A medicament comprising, separately or together (A) glycopyrrolate and (B) either a compound of formula Iin free or salt or solvate form, wherein W, Rx, Ry, R1, R2, R3, R4, R5, R6and R7have the meanings as indicated in the specification, or a compound of formula IIin free or salt or solvate form, wherein X has the meaning as indicated in the specification, for simultaneous, sequential or separate administration in the treatment of an inflammatory or obstructive airways disease. Pharmaceutical compositions that contain (A) and (B) are also described.本發明描述一種藥物,其獨立地或同時包含(A)格隆溴銨(glycopyrrolate);及(B)游離或鹽或溶劑合物形式之式I的化合物:其中W、Rx、Ry、R1、R2、R3、R4、R5、R6及R7具有如說明書中所指示之含義,或游離或鹽或溶劑合物形式之式II的化合物:其中X具有如說明書中所指示之含義,(A)與(B)可同時、連續或獨立地投與來治療發炎性或阻塞性氣管疾病。本發明亦描述含有(A)及(B)之醫藥組合物。