je treba zapečateno vrečko pretrgati in jo tako odpreti ter iz nje vzeti inhalator.
The Genuair inhaler is a white device fitted with an integral dose indicator and an orange dosage button. 
Inhalator Genuair je bel pripomoček, ki ima vgrajen indikator odmerka ter oranžni gumb za odmerjanje.
Since no dosage adjustments are needed for either aclidinium or formoterol medicinal products in patients with renal or hepatic impairment, no dosage adjustment is warranted for aclidinium/formoterol. 
Ker prilagajanje odmerka zdravil, ki vsebujejo aklidinij ali formoterol, pri bolnikih z ledvično ali jetrno okvaro ni potrebno, pri tej skupini bolnikov tudi ni potrebno prilagajanje odmerkov aklidinija/formoterola.
High doses of Brimica Genuair may lead to exaggerated anticholinergic and/or β2-adrenergic signs and symptoms; the most frequent of which include blurred vision, dry mouth, nausea, muscle spasm, tremor, headache, palpitations and hypertension. 
Najpogostejši znaki in simptomi vključujejo zamegljen vid, suha usta, navzeo, mišične krče, tresavico, glavobol, palpitacije in hipertenzijo.
Uncommon - Fast heart beat (tachycardia) - Chest pain or tightness in the chest (angina pectoris) - Blurred vision - Changes in the sound of the voice (dysphonia) - Difficulty passing urine or a feeling that your bladder has not completely emptied (urinary retention) - An abnormal heart trace (QT interval prolongation) potentially leading to an abnormal heart rhythm - Distorted sense of taste (dysgeusia) - Throat irritation - Inflammation of the mouth (stomatitis) - Increased blood pressure - Agitation - Rash - Itching of the skin 
Občasni - hiter srčni utrip (tahikardija), - bolečina v prsnem košu ali stiskanje v prsnem košu (angina pektoris), - zamegljen vid, - spremembe v glasu (disfonija), - težave pri uriniranju ali občutek neizpraznjenega mehurja (zastajanje urina), - nepravilni elektrokardiogram (podaljšanje intervala QT), ki lahko vodi v nepravilno bitje srca, - moteno okušanje (disgevzija), - draženje žrela, - vnetje ustne sluznice (stomatitis), - zvišan krvni tlak,
Uncommon (may affect up to 1 in 100 people) - Muscle weakness, twitching and/or abnormal heart rhythm, as these may be signs of a decrease in the amount of potassium in your blood - Tiredness, increased thirst and/or a need to pass urine more frequently than usual, as these may be signs of an increase in the amount of sugar in your blood - Palpitations, as these may be a sign of an unusually fast heart beat or an abnormal heart rhythm 
Občasni (lahko se pojavijo pri največ 1 od 100 bolnikov) - šibkost v mišicah, trzanje in/ali nepravilno bitje srca, saj lahko ti nakazujejo znižano raven kalija v krvi, - utrujenost, povečana žeja in/ali večja potreba po odvajanju urina, saj lahko ti nakazujejo zvišano raven sladkorja v krvi, - palpitacije, saj lahko te nakazujejo neobičajno hitro ali nepravilno bitje srca.
Adverse reactions associated with Brimica Genuair were similar to those of the individual components. 
Neželeni učinki zdravila Brimica Genuair so bili podobni kot pri uporabi posameznih sestavin zdravila.
The major part of a dose of formoterol is transformed by liver metabolism followed by renal elimination. 
Pretežni delež odmerka formoterola se presnovi v jetrih, temu pa sledi izločanje skozi ledvice.
Since no dosage adjustments are needed for either aclidinium or formoterol medicinal products in elderly patients, no dosage adjustment is warranted for aclidinium/formoterol in geriatric patients. 
Ker prilagajanje odmerka zdravil, ki vsebujejo aklidinij ali formoterol, pri starejših bolnikih ni potrebno, pri tej skupini bolnikov tudi ni potrebno prilagajanje odmerkov aklidinija/formoterola.