Oxima Plus@Acucap is the preparation of Indacaterol and Glycopyrronium. Indacaterol is a long acting ß2-agonist(LABA) which stimulates intracellularadenyl cyclase, causing conversion of ATP to cyclic AMP and increased cyclic AMP levels cause relaxation of bronchial smooth muscle. Glycopyrronium is a long acting muscarinic antagonist (LAMA) which is often referred to as an anticholinergic. It produces bronchodilation by inhibiting acetylcholine's effect on muscarinic receptors in the airway smooth muscle.