Glycopyrrolate - Hikma Pharmaceuticals USA Inc.

Manufacturer
Hikma Pharmaceuticals USA Inc.
Effective date
2026-02-24
Label type
HUMAN PRESCRIPTION DRUG LABEL
Version
10
Source
daily-update
Hydrated at
2026-11-03 06:19:38

Label at a glance#

ProductGlycopyrrolate
Active ingredientGLYCOPYRROLATE
Label structure16 sections

Indications and uses

Glycopyrrolate Injection is indicated in adults and pediatric patients for reduction of salivary, tracheobronchial, and pharyngeal secretions, reduction of volume and acidity of gastric secretions, and blockade of cardiac inhibitory reflexes during induction of anesthesia and intubation. Glycopyrrolate Injection is indicated in adults and pediatric patients to counteract surgically or drug-induced or vagal reflex-...

Dosage and administration

Dosing of this Glycopyrrolate Injection product is not possible in patients who require doses less than 0.1 mg because the recommended dose cannot be achieved with the supplied pre-filled syringe. For patients who require doses less than 0.1 mg, use another glycopyrrolate injection product that allows dosing of less than 0.1 mg. Parenteral drug products should be inspected visually for particulate matter and disco...

Storage and handling

Glycopyrrolate injection, USP is a clear, colorless solution without preservative and is available as: 0.2 mg/mL single-dose prefilled disposable syringe packaged in 10s (NDC 0641-6212-10) 0.4 mg/2 mL (0.2 mg/mL) single-dose prefilled disposable syringe packaged in 10s (NDC 0641-6213-10) Store at 20°C to 25°C (68°F to 77°F) [See USP Controlled Room Temperature]. Sensitive to heat – Do not autoclave. Discard unused...

Label contents#

Full prescribing information#

1 INDICATIONS AND USAGE

INDICATIONS & USAGE SECTION


1.1 Preanesthetic

SPL UNCLASSIFIED SECTION

Glycopyrrolate Injection is indicated in adults and pediatric patients for reduction of salivary, tracheobronchial, and pharyngeal secretions, reduction of volume and acidity of gastric
secretions, and blockade of cardiac inhibitory reflexes during induction of anesthesia and intubation.

1.2 Intraoperative

SPL UNCLASSIFIED SECTION

Glycopyrrolate Injection is indicated in adults and pediatric patients to counteract surgically or drug-induced or vagal reflex-associated arrhythmias.

1.3 Reversal of Neuromuscular Blockade

SPL UNCLASSIFIED SECTION

Glycopyrrolate Injection is indicated in adults and pediatric patients for protection against peripheral muscarinic effects of cholinergic agents such as neostigmine and pyridostigmine
given to reverse the neuromuscular blockade due to non- depolarizing agents.

1.4 Peptic Ulcer

SPL UNCLASSIFIED SECTION

Glycopyrrolate Injection is indicated in adults to reduce symptoms of a peptic ulcer as an adjunct to treatment of peptic ulcer when rapid anticholinergic effect is desired or when oral medication is not tolerated.

  • Limitations of Use

            Glycopyrrolate Injection is not indicated as monotherapy for the treatment of peptic ulcer because effectiveness in peptic ulcer healing has not been established.

2 DOSAGE AND ADMINISTRATION

DOSAGE & ADMINISTRATION SECTION

2.1 Important Dosage and Administration Instructions

SPL UNCLASSIFIED SECTION

  • Dosing of this Glycopyrrolate Injection product is not possible in patients who require doses less than 0.1 mg because the recommended dose cannot be achieved with the supplied pre-filled syringe. For patients who require doses less than 0.1 mg, use another glycopyrrolate injection product that allows dosing of less than 0.1 mg.
  • Parenteral drug products should be inspected visually for particulate matter and discoloration prior to administration whenever solution and container permit.
  • Glycopyrrolate Injection may be administered intramuscularly or intravenously, without dilution.
  • Do not introduce any other fluid into the syringe at any time.
  • Do not dilute for IV push.
  • Do not re-sterilize the syringe.
  • Do not use this product on a sterile field.
  • This product is for single dose only.

2.6 Preparation and Handling

SPL UNCLASSIFIED SECTION

Diluent Compatibilities
Dextrose 5% and 10% in water, or saline, dextrose 5% in sodium chloride 0.45%, sodium chloride 0.9%, and Ringer’s Injection.

Diluent Incompatibilities
Lactated Ringer’s solution.

Admixture Compatibilities
Physical Compatibility

This list does not constitute an endorsement of the clinical utility or safety of co-administration of Glycopyrrolate Injection with these drugs. Glycopyrrolate Injection is compatible for mixing and injection with the following injectable dosage forms: atropine sulfate, USP; physostigmine salicylate; diphenhydramine HCl; codeine phosphate, USP; benz-quinamide HCl; hydromorphone HCl, USP; droperidol; levorphanol tartrate; lidocaine, USP; meperidine HCl, USP; pyridostigmine bromide; morphine sulfate, USP; nalbuphine HCl; oxymorphone HCl; procaine HCl, USP; promethazine HCl, USP; neostigmine methylsulfate, USP; scopolamine
HBr, USP; butorphanol tartrate; fentanyl citrate; trimethobenzamide HCl; and hydroxyzine HCl. Glycopyrrolate Injection may be administered via the tubing of a running infusion of normal saline.

Admixture Incompatibilities
Physical Incompatibility

Because the stability of glycopyrrolate is questionable above a pH of 6.0 do not combine Glycopyrrolate Injection in the same syringe with methohexital Na; chloramphenicol Na succinate; dimenhydrinate; pentobarbital Na; thiopental Na; secobarbital Na; sodium bicarbonate; diazepam; dexamethasone Na phosphate; or pentazocine lactate. These mixtures will result in a pH higher than 6.0 and may result in gas production or precipitation.

2.7 Instructions for Use of Prefilled Syringe

SPL UNCLASSIFIED SECTION

INSTRUCTIONS FOR USE (1 mL and 2 mL Single-Dose Prefilled Disposable Syringes)

CAUTION: Glass syringes may malfunction, break or clog when connected to some Needleless Luer Access Devices (NLADs) and needles. The external collar must remain attached to the syringe (See Figure 1). Spontaneous disconnection of this glass syringe from needles and NLADs with leakage of drug product may occur. Ensure that the needle or NLAD is securely attached before beginning the injection. Inspect the glass syringe-needle or glass syringe-NLAD connection before and during drug administration.

syringe
syringe

 

Glycopyrrolate Injection may be administered intramuscularly or intravenously. Parenteral drug products should be inspected visually for particulate matter and discoloration prior to administration whenever solution and container permit.

1. Inspect the outer packaging (plastic tube) and the syringe label by verifying:

      - plastic tube integrity
      - drug name
      - drug strength
      - fill volume
      - route of administration
      - expiration date to be sure that the drug has not expired
      - sterile field applicability
Do not use if package has been damaged.

2. Open the outer packaging and remove the syringe from the tube.

3. Perform visual inspection on the syringe by verifying:

      - absence of syringe damage
      - absence of external particles
      - absence of internal particles
      - proper drug color

4. Push plunger rod slightly to break the stopper loose while tip cap is still on.

5. Remove tip cap by twisting it off. (See Figure 2)

Figure 2

instructioninstruction

6. Discard the tip cap.

7. Expel air bubble.

8. Adjust dose into sterile material (if applicable).

9. Connect the syringe to an appropriate injection connection depending on the route of administration.
    - Before injection, ensure that the syringe is securely attached to the needle or NLAD.

10. Depress plunger rod to deliver the required dose of medication. Ensure that pressure is maintained on the plunger rod during the entire administration.

11. Remove the syringe from NLAD (if applicable) and discard into appropriate receptacle.

3 DOSAGE FORMS AND STRENGTHS

DOSAGE FORMS & STRENGTHS SECTION

Glycopyrrolate Injection, USP is a clear, colorless, solution for injection available as 0.2 mg/mL glycopyrrolate in presentation of 0.2 mg/1 mL and 0.4 mg/2 mL (0.2 mg/mL) single-dose prefilled disposable syringes.

4 CONTRAINDICATIONS

CONTRAINDICATIONS SECTION

Glycopyrrolate Injection is contraindicated in:

·    patients with known hypersensitivity to Glycopyrrolate Injection or any of its inactive ingredients.

·    peptic ulcer patients with the following concurrent conditions: glaucoma; obstructive uropathy (for example, bladder neck obstruction due to prostatic hypertrophy); obstructive disease of the gastrointestinal tract (as in achalasia, pyloroduodenal stenosis, etc.); paralytic ileus, intestinal atony of the elderly or debilitated patient; unstable cardiovascular status in acute hemorrhage; severe ulcerative colitis; toxic megacolon complicating ulcerative colitis; myasthenia gravis.

5 WARNINGS AND PRECAUTIONS

WARNINGS AND PRECAUTIONS SECTION

5.1 Precipitation of Acute Glaucoma

SPL UNCLASSIFIED SECTION

Glycopyrrolate Injection may cause mydriasis and increase intraocular pressure in patients with glaucoma. Advise patients with glaucoma to promptly seek medical care in the event that they experience symptoms of acute angle closure glaucoma (pain and reddening of the eyes, accompanied by dilated pupils).

5.2 Drowsiness or Blurred Vision

SPL UNCLASSIFIED SECTION

Glycopyrrolate Injection may cause drowsiness or blurred vision. Warn patients not to participate in activities requiring mental alertness, such as operating a motor vehicle or other
machinery or performing hazardous work, until these issues resolve.

5.3 Heat Prostration

SPL UNCLASSIFIED SECTION

In the presence of fever, high environmental temperature, and/or during physical exercise, heat prostration can occur with use of anticholinergic agents including Glycopyrrolate Injection (due to decreased sweating), particularly in children and the elderly. Advise patients to avoid exertion and high environmental temperature after receiving Glycopyrrolate Injection.

5.4 Intestinal Obstruction

SPL UNCLASSIFIED SECTION

Diarrhea may be an early symptom of incomplete intestinal obstruction, especially in patients with ileostomy or colostomy. In this instance treatment with Glycopyrrolate Injection is inappropriate and possibly harmful. Glycopyrrolate is contraindicated in patients with these conditions. 

5.5 Tachycardia

SPL UNCLASSIFIED SECTION

Investigate any tachycardia before giving Glycopyrrolate Injection because an increase in the heart rate may occur. Use with caution in patients with coronary artery disease, congestive heart failure, cardiac arrhythmias, hypertension, or hyperthyroidism.

5.6 Risk of Use in Patients with Renal Impairment

SPL UNCLASSIFIED SECTION

Renal elimination of glycopyrrolate may be significantly reduced in patients with renal failure. Dosage adjustments may be necessary in this population [see Clinical Pharmacology (12.3)].

5.7 Autonomic Neuropathy, Hepatic Disease, Ulcerative Colitis, Prostatic Hypertrophy, or Hiatal Hernia

SPL UNCLASSIFIED SECTION

Use Glycopyrrolate Injection with caution in the elderly and in all patients with autonomic neuropathy, hepatic disease, ulcerative colitis, prostatic hypertrophy, or hiatal hernia, because anticholinergic drugs may aggravate these conditions. Consider dose reduction and closely monitor the elderly and patients with autonomic neuropathy, hepatic disease, ulcerative colitis, prostatic hypertrophy, or hiatal hernia.

5.8 Delayed Gastric Emptying/Gastric Stasis

SPL UNCLASSIFIED SECTION

The use of anticholinergic drugs, including Glycopyrrolate Injection, in the treatment of peptic ulcer may produce a delay in gastric emptying due to antral stasis. Monitor patients for symptoms such as vomiting, dyspepsia, early satiety, abdominal distention, and increased abdominal pain. Discontinue Glycopyrrolate Injection treatment if these symptoms develop or worsen on treatment.

5.9 Light Sensitivity

SPL UNCLASSIFIED SECTION

Patients may experience sensitivity of the eyes to light. Advise patients to protect their eyes from light after receiving Glycopyrrolate Injection.

6 ADVERSE REACTIONS

ADVERSE REACTIONS SECTION

The following adverse reactions were identified in clinical studies or postmarketing reports. Because some of these reactions were reported voluntarily from a population of uncertain size, it is not always possible to reliably estimate their frequency or establish a causal relationship to drug exposure.

Adverse reactions to anticholinergics include xerostomia (dry mouth); urinary hesitancy and retention; blurred vision and photophobia due to mydriasis (dilation of the pupil); cycloplegia; increased ocular tension; tachycardia; palpitation; decreased sweating; loss of taste; headache; nervousness; drowsiness; weakness; dizziness; insomnia; nausea; vomiting; impotence; suppression of lactation; constipation; bloated feeling; severe allergic reactions including anaphylactic/anaphylactoid reactions; hypersensitivity; urticaria, pruritus, dry skin, and other dermal manifestations; some degree of mental confusion and/or excitement, especially in elderly persons.

The following adverse events have been reported from post-marketing experience with glycopyrrolate: malignant hyperthermia; cardiac arrhythmias (including bradycardia, ventricular tachycardia, ventricular fibrillation); cardiac arrest; hypertension; hypotension; seizures; and respiratory arrest. Post-marketing reports have included cases of heart block and QTc interval prolongation associated with the combined use of glycopyrrolate and an anticholinesterase. Injection site reactions including pruritus, edema, erythema, and pain have also been reported.

7 DRUG INTERACTIONS

DRUG INTERACTIONS SECTION

The concurrent use of Glycopyrrolate Injection with other anticholinergics or medications with anticholinergic activity, such as phenothiazines, antiparkinson drugs, or tricyclic antidepressants, may intensify the antimuscarinic effects and result in an increase in anticholinergic side effects.

Concomitant administration of Glycopyrrolate Injection and potassium chloride in a wax matrix may increase the severity of potassium chloride-induced gastrointestinal lesions as a result of a slower gastrointestinal transit time.

8 USE IN SPECIFIC POPULATIONS

USE IN SPECIFIC POPULATIONS SECTION

8.1 Pregnancy

PREGNANCY SECTION

Risk Summary

Limited available data over decades of use with glycopyrrolate in pregnant women have not identified a drug-associated risk of birth defects and miscarriage, however, most of the reported exposures occurred after the first trimester. Most of the available data are based on studies with exposures that occurred at the time of Cesarean section delivery, and these studies have not identified an adverse effect on maternal outcomes or infant Apgar scores (see Data).

In animal reproduction studies in pregnant rats and rabbits administered glycopyrrolate orally (rats) and intramuscularly (rabbits) during the period of organogenesis, no teratogenic effects were seen at 320-times and 5-times the maximum recommended human dose (MRHD) of 2 mg (on a mg/m2 basis), respectively (see Data).

The background risk for major birth defects and miscarriage for the indicated population is unknown. All pregnancies have a background risk of birth defect, loss, or other adverse
outcomes. In the U.S. general population, the estimated background risk of major birth defects and miscarriage in the clinically recognized pregnancies is 2 to 4% and 15 to 20%, respectively.

Data

Human Data

Published, randomized, controlled trials over several decades, which compared the use of glycopyrrolate to another antimuscarinic agent in pregnant women during Cesarean section, have not identified adverse maternal or infant outcomes. In normal doses (0.004 mg/kg), glycopyrrolate does not appear to affect fetal heart rate or fetal heart rate variability to a significant degree. Concentrations of glycopyrrolate in umbilical venous and arterial blood and in the amniotic fluid are low after intramuscular administration to parturients. Therefore, glycopyrrolate does not appear to penetrate through the placental barrier in significant amounts.

There are no studies on the safety of glycopyrrolate exposure during the period of organogenesis, and therefore, it is not possible to draw any conclusions on the risk of birth defects following exposure to glycopyrrolate during pregnancy. In addition, there are no data on the risk of miscarriage following fetal exposure to glycopyrrolate.

Animal Data

Reproduction studies with glycopyrrolate were performed in rats at a dietary dose of approximately 65 mg/kg/day (exposure was approximately 320 times the maximum
recommended daily human dose of 2 mg on a mg/m2 basis) and rabbits at intramuscular doses of up to 0.5 mg/kg/day (exposure was approximately 5 times the maximum recommended daily human dose on a mg/m2 basis). These studies produced no teratogenic effects to the fetus.

A preclinical study on reproductive performance of rats given glycopyrrolate resulted in a decreased rate of conception and survival at weaning.

8.2 Lactation

LACTATION SECTION

Risk Summary
There are no data on the presence of glycopyrrolate in either human milk or animal milk, the effects on the breastfed infant, or the effects on milk production. As with other anticholinergics, glycopyrrolate may cause suppression of lactation [see Adverse Reactions (6)]. The developmental and health benefits of breast feeding should be considered along with the mother’s clinical need for Glycopyrrolate Injection and any potential adverse effects on the breastfed child from Glycopyrrolate Injection or from the underlying maternal condition.

8.4 Pediatric Use

PEDIATRIC USE SECTION

Glycopyrrolate Injection is indicated in pediatric patients:

  • for reduction of salivary, tracheobronchial, and pharyngeal secretions, reduction of volume and acidity of gastric secretions, and blockade of cardiac inhibitory reflexes during induction of anesthesia and intubation
  • intraoperatively to counteract surgically or drug-induced or vagal reflex-associated arrhythmias
  • for protection against peripheral muscarinic effects of cholinergic agents such as neostigmine and pyridostigmine given to reverse the neuromuscular blockade due to nondepolarizing agents

Heat prostration can occur in pediatric patients in the presence of fever, high environmental temperature, and/or during physical exercise with use of anticholinergic agents including Glycopyrrolate Injection [see Warnings and Precautions (5.3)].

Young pediatric patients (and especially those less than 1 month of age), patients with Down syndrome, and pediatric patients with spastic paralysis or brain damage may experience an increased response to anticholinergics, thus increasing the potential for side effects.

A paradoxical reaction characterized by hyperexcitability may occur in pediatric patients receiving large doses of anticholinergics including Glycopyrrolate Injection. Dysrhythmias
associated with the use of glycopyrrolate intravenously as a premedicant or during anesthesia have been observed in pediatric patients.

The safety and effectiveness of Glycopyrrolate Injection for treatment of peptic ulcer have not been established in pediatric patients.

8.5 Geriatric Use

GERIATRIC USE SECTION

Clinical studies of Glycopyrrolate Injection did not include sufficient numbers of subjects aged 65 and over to determine whether they respond differently from younger subjects. Other reported clinical experience has not identified differences in responses between the elderly and younger patients. In general, dose selection for an elderly patient should be cautious, usually starting at the low end of the dosing range, reflecting the greater frequency of decreased hepatic, renal, or cardiac function, and of concomitant disease or other therapy.

8.6 Renal Impairment

RENAL IMPAIRMENT SUBSECTION

Renal elimination of glycopyrrolate may be significantly reduced in patients with renal failure. Dosage adjustments may be necessary [see Clinical Pharmacology (12.3)].

10 OVERDOSAGE

OVERDOSAGE SECTION

To combat peripheral anticholinergic effects, a quaternary ammonium anticholinesterase such as neostigmine methylsulfate (which does not cross the blood-brain barrier) may be given intravenously in increments of 0.25 mg in adults. This dosage may be repeated every five to ten minutes until anticholinergic overactivity is reversed or up to a maximum of 2.5 mg. Proportionately smaller doses should be used in pediatric patients. Indication for repetitive doses of neostigmine should be based on close monitoring of the decrease in heart rate and the return of bowel sounds.

If CNS symptoms (e.g., excitement, restlessness, convulsions, psychotic behavior) occur, physostigmine (which does cross the blood–brain barrier) may be used. Physostigmine 0.5 to 2 mg should be slowly administered intravenously and repeated as necessary up to a total of 5 mg in adults. Use proportionately smaller doses in pediatric patients.

To combat hypotension, administer IV fluids and/or pressor agents along with supportive care. Fever should be treated symptomatically.

Following overdosage, a curare-like action may occur, i.e., neuromuscular blockade leading to muscular weakness and possible paralysis. In the event of a curare-like effect on respiratory muscles, artificial respiration should be instituted and maintained until effective respiratory action returns.

11 DESCRIPTION

DESCRIPTION SECTION

Glycopyrrolate is a synthetic anticholinergic agent.

It is a quaternary ammonium salt with the following chemical name:

3[(cyclopentylhydroxyphenylacetyl)oxy]-1,1-dimethyl pyrrolidinium bromide. The molecular formula is C19H28BrNO3 and the molecular weight is 398.33.

Its structural formula is as follows:

structure
structure

Glycopyrrolate occurs as a white, odorless, crystalline powder. It is soluble in water and alcohol, and practically insoluble in chloroform and ether. It is completely ionized at physiological pH values. Glycopyrrolate Injection, USP, is a clear, colorless, sterile liquid with a pH of 2.0 to 3.0. The partition coefficient of glycopyrrolate in n-octanol/water system is 0.304 (log10 P = -1.52) at ambient room temperature (24°C).

Glycopyrrolate injection, USP, is intended for intramuscular or intravenous administration. Each 1 mL of contains 0.2 mg of glycopyrrolate, water for injection, and hydrochloric acid or sodium hydroxide as pH adjusters. Glycopyrrolate Injection is preservative free.

12 CLINICAL PHARMACOLOGY

CLINICAL PHARMACOLOGY SECTION

12.1 Mechanism of Action

MECHANISM OF ACTION SECTION

Glycopyrrolate, like other anticholinergic (antimuscarinic) agents, inhibits the action of acetylcholine on structures innervated by postganglionic cholinergic nerves and on smooth
muscles that respond to acetylcholine but lack cholinergic innervation. These peripheral cholinergic receptors are present in the autonomic effector cells of smooth muscle, cardiac muscle, the sinoatrial node, the atrioventricular node, exocrine glands and, to a limited degree, in the autonomic ganglia. Thus, it diminishes the volume and free acidity of gastric secretions and controls excessive pharyngeal, tracheal, and bronchial secretions.

12.2 Pharmacodynamics

PHARMACODYNAMICS SECTION

Glycopyrrolate antagonizes muscarinic symptoms (e.g., bronchorrhea, bronchospasm, bradycardia, and intestinal hypermotility) induced by cholinergic drugs such as the
anticholinesterases. The highly polar quaternary ammonium group of glycopyrrolate limits its passage across lipid membranes, such as the blood-brain barrier, in contrast to atropine sulfate and scopolamine hydrobromide, which are highly non-polar tertiary amines which penetrate lipid barriers easily. For this reason, the occurrence of CNS-related side effects is lower, in comparison to their incidence following administration of anticholinergics which are chemically tertiary amines that can cross this barrier readily. With intravenous injection, the onset of action is generally evident within one minute. Following intramuscular administration, the onset of action is noted in 15 to 30 minutes, with peak effects occurring within approximately 30 to 45 minutes. The vagal blocking effects persist for 2 to 3 hours and the antisialagogue effects persist up to 7 hours, periods longer than for atropine.

12.3 Pharmacokinetics

PHARMACOKINETICS SECTION

The following pharmacokinetic information and conclusions were obtained from published studies that used nonspecific assay methods.

Distribution
The mean volume of distribution of glycopyrrolate was estimated to be 0.42 ± 0.22 L/kg.

Elimination
Metabolism

The in vivo metabolism of glycopyrrolate in humans has not been studied.

Excretion

The mean clearance and mean t1/2 values were reported to be 0.54 ± 0.14 L/kg/hr and 0.83 ± 0.27 hr, respectively post IV administration. After IV administration of a 0.2 mg radiolabeled glycopyrrolate, 85% of dose recovered was recovered in urine 48 hours post dose and some of the radioactivity was also recovered in bile. After IM administration of glycopyrrolate to adults, the mean t1/2 value is reported to be between 0.55 to 1.25 hrs. Over 80% of IM dose administered was recovered in urine and the bile as unchanged drug and half the IM dose is excreted within 3 hrs. The following table summarizes the mean and standard deviation of pharmacokinetic parameters from a study.

Group

t1/2

Vss

CL

Tmax

Cmax

AUC

(hr)

(L/kg)

(L/kg/hr)

(min)

(mcg/L)

(mcg/L•hr)

(6 mcg/kg IV)

0.83 ± 0.27

0.42 ± 0.22

0.54 ± 0.14

–

–

8.64 ± 1.49*

(8 mcg/kg IM)

–

–

–

27.48 ± 6.12

3.47 ± 1.48

6.64 ± 2.33*

* 0 to 8 hr

Specific Populations

Pediatric Patients

Following IV administration (5 mcg/kg glycopyrrolate) to infants and children, the mean t1/2 values were reported to be between 21.6 and 130.0 minutes and between 19.2 and 99.2 minutes, respectively.

Patients with Renal Impairment

In one study glycopyrrolate was administered IV in uremic patients undergoing renal transplantation. The mean elimination half-life was significantly longer (46.8 minutes) than in healthy patients (18.6 minutes). The mean area-under-the-concentration-time curve (10.6 hr-mcg/L), mean plasma clearance (0.43 L/hr/kg), and mean 3-hour urine excretion (0.7%) for glycopyrrolate were also significantly different than those of controls (3.73 hr-mcg/L, 1.14 L/hr/kg, and 50%, respectively). These results suggest that the elimination of glycopyrrolate is severely impaired in patients with renal failure.

13 NONCLINICAL TOXICOLOGY

NONCLINICAL TOXICOLOGY SECTION

13.1 Carcinogenesis, Mutagenesis and Impairment of Fertility

CARCINOGENESIS & MUTAGENESIS & IMPAIRMENT OF FERTILITY SECTION

Carcinogenesis
Long-term studies in animals have not been performed to evaluate carcinogenic potential.

Mutagenesis
Studies to evaluate the mutagenic potential of glycopyrrolate have not been conducted.

Impairment of Fertility
In reproduction studies in rats, dietary administration of glycopyrrolate resulted in diminished rates of conception in a dose-related manner. Other studies in dogs suggest that this may be due to diminished seminal secretion which is evident at high doses of glycopyrrolate.

16 HOW SUPPLIED/STORAGE AND HANDLING

HOW SUPPLIED SECTION

Glycopyrrolate injection, USP is a clear, colorless solution without preservative and is available as:

  • 0.2 mg/mL single-dose prefilled disposable syringe packaged in 10s (NDC 0641-6212-10)
  • 0.4 mg/2 mL (0.2 mg/mL) single-dose prefilled disposable syringe packaged in 10s (NDC 0641-6213-10)

Store at 20°C to 25°C (68°F to 77°F) [See USP Controlled Room Temperature].

Sensitive to heat – Do not autoclave. Discard unused portion.

Do not place syringe on a sterile field.

17 PATIENT COUNSELING INFORMATION

INFORMATION FOR PATIENTS SECTION

Drowsiness or Blurred Vision: Inform patients that Glycopyrrolate Injection may cause drowsiness or blurred vision. Warn patients not to operate a motor vehicle or other machinery or perform hazardous work until these issues resolve [see Warnings and Precautions (5.2)].

Heat Prostration: Inform patients that in the presence of fever, high environmental temperature and/or during physical exercise, heat prostration can occur with use of anticholinergic agents, including Glycopyrrolate Injection (due to decreased sweating), particularly in children and the elderly. Advise patients to avoid exertion and high environmental temperature after receiving Glycopyrrolate Injection [see Warnings and Precautions (5.3)].

Light Sensitivity: Advise patients that Glycopyrrolate Injection may cause sensitivity of the eyes to light and to protect their eyes from light after receiving Glycopyrrolate Injection [see Warnings and Precautions (5.9)].

Drug Interactions: Inform patients that Glycopyrrolate Injection may interact with other drugs. Advise patients to report to their healthcare provider the use of any other medication [see Drug Interactions (7)].

Manufactured by

Hikma Pharmaceuticals USA Inc.

Berkeley Heights, NJ 07922

462-059-03

Revised February 2026

PRINCIPAL DISPLAY PANEL 1 mL Syringe

PACKAGE LABEL.PRINCIPAL DISPLAY PANEL

NDC 0641-6212-01 Rx only

1 mL Single-Dose Prefilled Syringe

Glycopyrrolate Injection, USP

0.2 mg/mL

For IM or IV Use

Preservative-Free. Discard unused portion

Glycopyrrolate 1 mL Syringe LabelGlycopyrrolate 1 mL Syringe Label

NDC 0641-6212-10 Rx only

Glycopyrrolate Injection, USP

0.2 mg/mL

For Intramuscular or Intravenous Use

Preservative-Free

10 X 1 mL Single-Dose Prefilled Syringes

Discard unused portion.

Glycopyrrolate 1 mL CartonGlycopyrrolate 1 mL Carton

PRINCIPAL DISPLAY PANEL 2 mL Syringe

PACKAGE LABEL.PRINCIPAL DISPLAY PANEL

NDC 0641-6213-01 Rx only

2 mL Single-Dose Prefilled Syringe

Glycopyrrolate Injection, USP

0.4 mg per 2 mL (0.2 mg/mL)

For IM or IV Use. Preservative-Free. Discard unused portion.

Glycopyrrolate 2 mL Syringe LabelGlycopyrrolate 2 mL Syringe Label

NDC 0641-6213-10 Rx only

Glycopyrrolate Injection, USP

0.4 mg per 2 mL (0.2 mg/mL)

For Intramuscular or Intravenous Use

Preservative-Free

10 X 2 mL Single-Dose Prefilled Syringe

Discard unused portion.

Glycopyrrolate 2 mL CartonGlycopyrrolate 2 mL Carton

Product Linked Resources#

Resource, Code type, Value table
ResourceCode typeValueEquivalent identifiersSource image
Data codeCode 1280641621201glycopyrrolate-injection-usp-syringe-4.jpg
Data codeCode 1280641621301glycopyrrolate-injection-usp-syringe-6.jpg
Data codeData Matrix462-055-00glycopyrrolate-injection-usp-syringe-4.jpg
Data codeData Matrix462-057-00glycopyrrolate-injection-usp-syringe-6.jpg

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9aff7b10-8e47-4b10-9a92-803440a37ce2Product name120180206
ce066c73-ca6f-49fc-83d4-d3cf6728e8a1Product name120160616
fb29b8a9-c2d0-42bb-aea8-9bc2a87db75aProduct name120151113
ab7ba50c-5a47-47e6-8dd6-fa32a52559f6Product name120151109
29ae08d1-069f-9822-4820-152d5dc67797Product name120140508

DailyMed Billing Units#

Package NDC, Billing unit, Product NDC table
Package NDCBilling unitProduct NDCDailyMed indexing SPLSPL versionEffective
0641-6212-01ML - Milliliter0641-6212fa55f48e-f956-4c70-a47c-afb4dfad4f4b12025-10-14
0641-6212-10ML - Milliliter0641-6212917653b7-4c07-46ad-a04f-595965037bd912025-10-14
0641-6213-01ML - Milliliter0641-62135f2c88d7-99ba-47af-a312-df0129a133dc12025-10-14
0641-6213-10ML - Milliliter0641-62137cec7f1f-3c67-4681-b106-08521add963812025-10-14

Products#

Every source-derived product name is available through these pages.

DailyMed product names page 1 of 1 · 5 matching rows.

NDC Codes#

Product NDC, Package NDC table
Product NDCPackage NDC
0641-62120641-6212-01, 0641-6212-10
0641-62130641-6213-01, 0641-6213-10

Ingredients#

Every source-derived ingredient row is available through these pages.

DailyMed ingredient rows page 1 of 1 · 8 matching rows.

Source Document#

Source XML

Older Hydrated Versions#

Version, Effective date, Source table
VersionEffective dateSourceHydrated
92025-10-09full-release2026-05-31 22:00:49
82025-09-22full-release2026-05-31 21:43:50

Orange Book application contexts#

All distinct exact application/product contexts derived from this label’s complete NDC list are paginated below.

Orange Book application contexts page 1 of 1 · 1 matching rows.

Source provenance: Browse the complete Orange Book source catalog · source snapshot 44.

Orange Book products#

Current product rows page 1 of 1 · 1 matching rows.

Application-product, Trade name, Ingredient table
Application-productTrade nameIngredientStrengthDosage form / routeTE codesRLD / RSApproval date
N017558-001ROBINULGLYCOPYRROLATE0.2MG/MLINJECTABLE / INJECTIONAPRLD, Approved before 1982

Therapeutic equivalence codes#

Current TE-code rows page 1 of 1 · 1 matching rows.

Application-product, TE code table
Application-productTE code
N017558-001AP

Observed Orange Book product history#

Observed FDA ZIP history: Each table is queried independently by exact application/product key from successfully parsed Orange Book snapshots. Capture times identify archived source observations; absence or a change between snapshots is not inferred. FDA publication files that were not recoverable as structured ZIP data are not represented as states.

Product history page 1 of 2 · 44 observed states.

Captured, Edition, Application-product table
CapturedEditionApplication-productTrade nameStrengthDosage form / routeProduct TE source textRLD / RSApproval dateSource SHA-256
2026-10-15 13:18:302026-09N017558-001ROBINUL0.2MG/MLINJECTABLE / INJECTIONAPRLD, Approved before 1982c2088c7a36db…
2026-09-14 22:38:342026-08N017558-001ROBINUL0.2MG/MLINJECTABLE / INJECTIONAPRLD, Approved before 198284e616aacf4f…
2026-08-18 06:07:402026-07N017558-001ROBINUL0.2MG/MLINJECTABLE / INJECTIONAPRLD, Approved before 1982caaa826d4ba7…
2026-02-19 14:30 UTC2026-02N017558-001ROBINUL0.2MG/MLINJECTABLE / INJECTIONAPRLD, Approved before 1982011fe1cb6892…
2025-12-14 10:44 UTC · 2 captures of this ZIP2025-12N017558-001ROBINUL0.2MG/MLINJECTABLE / INJECTIONAPRLD, Approved before 198231067a03dcf5…
2025-08-23 18:47 UTC2025-08N017558-001ROBINUL0.2MG/ML **Federal Register determination that product was not discontinued or withdrawn for safety or effectiveness reasons**INJECTABLE / INJECTIONRLD, Approved before 19826a471c1ec25d…
2025-03-22 03:13 UTC · 3 captures of this ZIP2025-03N017558-001ROBINUL0.2MG/ML **Federal Register determination that product was not discontinued or withdrawn for safety or effectiveness reasons**INJECTABLE / INJECTIONRLD, Approved before 1982fd3edfee7708…
2025-02-26 10:13 UTC · 3 captures of this ZIP2025-02N017558-001ROBINUL0.2MG/ML **Federal Register determination that product was not discontinued or withdrawn for safety or effectiveness reasons**INJECTABLE / INJECTIONRLD, Approved before 1982b8a1b40f171c…
2025-01-19 17:59 UTC · 7 captures of this ZIP2025-01N017558-001ROBINUL0.2MG/ML **Federal Register determination that product was not discontinued or withdrawn for safety or effectiveness reasons**INJECTABLE / INJECTIONRLD, Approved before 198203ed91905a0d…
2024-12-13 21:23 UTC · 2 captures of this ZIP2024-12N017558-001ROBINUL0.2MG/ML **Federal Register determination that product was not discontinued or withdrawn for safety or effectiveness reasons**INJECTABLE / INJECTIONRLD, Approved before 19822680178bc6a6…
2024-09-14 05:58 UTC · 2 captures of this ZIP2024-09N017558-001ROBINUL0.2MG/ML **Federal Register determination that product was not discontinued or withdrawn for safety or effectiveness reasons**INJECTABLE / INJECTIONRLD, Approved before 19825bbf6a4d5a75…
2024-11-08 22:44 UTC · 3 captures of this ZIP2024-11N017558-001ROBINUL0.2MG/ML **Federal Register determination that product was not discontinued or withdrawn for safety or effectiveness reasons**INJECTABLE / INJECTIONRLD, Approved before 1982d8e5a09893c0…
2024-10-29 15:01 UTC2024-10N017558-001ROBINUL0.2MG/ML **Federal Register determination that product was not discontinued or withdrawn for safety or effectiveness reasons**INJECTABLE / INJECTIONRLD, Approved before 1982d06236e962d9…
2024-08-13 05:28 UTC · 3 captures of this ZIP2024-08N017558-001ROBINUL0.2MG/ML **Federal Register determination that product was not discontinued or withdrawn for safety or effectiveness reasons**INJECTABLE / INJECTIONRLD, Approved before 198279d66fd596c7…
2024-07-13 05:37 UTC · 2 captures of this ZIP2024-07N017558-001ROBINUL0.2MG/ML **Federal Register determination that product was not discontinued or withdrawn for safety or effectiveness reasons**INJECTABLE / INJECTIONRLD, Approved before 1982301d65b070ca…
2024-06-18 03:08 UTC · 5 captures of this ZIP2024-06N017558-001ROBINUL0.2MG/ML **Federal Register determination that product was not discontinued or withdrawn for safety or effectiveness reasons**INJECTABLE / INJECTIONRLD, Approved before 19821e350fbaab3a…
2024-05-31 18:47 UTC2024-05N017558-001ROBINUL0.2MG/ML **Federal Register determination that product was not discontinued or withdrawn for safety or effectiveness reasons**INJECTABLE / INJECTIONRLD, Approved before 19828072bd15b7f6…
2022-06-29 02:47 UTC · 2 captures of this ZIP2022-06N017558-001ROBINUL0.2MG/ML **Federal Register determination that product was not discontinued or withdrawn for safety or effectiveness reasons**INJECTABLE / INJECTIONRLD, Approved before 19825c6f7cd8ea54…
2022-04-08 23:34 UTC2022-04N017558-001ROBINUL0.2MG/MLINJECTABLE / INJECTIONRLD, Approved before 19825d02ea3f76ae…
2022-04-04 05:41 UTC2022-04N017558-001ROBINUL0.2MG/MLINJECTABLE / INJECTIONRLD, Approved before 19824b0b4de00fa7…
2019-12-13 00:20 UTC2019-12N017558-001ROBINUL0.2MG/ML **Federal Register determination that product was not discontinued or withdrawn for safety or efficacy reasons**INJECTABLE / INJECTIONRLD, Approved before 198274a2ff9319b5…
2022-03-09 01:35 UTC2022-03N017558-001ROBINUL0.2MG/ML **Federal Register determination that product was not discontinued or withdrawn for safety or effectiveness reasons**INJECTABLE / INJECTIONRLD, Approved before 1982bb7c543d1eb4…
2021-12-28 21:50 UTC2021-12N017558-001ROBINUL0.2MG/ML **Federal Register determination that product was not discontinued or withdrawn for safety or efficacy reasons**INJECTABLE / INJECTIONRLD, Approved before 1982782e0a99824c…
2021-05-05 16:15 UTC · 3 captures of this ZIP2021-05N017558-001ROBINUL0.2MG/ML **Federal Register determination that product was not discontinued or withdrawn for safety or efficacy reasons**INJECTABLE / INJECTIONRLD, Approved before 198287673890dc5c…
2021-03-12 10:30 UTC2021-03N017558-001ROBINUL0.2MG/ML **Federal Register determination that product was not discontinued or withdrawn for safety or efficacy reasons**INJECTABLE / INJECTIONRLD, Approved before 19825aa47cf7b7d7…
2020-12-22 03:56 UTC2020-12N017558-001ROBINUL0.2MG/ML **Federal Register determination that product was not discontinued or withdrawn for safety or efficacy reasons**INJECTABLE / INJECTIONRLD, Approved before 19828869cabd3fbd…
2020-11-12 02:37 UTC2020-11N017558-001ROBINUL0.2MG/ML **Federal Register determination that product was not discontinued or withdrawn for safety or efficacy reasons**INJECTABLE / INJECTIONRLD, Approved before 1982c0c555d07b60…
2019-12-14 00:12 UTC2019-12N017558-001ROBINUL0.2MG/ML **Federal Register determination that product was not discontinued or withdrawn for safety or efficacy reasons**INJECTABLE / INJECTIONRLD, Approved before 19823f01610625f2…
2019-09-15 20:21 UTC2019-09N017558-001ROBINUL0.2MG/ML **Federal Register determination that product was not discontinued or withdrawn for safety or efficacy reasons**INJECTABLE / INJECTIONRLD, Approved before 1982b00525d2431f…
2019-07-19 19:46 UTC2019-07N017558-001ROBINUL0.2MG/ML **Federal Register determination that product was not discontinued or withdrawn for safety or efficacy reasons**INJECTABLE / INJECTIONRLD, Approved before 1982ea99ee380514…
2024-03-16 18:09 UTC · 4 captures of this ZIP2024-03N017558-001ROBINUL0.2MG/ML **Federal Register determination that product was not discontinued or withdrawn for safety or effectiveness reasons**INJECTABLE / INJECTIONRLD, Approved before 19826a51e52b5d6a…
2024-02-18 07:12 UTC2024-02N017558-001ROBINUL0.2MG/ML **Federal Register determination that product was not discontinued or withdrawn for safety or effectiveness reasons**INJECTABLE / INJECTIONRLD, Approved before 19821c564ffb4f44…
2023-12-20 04:57 UTC2023-12N017558-001ROBINUL0.2MG/ML **Federal Register determination that product was not discontinued or withdrawn for safety or effectiveness reasons**INJECTABLE / INJECTIONRLD, Approved before 1982ea1830bbd6c7…
2023-11-28 05:40 UTC · 2 captures of this ZIP2023-11N017558-001ROBINUL0.2MG/ML **Federal Register determination that product was not discontinued or withdrawn for safety or effectiveness reasons**INJECTABLE / INJECTIONRLD, Approved before 1982a72a2bbeb626…
2023-10-25 00:34 UTC · 2 captures of this ZIP2023-10N017558-001ROBINUL0.2MG/ML **Federal Register determination that product was not discontinued or withdrawn for safety or effectiveness reasons**INJECTABLE / INJECTIONRLD, Approved before 19829b2671bbb829…
2023-07-15 15:27 UTC · 2 captures of this ZIP2023-07N017558-001ROBINUL0.2MG/ML **Federal Register determination that product was not discontinued or withdrawn for safety or effectiveness reasons**INJECTABLE / INJECTIONRLD, Approved before 1982a67488948f0b…
2023-06-13 01:57 UTC · 3 captures of this ZIP2023-06N017558-001ROBINUL0.2MG/ML **Federal Register determination that product was not discontinued or withdrawn for safety or effectiveness reasons**INJECTABLE / INJECTIONRLD, Approved before 19823f0d92c62455…
2023-05-13 08:27 UTC2023-05N017558-001ROBINUL0.2MG/ML **Federal Register determination that product was not discontinued or withdrawn for safety or effectiveness reasons**INJECTABLE / INJECTIONRLD, Approved before 1982053a50430f4f…
2023-01-26 05:58 UTC2023-01N017558-001ROBINUL0.2MG/ML **Federal Register determination that product was not discontinued or withdrawn for safety or effectiveness reasons**INJECTABLE / INJECTIONRLD, Approved before 19823bdfa0b2c4d7…
2022-11-12 20:34 UTC · 5 captures of this ZIP2022-11N017558-001ROBINUL0.2MG/ML **Federal Register determination that product was not discontinued or withdrawn for safety or effectiveness reasons**INJECTABLE / INJECTIONRLD, Approved before 19823a93d1ddd44b…

Observed Orange Book normalized TE history#

Captured, Edition, Application-product table
CapturedEditionApplication-productTE codeOrderSource SHA-256
2026-10-15 13:18:302026-09N017558-001AP1c2088c7a36db…
2026-09-14 22:38:342026-08N017558-001AP184e616aacf4f…
2026-08-18 06:07:402026-07N017558-001AP1caaa826d4ba7…
2026-02-19 14:30 UTC2026-02N017558-001AP1011fe1cb6892…
2025-12-14 10:44 UTC · 2 captures of this ZIP2025-12N017558-001AP131067a03dcf5…
2026-07-26 02:55 UTC · 3 captures of this ZIP2026-06N017558-001AP1a50c72e98297…

openFDA label cross-check#

OpenFDA label data provides additional search and identifier links. DailyMed’s Structured Product Label is the canonical label on FDA.report. Matching records are deduplicated before they are shown below.

Matched openFDA labels page 1 of 1 · 1 matching rows.

Brand, Generic, Manufacturer table
BrandGenericManufacturerSPL set IDEffective dateAvailable safety fieldsJoin
GlycopyrrolateGLYCOPYRROLATEHikma Pharmaceuticals USA Inc.960d2dd0-008d-4ec1-ba2e-9388b28b23e22025-10-09Warnings, Adverse reactionsExact identifier
ndc (package): 0641-6213-01
ndc (package): 0641-6212-01
ndc (package): 0641-6213-10
ndc (package): 0641-6212-10
ndc (product): 0641-6212
ndc (product): 0641-6213
ndc11 (package): 00641621301
ndc11 (package): 00641621201
ndc11 (package): 00641621210
ndc11 (package): 00641621310
spl set id: 960d2dd0-008d-4ec1-ba2e-9388b28b23e2

Reported adverse events (FAERS/openFDA)#

Adverse event summaries are temporarily unavailable. Other product information remains available.