Glycopyrrolate Injection, USP

Manufacturer
Hikma Pharmaceuticals USA Inc.
Effective date
2025-10-09
Label type
HUMAN PRESCRIPTION DRUG LABEL
Version
9
Source
full-release
Hydrated at
2026-05-31 22:00:49

Label at a glance#

ProductGlycopyrrolate
Active ingredientGLYCOPYRROLATE
Label structure15 sections

Indications and uses

Glycopyrrolate Injection is indicated for use as a preoperative antimuscarinic to reduce salivary, tracheobronchial, and pharyngeal secretions; to reduce the volume and free acidity of gastric secretions; and to block cardiac vagal inhibitory reflexes during induction of anesthesia and intubation. When indicated, Glycopyrrolate Injection may be used intraoperatively to counteract surgically or drug-induced or vaga...

Dosage and administration

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, in the following indications. The recommended dose of Glycopyrrolate Injection is 0.004 mg/kg by intramuscular injection, given 30 to 60 minutes prior to the an...

Label contents#

Full prescribing information#

SPL UNCLASSIFIED SECTION

Rx only 

DESCRIPTION

DESCRIPTION SECTION

Glycopyrrolate Injection, USP is a synthetic anticholinergic agent. Each 1 mL contains:

Glycopyrrolate, USP 0.2 mg
Water for Injection, USP q.s.

pH adjusted, when necessary, with hydrochloric acid and/or sodium hydroxide. 

For Intramuscular (IM) or Intravenous (IV) administration. Solution does not contain preservatives.

Glycopyrrolate 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:

chemical structure
chemical structure

Glycopyrrolate occurs as a white, odorless crystalline powder. It is soluble in water and alcohol, and practically insoluble in chloroform and ether.

Unlike atropine, glycopyrrolate is completely ionized at physiological pH values. Glycopyrrolate Injection, USP, is a clear, colorless, sterile liquid; pH 2.0 to 3.0. The partition coefficient of glycopyrrolate in a n-octanol/water system is 0.304 (log10 P= -1.52) at ambient room temperature (24°C).

CLINICAL PHARMACOLOGY

CLINICAL PHARMACOLOGY 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.

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.

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.

Pharmacokinetics

PHARMACOKINETICS SECTION

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

DISTRIBUTION

SPL UNCLASSIFIED SECTION

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

METABOLISM

SPL UNCLASSIFIED SECTION

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

EXCRETION

SPL UNCLASSIFIED SECTION

The mean clearance and mean T1/2 values were reported to be 0.54 ± 0.14 L/kg/hr and 0.83 ± 0.13 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 postdose 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

(hr)

Vss

(L/kg)

CL

(L/kg/hr)

Tmax

(min)

Cmax

(mcg/L)

AUC

(mcg/L•hr)

 (6 mcg/kg IV)0.83 ± 0.270.42 ± 0.220.54 ± 0.14--8.64 ± 1.49*
 (8 mcg/kg IM)---27.48 ± 6.123.47 ± 1.486.64 ± 2.33*

* 0 to 8 hr


SPECIAL POPULATIONS

SPL UNCLASSIFIED SECTION

Gender

SPL UNCLASSIFIED SECTION

Gender differences in pharmacokinetics of glycopyrrolate have not been investigated.

Renal Impairment

SPL UNCLASSIFIED SECTION

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.

Hepatic Impairment

SPL UNCLASSIFIED SECTION

Pharmacokinetic information in patients with hepatic impairment is unavailable.

Pediatrics

SPL UNCLASSIFIED SECTION

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.

INDICATIONS AND USAGE

INDICATIONS & USAGE SECTION

In Anesthesia

SPL UNCLASSIFIED SECTION

Glycopyrrolate Injection is indicated for use as a preoperative antimuscarinic to reduce salivary, tracheobronchial, and pharyngeal secretions; to reduce the volume and free acidity of gastric secretions; and to block cardiac vagal inhibitory reflexes during induction of anesthesia and intubation. When indicated, Glycopyrrolate Injection may be used intraoperatively to counteract surgically or drug-induced or vagal reflexes associated arrhythmias. Glycopyrrolate protects against the peripheral muscarinic effects (e.g., bradycardia and excessive secretions) of cholinergic agents such as neostigmine and pyridostigmine given to reverse the neuromuscular blockade due to non-depolarizing muscle relaxants.

In Peptic Ulcer

SPL UNCLASSIFIED SECTION

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

  • Limitations of Use

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

CONTRAINDICATIONS

CONTRAINDICATIONS SECTION

Known hypersensitivity to glycopyrrolate or any of its inactive ingredients.

In addition, in the management of peptic ulcer patients, because of the longer duration of therapy, Glycopyrrolate Injection may be contraindicated in 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.

WARNINGS

WARNINGS SECTION

This drug should be used with great caution, if at all, in patients with glaucoma.

Glycopyrrolate Injection may produce drowsiness or blurred vision. The patient should be cautioned regarding activities requiring mental alertness such as operating a motor vehicle or other machinery or performing hazardous work while taking this drug.

In addition, in the presence of fever, high environmental temperature and/or during physical exercise, heat prostration can occur with use of anticholinergic agents including glycopyrrolate (due to decreased sweating), particularly in children and the elderly.

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

PRECAUTIONS

PRECAUTIONS SECTION

General

GENERAL PRECAUTIONS SECTION

Investigate any tachycardia before giving Glycopyrrolate Injection since an increase in the heart rate may occur.

Use with caution in patients with: coronary artery disease; congestive heart failure; cardiac arrhythmias; hypertension; hyperthyroidism.

Use with caution in patients with renal disease since the renal elimination of glycopyrrolate may be severely impaired in patients with renal failure. Dosage adjustments may be necessary (see Pharmacokinetics - Renal Impairment).

Use glycopyrrolate with caution in the elderly and in all patients with autonomic neuropathy, hepatic disease, ulcerative colitis, prostic hypertrophy, or hiatal hernia, since anticholinergic drugs may aggravate these conditions.

The use of anticholinergetic drugs in the treatment of gastric ulcer may produce a delay in gastric emptying due to antral statis.

Information for the Patient

INFORMATION FOR PATIENTS SECTION

Because Glycopyrrolate Injection may produce drowsiness or blurred vision, the patient should be cautioned not to engage in activities requiring mental alertness and/or visual acuity such as operating a motor vehicle or other machinery, or performing hazardous work while taking this drug (see WARNINGS).

The patient also should be cautioned about the use of this drug during exercise or hot weather since overheating may result in heat stroke.

The patient may experience a possible sensitivity of the eyes to light.

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 may 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.

Carcinogenesis, Mutagenesis, Impairment of Fertility

CARCINOGENESIS & MUTAGENESIS & IMPAIRMENT OF FERTILITY SECTION

Long-term studies in animals have not been performed to evaluate carcinogenic potential. Studies to evaluate the mutagenic potential of glycopyrrolate have not been conducted. 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.

Pregnancy

PREGNANCY SECTION

TERATOGENIC EFFECTS

TERATOGENIC EFFECTS SECTION

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.  Because animal reproduction studies are not always predictive of human response, this drug should be used during pregnancy only if clearly needed.

Single-dose studies in humans found that very small amounts of glycopyrrolate passed the placental barrier.

NONTERATOGENIC EFFECTS

NONTERATOGENIC EFFECTS SECTION

Published literature suggest the following regarding the use of glycopyrrolate during pregnancy. Unlike atropine, glycopyrrolate in normal doses (0.004 mg/kg) does not appear to affect fetal heart rate or fetal heart rate variability to a significant degree. Concentrations of glycopyrrolate in umbilical venous and aterial 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. In reproduction studies in rats, dietary administration of glycopyrrolate resulted in diminished rats of pup survival in a dose-related manner.

Nursing Mothers

NURSING MOTHERS SECTION

It is not known whether this drug is excreted in human milk. Because many drugs are excreted in human milk, caution should be exercised when Glycopyrrolate Injection is administered to a nursing woman. As with other anticholinergics, glycopyrrolate may cause suppression of lactation (see ADVERSE REACTIONS).

Pediatric Use

PEDIATRIC USE SECTION

Safety and effectiveness in pediatric patients have not been established for the management of peptic ulcer.

Dysrhythmias associated with the use of glycopyrrolate intravenously as a premedicant or during anesthesia have been observed in pediatric patients.

Infants, patients with Down’s 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 taking large doses of anticholinergics including Glycopyrrolate Injection. Infants and young children are especially susceptible to the toxic effects of anticholinergics.

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.

ADVERSE REACTIONS

ADVERSE REACTIONS SECTION

Anticholinergics, including Glycopyrrolate Injection, can produce certain effects, most of which are extensions of their pharmacologic actions. Adverse reactions may 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.

In addition, 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.

Glycopyrrolate is chemically a quaternary ammonium compound; hence, its passage across lipid membranes, such as the blood-brain barrier is limited in contrast to atropine sulfate and scopolamine hydrobromide. 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.

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. Proportionately smaller doses should be used 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.

DOSAGE AND ADMINISTRATION

DOSAGE & ADMINISTRATION SECTION

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, in the following indications.

Adults

SPL UNCLASSIFIED SECTION

PREANESTHETIC MEDICATION

SPL UNCLASSIFIED SECTION

The recommended dose of Glycopyrrolate Injection is 0.004 mg/kg by intramuscular injection, given 30 to 60 minutes prior to the anticipated time of induction of anesthesia or at the time the preanesthetic narcotic and/or sedative are administered.

INTRAOPERATIVE MEDICATION

SPL UNCLASSIFIED SECTION

Glycopyrrolate Injection may be used during surgery to counteract drug-induced or vagal reflexes and their associated arrhythmias (e.g., bradycardia). It should be administered intravenously as single doses of 0.1 mg and repeated, as needed, at intervals of 2 to 3 minutes. The usual attempts should be made to determine the etiology of the arrhythmia, and the surgical or anesthetic manipulations necessary to correct parasympathetic imbalance should be performed.

REVERSAL OF NEUROMUSCULAR BLOCKADE

SPL UNCLASSIFIED SECTION

The recommended dose of Glycopyrrolate Injection is 0.2 mg for each 1 mg of neostigmine or 5 mg of pyridostigmine. In order to minimize the appearance of cardiac side effects, the drugs may be administered simultaneously by intravenous injection and may be mixed in the same syringe.

PEPTIC ULCER

SPL UNCLASSIFIED SECTION

The usual recommended dose of Glycopyrrolate Injection is 0.1 mg administered at 4-hour intervals, 3 or 4 times daily intravenously or intramuscularly. Where more profound effect is required, 0.2 mg may be given. Some patients may need only a single dose, and frequency of administration should be dictated by patient response up to a maximum of four times daily.

Glycopyrrolate Injection is not recommended for the treatment of peptic ulcer in pediatric patients (see PRECAUTIONS – Pediatric Use).

Pediatric Patients

SPL UNCLASSIFIED SECTION

PREANESTHETIC MEDICATION

SPL UNCLASSIFIED SECTION

The recommended dose of Glycopyrrolate Injection in pediatric patients is 0.004 mg/kg intramuscularly, given 30 to 60 minutes prior to the anticipated time of induction of anesthesia or at the time the preanesthetic narcotic and/or sedative are administered.

Do not use this prefilled syringe to administer a dose of less than 0.1 mg (0.5 mL).

INFANTS

SPL UNCLASSIFIED SECTION

(1 month to 2 years of age) may require up to 0.009 mg/kg.

Do not use this prefilled syringe to administer a dose of less than 0.1 mg (0.5 mL).

INTRAOPERATIVE MEDICATION

SPL UNCLASSIFIED SECTION

Because of the long duration of action of Glycopyrrolate Injection if used as preanesthetic medication, additional Glycopyrrolate Injection for anticholinergic effect intraoperatively is rarely needed; in the event it is required the recommended pediatric dose is 0.004 mg/kg intravenously, not to exceed 0.1 mg in a single dose which may be repeated, as needed, at intervals of 2 to 3 minutes. The usual attempts should be made to determine the etiology of the arrhythmia, and the surgical or anesthetic manipulations necessary to correct parasympathetic imbalance should be performed.

Do not use this prefilled syringe to administer a dose of less than 0.1 mg (0.5 mL).

REVERSAL OF NEUROMUSCULAR BLOCKADE

SPL UNCLASSIFIED SECTION

The recommended pediatric dose of Glycopyrrolate Injection is 0.2 mg for each 1 mg of neostigmine or 5 mg of pyridostigmine. In order to minimize the appearance of cardiac side effects, the drugs may be administered simultaneously by intravenous injection and may be mixed in the same syringe.

Do not use this prefilled syringe to administer a dose of less than 0.1 mg (0.5 mL).

PEPTIC ULCER

SPL UNCLASSIFIED SECTION

Glycopyrrolate Injection is not recommended for the treatment of peptic ulcer in pediatric patients (see PRECAUTIONS – Pediatric Use).

Diluent Compatibilities

SPL UNCLASSIFIED SECTION

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

SPL UNCLASSIFIED SECTION

Lactated Ringer’s solution

Admixture Compatibilities

SPL UNCLASSIFIED SECTION

PHYSICAL COMPATIBILITY

SPL UNCLASSIFIED SECTION

This list does not constitute an endorsement of the clinical utility or safety of co-administration of glycopyrrolate with these drugs. Glycopyrrolate Injection is compatible for mixing and injection with the following injectable dosage forms: atropine sulfate, USP; Antilirium®  (physostigmine salicylate); Benadryl®  (diphenhydramine HCl); codeine phosphate, USP; Emete-Con®  (benz-quinamide HCl); hydromorphone HCl, USP; Inapsine®  (droperidol); Levo-Dromoran®  (levorphanol tartrate); lidocaine, USP; meperidine HCl, USP; Mestinon® /Regonol®  (pyridostigmine bromide); morphine sulfate, USP; Nubain®  (nalbuphine HCl); Numorphan®  (oxymorphone HCl); procaine HCl, USP; promethazine HCl, USP; Prostigmin®  (neostigmine methylsulfate, USP); scopolamine HBr, USP; Stadol®  (butorphanol tartrate); Sublimaze®  (fentanyl citrate); Tigan®  (trimethobenzamide HCl); and Vistaril®  (hydroxyzine HCl). Glycopyrrolate Injection may be administered via the tubing of a running infusion of normal saline.

Admixture Incompatibilities

SPL UNCLASSIFIED SECTION

PHYSICAL INCOMPATIBILITY

SPL UNCLASSIFIED SECTION

Since the stability of glycopyrrolate is questionable above a pH of 6.0 do not combine Glycopyrrolate Injection in the same syringe with Brevital® (methohexital Na); Chloromycetin® (chloramphenicol Na succinate); Dramamine® (dimenhydrinate); Nembutal® (pentobarbital Na); Pentothal® (thiopental Na); Seconal® (secobarbital Na); sodium bicarbonate (Abbott); Valium® (diazepam); Decadron® (dexamethasone Na phosphate); or Talwin® (pentazocine lactate). These mixtures will result in a pH higher than 6.0 and may result in gas production or precipitation.

HOW SUPPLIED

HOW SUPPLIED SECTION

Glycopyrrolate Injection, USP, 0.2 mg per mL is available as a preservative-free, clear, colorless solution supplied in single-dose prefilled syringes as follows:

1 mL single-dose prefilled disposable syringe packaged in 10s (NDC 0641-6212-10)

2 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].

Discard unused portion.

Sensitive to heat – Do not autoclave.

Do not place syringe on a sterile field.

To report SUSPECTED ADVERSE REACTIONS, contact Hikma Pharmaceuticals USA Inc. at 1-877-845-0689, or the FDA at 1-800-FDA-1088 or www.fda.gov/medwatch.

For Product Inquiry call 1-877-845-0689.

INSTRUCTIONS FOR USE

SPL UNCLASSIFIED SECTION

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. Assure 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.

Figure 1

Syringe Image
Syringe Image

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

Figure 2Figure 2

6. Discard the tip cap.

7. Expel air bubble.

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

9. Connect the syringe to appropriate injection connection depending on 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.

When a needle is connected to the syringe, to prevent needle-stick injuries, do not recap needles.

NOTES:

  • All steps must be performed sequentially
  • Do not autoclave syringe
  • Do not use this product on a sterile field
  • Do not introduce any other fluid into the syringe at any time
  • This product is for single dose only; discard unused portion

SPL UNCLASSIFIED SECTION

Manufactured by:

Hikma Pharmaceuticals USA Inc.

Berkeley Heights, NJ 07922

462-059-01

Revised July 2025

PRINCIPAL DISPLAY PANEL

PACKAGE LABEL.PRINCIPAL DISPLAY PANEL

NDC 0641-6212-01Rx 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 1ml Syringe label
Glycopyrrolate 1ml 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 Carton
Glycopyrrolate 1 ml Carton

PRINCIPAL DISPLAY PANEL

PACKAGE LABEL.PRINCIPAL DISPLAY PANEL

NDC 0641-6213-01Rx 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 label
Glycopyrrolate 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 Syringes

Discard unused portion.


Glycopyrrolate 2 ml Carton
Glycopyrrolate 2 ml Carton

DailyMed RxNorm Mappings#

RxCUI, RxNorm string, TTY table
RxCUIRxNorm stringTTYSPL version
2101490glycopyrrolate 0.2 MG in 1 ML Prefilled SyringePSN9
2101495glycopyrrolate 0.4 MG in 2 ML Prefilled SyringePSN9
21014901 ML glycopyrrolate 0.2 MG/ML Prefilled SyringeSCD9
21014952 ML glycopyrrolate 0.2 MG/ML Prefilled SyringeSCD9
2101490glycopyrrolate 0.2 MG per 1 ML Prefilled SyringeSY9
2101490glycopyrrolate 0.2 MG/ML per 1 ML Prefilled SyringeSY9
2101495glycopyrrolate 0.2 MG/ML per 2 ML Prefilled SyringeSY9
2101495glycopyrrolate 0.4 MG per 2 ML Prefilled SyringeSY9

DailyMed Pharmacologic Classes#

Class, Version, Type table
ClassVersionTypeEffective
GLYCOPYRRONIUM Pharmacologic Class Indexing4Indexing - Pharmacologic Class20231113

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

DailyMed Product Concepts#

Product concept, Relation, Version table
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58b12de9-b891-41c7-9be6-ff47de5ec28bProduct name120180828
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 Package Descriptions#

Package NDC, Product, Description table
Package NDCProductDescriptionFormQuantityStrengthSPL version
0641-6212-01Glycopyrrolate1 mL in 1 SYRINGE, GLASSINJECTION19
0641-6212-10Glycopyrrolate10 in 1 CARTONINJECTION109
0641-6213-01Glycopyrrolate2 mL in 1 SYRINGE, GLASSINJECTION29
0641-6213-10Glycopyrrolate10 in 1 CARTONINJECTION109

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
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 43.

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 · 43 observed states.

Captured, Edition, Application-product table
CapturedEditionApplication-productTrade nameStrengthDosage form / routeProduct TE source textRLD / RSApproval dateSource SHA-256
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…
2022-10-28 04:53 UTC2022-10N017558-001ROBINUL0.2MG/ML **Federal Register determination that product was not discontinued or withdrawn for safety or effectiveness reasons**INJECTABLE / INJECTIONRLD, Approved before 1982f41ea6bd6efb…

Observed Orange Book normalized TE history#

Captured, Edition, Application-product table
CapturedEditionApplication-productTE codeOrderSource SHA-256
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 id: 9cafddcc-42f5-486b-9a17-46d75bd6227b
spl set id: 960d2dd0-008d-4ec1-ba2e-9388b28b23e2

Reported adverse events (FAERS/openFDA)#

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