Why is this medication prescribed?

Perforomist is a brand name for a medication that contains the active ingredient formoterol, which is a long-acting beta2-adrenergic agonist (LABA). It is primarily prescribed to manage symptoms of chronic obstructive pulmonary disease (COPD), including chronic bronchitis and emphysema. Formoterol works by relaxing the muscles in the airways, making it easier for individuals with COPD to breathe.

How should this medicine be used?

Here are general guidelines for using Perforomist:

• Dosage: The typical dose of Perforomist is usually one inhalation (20 mcg) twice daily, about 12 hours apart.
• Inhalation Technique: Perforomist is administered using a nebulizer, which is a machine that converts the liquid medication into a fine mist that can be inhaled. The nebulizer is typically used with a mouthpiece or a face mask. Your healthcare provider will instruct you on the proper use of the nebulizer and the specific dose of Perforomist to use.
• Consistency: It’s important to use Perforomist regularly as prescribed, even if you feel well. Do not exceed the recommended dosage unless instructed by your healthcare provider.
• Storage: Store Perforomist vials in a dry place at room temperature. Protect them from freezing and direct sunlight. Follow the storage instructions provided by your pharmacist.
• Missed Dose: If you miss a dose, take it as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double up on doses to make up for a missed one.
• Precautions: Inform your healthcare provider about all medications you are taking, including prescription and over-the-counter drugs, as well as any herbal supplements. Some medications may interact with Perforomist.
• Monitoring: Your healthcare provider may monitor your lung function and adjust your treatment plan as needed. If you experience any worsening of symptoms or if the medication seems less effective, contact your healthcare provider.

Always follow your healthcare provider’s instructions and seek their guidance if you have any questions or concerns about using Perforomist or any other medication. It’s important to have regular check-ups and communication with your healthcare team to ensure that your COPD is well-managed.

Other uses for this medicine

Perforomist, containing the active ingredient formoterol, is primarily prescribed for the management of chronic obstructive pulmonary disease (COPD), including chronic bronchitis and emphysema. It is not typically used for other conditions. However, any use of medication should be discussed and determined by a healthcare professional based on an individual’s specific medical history and needs.

What special precautions should I follow?

Special precautions to consider when using Perforomist include:

• Allergies: Inform your healthcare provider if you are allergic to formoterol or any other ingredients in Perforomist.
• Medical History: Provide a comprehensive medical history, including any heart problems, high blood pressure, seizures, diabetes, or thyroid disorders. Formoterol may have cardiovascular effects, so it is important to discuss your medical history with your healthcare provider.
• Medication Interactions: Inform your healthcare provider about all the medications you are currently taking, including prescription and over-the-counter drugs, as well as herbal supplements. Certain medications, such as beta-blockers, may interact with formoterol.
• Pregnancy and Breastfeeding: If you are pregnant, planning to become pregnant, or breastfeeding, discuss the potential risks and benefits of using Perforomist with your healthcare provider. The safety of formoterol during pregnancy and breastfeeding is not well established, and decisions should be made on a case-by-case basis.
• Cardiovascular Effects: Formoterol, like other long-acting beta2-adrenergic agonists (LABAs), may increase the risk of cardiovascular events, including heart attack and stroke. This risk should be carefully considered in individuals with pre-existing cardiovascular conditions.
• Worsening Symptoms: If your COPD symptoms worsen or if you feel that the medication is not as effective as usual, contact your healthcare provider. Do not increase the dose without consulting your healthcare provider.
• Emergency Situations: Perforomist should not be used for the relief of acute symptoms or in emergency situations. It is not a rescue medication, and a short-acting bronchodilator should be prescribed for sudden symptoms.

Always follow the prescribed dosage and instructions provided by your healthcare provider. If you have any concerns or experience adverse effects while using Perforomist, contact your healthcare provider promptly. This information is not exhaustive, and individual circumstances may warrant additional precautions. Always consult with your healthcare provider for personalized advice based on your health status and medical history.

What special dietary instructions should I follow?

There are generally no specific dietary restrictions associated with Perforomist. However, it’s important to maintain a healthy and balanced diet, especially if you have underlying medical conditions such as diabetes or cardiovascular issues. Always follow your healthcare provider’s recommendations regarding diet and lifestyle.

What should I do if I forget a dose?

If you forget to take a dose of Perforomist, follow these general guidelines:

• As Soon as You Remember: Take the missed dose as soon as you remember.
• Close to the Next Dose: If it is almost time for your next scheduled dose, skip the missed dose and continue with your regular dosing schedule.
• Do Not Double Up: Do not take a double dose to make up for a missed one.
• Consult Your Healthcare Provider: If you are unsure about what to do or if you have missed several doses, contact your healthcare provider for guidance.

What side effects can this medication cause?

Perforomist (formoterol) may cause side effects, and it’s important to be aware of them. Not everyone will experience these side effects, and some individuals may experience side effects that are not listed here. If you are prescribed Perforomist, your healthcare provider will weigh the potential benefits against the risks and monitor you for any adverse reactions. Common side effects of Perforomist may include:

• Common Side Effects:
  • Tremor: Shaking or trembling, especially in the hands.
  • Nervousness: Feeling anxious or jittery.
  • Headache: Pain or discomfort in the head.
  • Dizziness: Feeling lightheaded or unsteady.
• Cardiovascular Effects: Long-acting beta2-adrenergic agonists (LABAs) like formoterol may increase the risk of cardiovascular events. Notify your healthcare provider if you experience symptoms such as chest pain, rapid or irregular heartbeat, increased blood pressure, or other signs of heart problems.
• Allergic Reactions: While rare, allergic reactions can occur. Seek medical attention if you experience symptoms such as rash, itching, swelling (especially of the face, tongue, or throat), severe dizziness, or difficulty breathing.
• Paradoxical Bronchospasm: In some cases, LABAs like formoterol may cause paradoxical bronchospasm, which is a sudden worsening of breathing difficulty. If this occurs, discontinue the medication and seek medical attention.
• Hypokalemia (Low Potassium): Formoterol can lead to decreased potassium levels in the blood. Symptoms of low potassium may include muscle weakness, uneven heart rate, or a feeling of being unusually tired.
• Hyperglycemia (High Blood Sugar): LABAs may affect blood glucose levels. Diabetic patients should monitor their blood sugar closely, and adjustments to diabetes medications may be necessary.

It’s important to report any side effects or concerns to your healthcare provider promptly. Do not stop taking Perforomist or adjust the dosage without consulting your healthcare provider, as sudden discontinuation may lead to worsening symptoms.

This list is not exhaustive, and individual responses to medication can vary. Your healthcare provider will provide you with detailed information about the potential side effects of Perforomist based on your specific health status and medical history. If you experience severe or persistent side effects, seek medical attention.

What should I know about storage and disposal of this medication?

Storage and Disposal of Perforomist:

• Storage:
  • Store Perforomist at room temperature in a dry place.
  • Protect the medication from freezing and direct sunlight.
  • Keep it away from excessive heat.
• Avoid Moisture: Ensure that the Perforomist vials are kept in a dry environment to prevent moisture from affecting the medication.
• Do Not Repackage: Do not transfer the medication from the foil pouch until you are ready to use it. Use the medication within a certain time frame after opening, as directed by your healthcare provider or pharmacist.
• Keep Out of Reach of Children: Store Perforomist out of the reach of children and pets.
• Discard Expired Medication: Check the expiration date on the packaging and do not use the medication if it has expired. Follow proper disposal procedures for expired or unused medication.

In case of emergency/overdose

In case of an emergency or overdose, seek immediate medical attention. Symptoms of overdose may include:

• Severe chest pain
• Irregular or fast heartbeat
• Tremors or shaking
• Seizures
• Fainting

What other information should I know?

• Regular Monitoring: Your healthcare provider may monitor your lung function and overall health regularly to assess the effectiveness of Perforomist and make any necessary adjustments to your treatment plan.
• Follow Healthcare Provider’s Instructions: Always follow your healthcare provider’s instructions regarding the use of Perforomist. Do not adjust the dosage or stop taking the medication without consulting your healthcare provider.
• Inform Healthcare Provider: Inform your healthcare provider about all medications you are taking, including prescription drugs, over-the-counter medications, and herbal supplements.
• Rescue Medication: Perforomist is not a rescue medication. Your healthcare provider may prescribe a short-acting bronchodilator for acute symptoms or emergencies.
• Medical Alert Identification: If you have a history of severe allergies or medical conditions, consider wearing a medical alert identification to inform healthcare providers in case of emergencies.
• Consultation with Healthcare Provider: If you have any questions or concerns about Perforomist, its side effects, or its use, consult your healthcare provider or pharmacist for clarification.

Always follow your healthcare provider’s guidance and recommendations for the safe and effective use of Perforomist. If you experience any unexpected or severe side effects, seek prompt medical attention.