{"id":62,"date":"2026-04-08T09:25:38","date_gmt":"2026-04-08T09:25:38","guid":{"rendered":"https:\/\/www.merckconnect.com\/ohtuvayre\/?page_id=62"},"modified":"2026-08-21T22:17:37","modified_gmt":"2026-08-21T22:17:37","slug":"adverse-reactions","status":"publish","type":"page","link":"https:\/\/www.merckconnect.com\/ohtuvayre\/adverse-reactions\/","title":{"rendered":"Safety profile"},"content":{"rendered":"<link rel='stylesheet' id='vivid360-spacer-css-css' href='https:\/\/www.merckconnect.com\/ohtuvayre\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/spacer\/css\/style.min.css?ver=1775653743' media='all' \/>\n\n<div style=\"background-color:transparent;--desktop-spacer:0px;--tablet-spacer:0px;--mobile-spacer:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-tablet vivid360-spacer-mobile\"><\/div>\n\n\n<link rel='stylesheet' id='vivid360-hero-css-css' href='https:\/\/www.merckconnect.com\/ohtuvayre\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/hero\/css\/style.min.css?ver=1785934614' media='all' \/>\n\n<div id=\"\" class=\"wp-block-vivid360-hero\"><div class=\"vivid360-hero-container align-left align-middle ratio-70-30 horizontal mobile text-align-left has-primary-dark-color is-default-style mobile-uses-desktop-styles\" style=\"border-width:0;border-style:solid;border-top-left-radius:0;border-top-right-radius:0;border-bottom-right-radius:0;border-bottom-left-radius:0;--minHeight:117px;--videoOpacity:0.6\" data-desktop-autoplay=\"true\" data-mobile-autoplay=\"true\" data-desktop-playback-mode=\"loop\" data-mobile-playback-mode=\"loop\"><div class=\"wide_screens hidden\" data-value=\"default\"><\/div><picture><source media=\"(max-width: 767px)\" srcset=\"https:\/\/www.merckconnect.com\/ohtuvayre\/wp-content\/uploads\/sites\/378\/2026\/04\/d8d0ef483739fda8704e33351262fbefeeba0d1a_94c617.png?w=767\"\/><source media=\"(min-width: 768px) and (max-width: 1024px)\" srcset=\"https:\/\/www.merckconnect.com\/ohtuvayre\/wp-content\/uploads\/sites\/378\/2026\/04\/d8d0ef483739fda8704e33351262fbefeeba0d1a_94c617.png?w=1024\"\/><source media=\"(min-width: 1025px) and (max-width:1440px)\" srcset=\"https:\/\/www.merckconnect.com\/ohtuvayre\/wp-content\/uploads\/sites\/378\/2026\/04\/d8d0ef483739fda8704e33351262fbefeeba0d1a_94c617.png?w=1440\"\/><img decoding=\"async\" width=\"2256\" height=\"324\" loading=\"lazy\" data-src=\"https:\/\/www.merckconnect.com\/ohtuvayre\/wp-content\/uploads\/sites\/378\/2026\/04\/d8d0ef483739fda8704e33351262fbefeeba0d1a_94c617.png?w=1920\" src=\"https:\/\/www.merckconnect.com\/ohtuvayre\/wp-content\/uploads\/sites\/378\/2026\/04\/d8d0ef483739fda8704e33351262fbefeeba0d1a_94c617.png?w=1920\" alt=\"\" class=\"hero-image\" style=\"--desktop-focal-x:100%;--desktop-focal-y:100%;--mobile-focal-x:100%;--mobile-focal-y:100%;--tablet-focal-x:100%;--tablet-focal-y:100%\"\/><\/picture><div class=\"hero-wrapper\"><div class=\"hero-content\"><h1 style=\"--headlineFontSize:36px;--headlineFontSizeTablet:36px;--headlineFontSizeMobile:24px;--headlineLineHeight:45px;--headlineLineHeightTablet:45px;--headlineLineHeightMobile:36px\" class=\"hero-title fontWeightBold\">OHTUVAYRE\u00ae (ensifentrine) safety profile<\/h1><p class=\"hero-description\"><\/p><div class=\"hero-btn-group\"><\/div><div class=\"hero-caption\"><\/div><\/div><\/div><\/div><div class=\"hero-caption-2mobile\"><\/div><div id=\"video-a11y-announcer\" aria-live=\"polite\" aria-atomic=\"true\" style=\"position:absolute; left:-9999px;\"><\/div><\/div>\n\n\n\n<div style=\"background-color:transparent;--desktop-spacer:16px;--tablet-spacer:0px;--mobile-spacer:0px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-tablet vivid360-spacer-mobile\"><\/div>\n\n\n<link rel='stylesheet' id='vivid360-heading-css-css' href='https:\/\/www.merckconnect.com\/ohtuvayre\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/heading\/css\/style.min.css?ver=1775653743' media='all' \/>\n\n<div class=\"vivid360-heading default-hcp-fontsize default-hcp-tablet-fontsize\" id=\"a27ebdfdb-5d24-48c9-87b1-7ab0dea96a78\"><h2 class=\"has-primary-dark-color content-width fontWeightBold mt-0 mb-0\" style=\"--desktopFontSize:var(--h2FontSizeDesktop);--tabletFontSize:var(--h2FontSizeDesktop);--mobileFontSize:20px;--desktopLineHeightSize:var(--h2LineHeightDesktop);--tabletLineHeightSize:var(--h2LineHeightDesktop);--mobileLineHeightSize:\" id=\"\">Adverse reactions in the ENHANCE trials<sup>1<\/sup><\/h2><\/div>\n\n\n\n<div class=\"wp-block-columns are-vertically-aligned-top mb-0 is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-vertically-aligned-top is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:33.33%\"><link rel='stylesheet' id='vivid360-quote-css-css' href='https:\/\/www.merckconnect.com\/ohtuvayre\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/quote\/css\/style.min.css?ver=1775653743' media='all' \/>\n\n<div id=\"\" class=\"wp-block-vivid360-quote has-text-align-left has-vertical-bar mt-0\"><blockquote><p class=\"quote-content\"><span class=\"vertical-bar\" style=\"background-color:#7a40cc\"><\/span><span class=\"h2 fontWeightRegular\"><\/span><span class=\"has-regular-font-size\"><strong>Discontinuation of OHTUVAYRE due to adverse reactions<\/strong>.<br><br>7.6% in the OHTUVAYRE group vs 8.2% on placebo<br><br>Adverse reactions reported in the 48-week cohort were consistent with those observed in the pooled 24-week safety population.<br><\/span><span class=\"has-small-font-size\">ENHANCE, <strong>E<\/strong>nsifentrine as a <strong>N<\/strong>ovel in<strong>HA<\/strong>led <strong>N<\/strong>ebulized <strong>C<\/strong>OPD th<strong>E<\/strong>rapy.<\/span><\/p><\/blockquote><\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-vertically-aligned-top is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:66.66%\">\n<div style=\"background-color:transparent;--desktop-spacer:32px;--tablet-spacer:0px;--mobile-spacer:0px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-tablet vivid360-spacer-mobile\"><\/div>\n\n\n\n<div class=\"vivid360-heading\" id=\"ae0fe9fa3-d128-4081-9580-c7d618f6aecd\"><h4 class=\"has-primary-dark-color has-text-align-center content-width fontWeightBold mt-0 mb-0\" style=\"--desktopFontSize:var(--h4FontSizeDesktop);--tabletFontSize:var(--h4FontSizeDesktop);--mobileFontSize:var(--h4FontSizeMobile);--desktopLineHeightSize:var(--h4LineHeightDesktop);--tabletLineHeightSize:var(--h4LineHeightDesktop);--mobileLineHeightSize:;--tabletAlign:center;--mobileAlign:center\" id=\"\">Adverse reactions \u22651% and more common than placebo in patients with COPD in the pooled 24-week safety population (ENHANCE-1 and ENHANCE-2)<\/h4><\/div>\n\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n<link rel='stylesheet' id='vivid360-table-css-css' href='https:\/\/www.merckconnect.com\/ohtuvayre\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/table\/css\/style.min.css?ver=6.8.8' media='all' \/>\n<link rel='stylesheet' id='vivid360-table-sortable-css-css' href='https:\/\/www.merckconnect.com\/ohtuvayre\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/table\/css\/sortable.min.css?ver=6.8.8' media='all' \/>\n\n<figure class=\"wp-block-vivid360-table content-width mt-0-mb-0\"><table id=\"ae44680ca-7d96-4835-8db6-3fc8b82f282d-vivid360-table-id\" class=\"ae44680ca-7d96-4835-8db6-3fc8b82f282d squished\" style=\"--tableBorder:1px solid #e4e4e4;--tableBorderRadius:0\" role=\"grid\"><tbody><tr style=\"background-color:#fff\"><td class=\"has-regular-font-size\" style=\"color:#0e0d5c!important\" width=\"33%\" data-text-color=\"#0e0d5c\"><strong><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-primary-dark-color\">Adverse reactions<\/mark><\/strong><\/td><td class=\"has-text-align-center has-regular-font-size\" style=\"color:#0e0d5c!important\" data-align=\"center\" bgcolor=\"#7bd6f6\" data-text-color=\"#0e0d5c\"><strong><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-primary-dark-color\">OHTUVAYRE<br>N=975<\/mark><\/strong><br><strong>n (%)<\/strong><\/td><td class=\"has-text-align-center has-regular-font-size\" style=\"color:#555!important\" data-align=\"center\" bgcolor=\"#e4e4e4\" data-text-color=\"#555\"><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-dark-gray-color\"><strong>Placebo<br>N=574<\/strong><\/mark><br><strong>n (%)<\/strong><\/td><\/tr><tr style=\"background-color:#FFF\"><td class=\"has-regular-font-size\" style=\"color:#0e0d5c!important\" width=\"33%\" data-text-color=\"#0e0d5c\"><strong>Back pain<\/strong><\/td><td class=\"has-text-align-center has-regular-font-size\" style=\"color:#0e0d5c!important\" data-align=\"center\" data-text-color=\"#0e0d5c\"><strong>18 (1.8%)<\/strong><\/td><td class=\"has-text-align-center has-regular-font-size\" style=\"color:#555!important\" data-align=\"center\" data-text-color=\"#555\"><strong>6 (1.0%)<\/strong><\/td><\/tr><tr style=\"background-color:#fff\"><td class=\"has-regular-font-size\" style=\"color:#0e0d5c!important\" width=\"33%\" data-text-color=\"#0e0d5c\"><strong><span class=\"no-wrap-text\">Hypertension<\/span><\/strong><\/td><td class=\"has-text-align-center has-regular-font-size\" style=\"color:#0e0d5c!important\" data-align=\"center\" data-text-color=\"#0e0d5c\"><strong>17 (1.7%)<\/strong><\/td><td class=\"has-text-align-center has-regular-font-size\" style=\"color:#555!important\" data-align=\"center\" data-text-color=\"#555\"><strong>5 (0.9%)<\/strong><\/td><\/tr><tr style=\"background-color:#FFF\"><td class=\"has-regular-font-size\" style=\"color:#0e0d5c!important\" width=\"33%\" data-text-color=\"#0e0d5c\"><strong>Urinary tract infection<\/strong><\/td><td class=\"has-text-align-center has-regular-font-size\" style=\"color:#0e0d5c!important\" data-align=\"center\" data-text-color=\"#0e0d5c\"><strong>13 (1.3%)<\/strong><\/td><td class=\"has-text-align-center has-regular-font-size\" style=\"color:#555!important\" data-align=\"center\" data-text-color=\"#555\"><strong>6 (1.0%)<\/strong><\/td><\/tr><tr style=\"background-color:#fff\"><td class=\"has-regular-font-size\" style=\"color:#0e0d5c!important\" width=\"33%\" data-text-color=\"#0e0d5c\"><strong>Diarrhea<\/strong><\/td><td class=\"has-text-align-center has-regular-font-size\" style=\"color:#0e0d5c!important\" data-align=\"center\" data-text-color=\"#0e0d5c\"><strong>10 (1.0%)<\/strong><\/td><td class=\"has-text-align-center has-regular-font-size\" style=\"color:#555!important\" data-align=\"center\" data-text-color=\"#555\"><strong>4 (0.7%)<\/strong><\/td><\/tr><\/tbody><\/table><div class=\"\"><small class=\"table-caption\"><\/small><\/div><\/figure>\n<\/div>\n<\/div>\n\n\n\n<div style=\"background-color:transparent;--desktop-spacer:0px;--tablet-spacer:0px;--mobile-spacer:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-tablet vivid360-spacer-mobile\"><\/div>\n\n\n\n<p><strong>Please see additional <\/strong><a aria-label=\"on page link to Ohtuvayre warnings and precations\" href=\"#warnings-precautions\" type=\"internal\" id=\"#warnings-precautions\"><strong>Warnings and Precautions<\/strong><\/a><strong> within the Select Safety Information, including acute episodes of bronchospasm, paradoxical bronchospasm, and psychiatric events including suicidality.<\/strong><\/p>\n\n\n\n<div style=\"background-color:transparent;--desktop-spacer:53px;--tablet-spacer:24px;--mobile-spacer:24px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-tablet vivid360-spacer-mobile\"><\/div>\n\n\n\n<div id=\"\" class=\"wp-block-vivid360-hero\"><div class=\"vivid360-hero-container align-left align-middle ratio-30-70 horizontal mobile text-align-left has-white-color is-split-style split-image-right mobile-is-split-style mobile-split-image-top mobile-uses-custom-styles\" style=\"border-width:0;border-style:solid;border-top-left-radius:0;border-top-right-radius:0;border-bottom-right-radius:0;border-bottom-left-radius:0;background:linear-gradient(270deg,rgb(30,72,150) 0%,rgb(14,19,92) 100%);--minHeight:370px;--mobileMinHeight:440px;--videoOpacity:0.6\" data-desktop-autoplay=\"true\" data-mobile-autoplay=\"true\" data-desktop-playback-mode=\"loop\" data-mobile-playback-mode=\"loop\"><div class=\"wide_screens hidden\" data-value=\"default\"><\/div><picture><source media=\"(max-width: 767px)\" srcset=\"https:\/\/www.merckconnect.com\/ohtuvayre\/wp-content\/uploads\/sites\/378\/media\/Safety-Mobile.webp?w=767\"\/><source media=\"(min-width: 768px) and (max-width: 1024px)\" srcset=\"https:\/\/www.merckconnect.com\/ohtuvayre\/wp-content\/uploads\/sites\/378\/media\/Safety-Mobile.webp?w=1024\"\/><source media=\"(min-width: 1025px) and (max-width:1440px)\" srcset=\"https:\/\/www.merckconnect.com\/ohtuvayre\/wp-content\/uploads\/sites\/378\/media\/Safety-Desktop-copy.webp?w=1440\"\/><img decoding=\"async\" width=\"1439\" height=\"789\" loading=\"lazy\" data-src=\"https:\/\/www.merckconnect.com\/ohtuvayre\/wp-content\/uploads\/sites\/378\/media\/Safety-Desktop-copy.webp?w=1590\" src=\"https:\/\/www.merckconnect.com\/ohtuvayre\/wp-content\/uploads\/sites\/378\/media\/Safety-Desktop-copy.webp?w=1590\" alt=\"\" class=\"hero-image\" style=\"--desktop-focal-x:50%;--desktop-focal-y:50%;--mobile-focal-x:50%;--mobile-focal-y:50%;--tablet-focal-x:50%;--tablet-focal-y:50%\"\/><div class=\"capoverlay-container-mobile right-bottom show  show_mobile isMobileOverlayChecked label desktop-default-font\" style=\"--top-margin:;--bottom-margin:;--left-margin:;--right-margin:\"><div class=\"overlay-caption-schema\">Actor Portrayal<\/div><\/div><div class=\"mobile-caption capoverlay-container-mobile left-bottom  label desktop-default-font\" style=\"--top-margin-mob:;--bottom-margin-mob:;--left-margin-mob:;--right-margin-mob:\"><div class=\"overlay-caption-schema\">Actor Portrayal<\/div><\/div><\/picture><div class=\"hero-wrapper\"><div class=\"hero-content\"><h2 style=\"--headlineFontSize:24px;--headlineFontSizeTablet:24px;--headlineFontSizeMobile:20px;--headlineLineHeight:36px;--headlineLineHeightTablet:36px;--headlineLineHeightMobile:30px\" class=\"hero-title fontWeightBold\"><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-primary-light-color\">Learn about<\/mark> the delivery system of OHTUVAYRE.<\/h2><p class=\"hero-description\"><\/p><div class=\"hero-btn-group\"><link rel='stylesheet' id='vivid360-button-block-css-css' href='https:\/\/www.merckconnect.com\/ohtuvayre\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/button\/css\/style.min.css?ver=1783718418' media='all' \/>\n<link rel='stylesheet' id='vivid360-button-parent-block-css-css' href='https:\/\/www.merckconnect.com\/ohtuvayre\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/button-parent\/css\/style.min.css?ver=6.8.8' media='all' \/>\n\n<div class=\"vivid360-button-block fullWidth-mobile custom-width-345px\"><a class=\"btn primary primary-regular has-icon icon-right has-white-border-color has-white-background-color has-primary-dark-color hovered hoveredTextColor hoveredBorderColor\" role=\"button\" aria-label=\"link to the Ohtuvayre dosage and administration page\" style=\"font-size:14px;letter-spacing:0.86px;border-radius:60px;border-style:solid;justify-content:center;--hoverColor:#FFF;--hoverTextColor:#0e0d5c;--hoverBorderColor:#FFF;text-align:left;width:100%\" href=\"https:\/\/www.merckconnect.com\/ohtuvayre\/dosage-and-administration\/\" title=\"Learn about dosage and administration\" target=\"_self\" rel=\"noopener\" data-design-category=\"button\" data-design-label=\"Learn about dosage and administration\" data-design-module=\"element\" data-event-name=\"element_click\">Learn about dosage and administration<span aria-hidden=\"true\" class=\"icon-arrow-right\"><\/span><\/a><\/div>\n<\/div><div class=\"hero-caption\"><\/div><\/div><\/div><\/div><div class=\"hero-caption-2mobile\"><\/div><div id=\"video-a11y-announcer\" aria-live=\"polite\" aria-atomic=\"true\" style=\"position:absolute; left:-9999px;\"><\/div><\/div>\n\n\n\n<div style=\"background-color:transparent;--desktop-spacer:16px;--tablet-spacer:16px;--mobile-spacer:16px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-tablet vivid360-spacer-mobile\"><\/div>\n\n\n\n<div class=\"vivid360-heading\" id=\"a04194572-596e-482b-8fa9-4106976ece9c\"><h3 class=\"content-width fontWeightBold mt-0 mb-0\" style=\"--desktopFontSize:var(--h3FontSizeDesktop);--tabletFontSize:var(--h3FontSizeDesktop);--mobileFontSize:var(--h3FontSizeMobile);--desktopLineHeightSize:var(--h3LineHeightDesktop);--tabletLineHeightSize:var(--h3LineHeightDesktop);--mobileLineHeightSize:\" id=\"\">References<\/h3><\/div>\n\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n<link rel='stylesheet' id='vivid360-list-parent-css-css' href='https:\/\/www.merckconnect.com\/ohtuvayre\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/list-parent\/css\/style.css?ver=1775653743' media='all' \/>\n\n<div class=\"vivid-block-list2 content-width  \">\n<ol style=\"--listBulletColor:#333\" class=\"list-bullet-color\">\n<li class=\"has-small-font-size\">Anzueto A, Barjaktarevic IZ, Siler TM, et al. Ensifentrine, a novel phosphodiesterase 3 and 4 inhibitor for the treatment of chronic obstructive pulmonary disease: randomized, double-blind, placebo-controlled, multicenter phase III trials (the ENHANCE trials). <em>Am J Respir Crit Care Med<\/em>. 2023;208(4):406-416. doi:10.1164\/rccm.202306-0944OC<\/li>\n<\/ol>\n<\/div>\n\n\n\n<div style=\"background-color:transparent;height:16px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-16\"><\/div>\n","protected":false},"excerpt":{"rendered":"<p>Please see additional Warnings and Precautions within the Select Safety Information, including acute episodes of bronchospasm, paradoxical bronchospasm, and psychiatric events including&#8230;<\/p>\n","protected":false},"author":605,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"_trash_the_other_posts":false,"editor_notices":[],"footnotes":""},"ga4_page_audience":[8],"ga4_page_birn_id":[],"ga4_page_branding":[25],"ga4_page_businessunit":[30],"ga4_page_campaign":[],"ga4_page_content_purpose":[81],"ga4_page_customer_journey_stage":[102],"ga4_page_customer_specialty":[163],"ga4_page_experience":[],"ga4_page_indication":[324],"ga4_page_material_intent":[364],"ga4_page_product":[],"ga4_page_region":[748],"ga4_page_therapeuticarea":[814],"user_role":[],"mhh-area-of-interest":[],"access":[],"user_status":[],"class_list":["post-62","page","type-page","status-publish"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Adverse Reactions for OHTUVAYRE\u00ae (ensifentrine)<\/title>\n<meta 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