Adverse events
total of 4438 patients with COPD
diarrhea (9.5% of patients)
weight loss (7.5%)
common in patients with severe COPD
Independent risk factor for mortality
most weight loss occurred in the first six months of roflumilast therapy
reversible within 12 weeks of stopping treatment
nausea (4.7%)
and headache (4.4%)
Discontinuation due to adverse events,
most commonly diarrhea and nausea
14.8% with roflumilast
9.9% with placebo use