Nextstep-G Respules (2ml Each) is used to treat chronic obstructive pulmonary disease (COPD). This medicine helps the muscles around the lungs to stay relaxed and reduces symptoms like coughing, chest tightness and shortness of breath.

Your doctor will tell you how often you need to use Nextstep-G Respules (2ml Each). It is important that you take the lowest dose needed to effectively control your symptoms. The effect of this medicine may be noticeable after a few days but will only reach its maximum after a few weeks. This medicine must be used regularly to be effective, so continue using it even if you do not have any symptoms. If you stop taking it your symptoms of COPD may get worse. Thus, it should not be used to relieve sudden breathing problems. It is best to take the first dose of this medicine under medical supervision as it may cause wheezing or tightening of the airways.

The most common side effects are sore throat, dry mouth, gastroenteritis, and insomnia. If you get these, do not stop taking it but do talk to your doctor. They may be able to help by adjusting the dosage or by precribing you an alternate medicine.

Do not use this medicine if you have a known history to any of the ingredients of this product. This medicine may not be suitable for everybody, let your doctor know if you have any preexisting medical conditions. Let your doctor also know about all the medicines you are taking.

Uses of Nextstep-G Respules

Benefits of Nextstep-G Respules

In Treatment of Chronic obstructive pulmonary disease (COPD)

COPD (chronic obstructive pulmonary disease) is a group of lung diseases that cause breathing difficulties. COPD is caused by swelling of the airways that carry air in and out of the lungs. Nextstep-G Respules (2ml Each) relaxes the muscles of these airways and widens it. This makes you breathe easy and gives relief from symptoms such as tightness in your chest, shortness of breath, wheezing and coughing. Avoid smoking and minimise your exposure to pollution, dust and fumes. Along with that, a little exercise each day can help you stay strong. Talk to your doctor about how much exercise is good for you.

Side effects of Nextstep-G Respules

Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them

Common side effects of Nextstep-G

Sore throat
Dryness in mouth
Insomnia (difficulty in sleeping)
Gastroenteritis

How to use Nextstep-G Respules

Use this medicine in the dose and duration as advised by your doctor. Check the label for directions before use. Twist off the top of the respule/transpule and squeeze all the liquid into the nebulizer. It should be used right away after opening.

How Nextstep-G Respules works

Nextstep-G Respules (2ml Each) is an anticholinergic medication. It works by blocking the activity of a chemical messenger (acetylcholine) in the brain.

Safety advice

Alcohol

CONSULT YOUR DOCTOR

It is not known whether it is safe to consume alcohol with Nextstep-G Respules (2ml Each). Please consult your doctor.

Pregnancy

SAFE IF PRESCRIBED

Nextstep-G Respules (2ml Each) is generally considered safe to use during pregnancy. Animal studies have shown low or no adverse effects to the developing baby; however, there are limited human studies.

Breast feeding

SAFE IF PRESCRIBED

Nextstep-G Respules (2ml Each) is probably safe to use during breastfeeding. Limited human data suggests that the drug does not represent any significant risk to the baby.
Long-term use of Nextstep-G Respules (2ml Each) might reduce milk production.

Driving

No interaction found/established

Kidney

No interaction found/established

Liver

No interaction found/established

All substitutes

For informational purposes only. Consult a doctor before taking any medicines.

Nextstep-G Respules (2ml Each)

₹198/Respules

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Quick tips

Nextstep-G Respules (2ml Each) is used for long-term management of airflow obstruction in patients with chronic obstructive pulmonary disease (COPD).
It does not work right away and should not be used to relieve sudden breathing problems.
Take the first dose of this medicine under medical supervision as it may cause wheezing or tightening of the airways (bronchospasm) immediately after using.
Avoid getting this medication into your eyes. It may cause eye pain/irritation, temporary blurred vision, and other vision changes.
Inform your doctor if you have difficulty passing urine or have painful urination.
You have been prescribed Nextstep-G Respules (2ml Each) to reduce excessive drooling or salivation.
Take it at least 1 hour before or 2 hours after a meal.
It may cause constipation. Eat adequate fiber in your diet and drink plenty of water.
Use caution while driving or doing anything that requires concentration as Nextstep-G Respules (2ml Each) may cause dizziness and blurred vision.
It may make you sweat less. Avoid doing things that may cause you to overheat such as exercise.
Inform your doctor if you develop nausea, vomiting, constipation or diarrhea that does not go away.

Fact Box

Chemical Class

Synthetic Quaternary Ammonium

Habit Forming

Therapeutic Class

RESPIRATORY

Action Class

Anticholinergics- Anaesthetics

Patient concerns

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Physician

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Dermatology

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FAQs

Is Nextstep-G Respules (2ml Each) a steroid?

No, Nextstep-G Respules (2ml Each) is not a steroid. It belongs to a group of medicines called bronchodilators which are used to widen the airway of the respiratory tract. They also help to ease the breathing process in patients with breathing difficulties due to a certain type of lung disease like obstructive pulmonary disease (COPD).

How long should Nextstep-G Respules (2ml Each) be taken?

The length of time depends on the severity and type of disease. Chronic obstructive pulmonary disease (COPD) is a long-term disease and you need to take this medicine every day as directed by the doctor to prevent attacks of breathing difficulty. It is to be taken regularly and not only when you have breathing problems or other symptoms of COPD.

Can Nextstep-G Respules (2ml Each) inhalation cause difficulty in urination?

Inhalational Nextstep-G Respules (2ml Each) can lead to retention of urine and difficulty of urination in old age individuals. It is more common in men with enlarged prostate or benign enlargement of prostate. This condition can cause difficulty in urination or painful urination or frequent urination or dribbling of urine. Inform the doctor if you already have any such problems before starting the treatment or if you experienced any problems during the treatment.

Can Nextstep-G Respules (2ml Each) inhalation cause difficulty in vision?

Inhaling Nextstep-G Respules (2ml Each) can lead to blurred vision and can even cause acute narrow-angle glaucoma. This medicine can cause pain in the eye or discomfort, nausea or vomiting, blurred vision, seeing halos or bright colors around lights, and red eyes. Immediately stop taking this medicine and contact the doctor if you encounter any of these symptoms.

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References

Mayo Clinic. Glycopyrrolate. [Accessed 28 Mar. 2019] (online) Available from:
Drugs and Lactation Database (LactMed) [Internet]. Bethesda (MD): National Library of Medicine (US); 2006. Glycopyrrolate. [Updated 2018 Dec 3]. [Accessed 20 Feb. 2020] (online) Available from:
Glycopyrrolate [Package Insert]. Auckland, New Zealand: Novartis New Zealand Limited; 2021. [Accessed 28 June 2023]. (online) Available from:

Marketer details

Name: Macleods Pharmaceuticals Pvt Ltd

Address: Atlanta Arcade, Marol Church Road, Andheri (East), Mumbai - 400059, INDIA.

Country of origin: India

The list of available options shown with the same composition has been prepared upon the advice of registered medical practitioners, pharmacists affiliated with TATA 1MG. TATA 1MG does not promote any pharmaceutical product of any particular company, and all recommendations are based on the medical opinion, advisories from specialist medical and pharmaceutical professionals.