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Serious side effects are infrequent, but you should consult your doctor or pharmacist immediately if you experience any of the following:

• skin allergies, hives, skin itching or rash, reddening or swelling of the skin
• eye pain, visual halos, temporary blurring of vision  or colored images associated with red eyes. This may be a sign of an acute attack of narrow-angle glaucoma
• fever or chills, increased mucus production, change in mucus color, or increased cough or breathing difficulties which may be symptoms of a lung infection
• swelling of mucous membranes, especially of the eyes, face, lips and throat.

More common side effects that should clear up within a few days include::

• Sore throat
• Runny or stuffy nose and sneezing
• Fungal infections of the mouth
• Hoarseness
• Headache
• Urinary tract infection
• Swallowing difficulties
• Fungal infections of the throat, gullet or the vagina
• Restlessness
• Trembling, dizziness, numbness, tiredness
• Reduced sense of taste
• Inflammation of the ear
• Changes in the heart rate, like irregular heartbeat, fast pulse or palpitations
• Nose bleed
• Diarrhea, nausea, upset stomach or discomfort after meals

Contact your doctor or pharmacist if you experience blurred vision or other visual effects.

According to the Center for Disease Control and Prevention, more than sixteen million Americans have been diagnosed with Chronic Obstructive Pulmonary Disease (COPD). There are also many millions more who have not yet been diagnosed or treated.

The common symptoms of COPD include shortness of breath when performing activities climbing stairs, or walking uphill. Chronic obstructive pulmonary disease is usually associated with emphysema and chronic bronchitis. It can also exacerbate the effects of infections with COVID-19.

Current and previous smokers are particularly susceptible, along with people who were exposed to air pollution at home or work. There are also genetic components, so a history of emphysema or bronchitis in relatives could be a red flag. As well respiratory infections such as pneumonia also increase the risk.

COPD is diagnosed using a simple breathing test called spirometry.