WARNING

Arcapta (generic Indacaterol) is a long-acting beta agonist used for chronic obstructive pulmonary disease (COPD). While it can be effective for improving breathing, it also carries certain risks:

• Cardiovascular Issues: It may increase the risk of heart problems, such as increased heart rate, hypertension, and palpitations.
• Respiratory Effects: Some people may experience worsening of their respiratory symptoms, paradoxical bronchospasm, or other lung issues.
• Infection Risk: There may be an increased risk of respiratory infections.
• Allergic Reactions: Some users may experience allergic reactions like rash, itching, or swelling.
• Potential for Hypokalemia: It can cause low potassium levels, which might need monitoring.

It’s important to use it as prescribed and report any unusual symptoms to your healthcare provider.

Why is this medication prescribed?

Arcapta (generic name: indacaterol) is a long-acting beta-agonist used to manage chronic obstructive pulmonary disease (COPD) and sometimes asthma. It helps to relax and open the airways, making it easier to breathe. Indacaterol works by stimulating beta-2 adrenergic receptors in the lungs, leading to bronchodilation, which can help reduce symptoms like wheezing, shortness of breath, and coughing. It is typically used as a maintenance medication and is not intended for acute relief of asthma or COPD symptoms.

How should this medicine be used?

Arcapta (indacaterol) should be used as follows:

• Follow Instructions: Always follow the specific instructions provided by your healthcare provider and those included with the inhaler.
• Daily Use: Use Arcapta once daily, at the same time each day, to maintain consistent medication levels in your body. Do not use more frequently or in larger doses than prescribed.
• Prepare the Inhaler: If you’re using a dry powder inhaler, make sure it is properly loaded with the medication according to the manufacturer’s instructions.
• Inhale Correctly: Breathe out fully before using the inhaler. Place the mouthpiece in your mouth, close your lips around it, and inhale deeply and steadily. Avoid breathing in through your nose.
• Hold Your Breath: After inhaling the medication, hold your breath for about 10 seconds, or as long as comfortable, to help the medication reach your lungs.
• Rinse Your Mouth: After using Arcapta, rinse your mouth with water and spit it out. This helps reduce the risk of throat irritation and oral infections.
• Cleaning: Follow the manufacturer’s instructions for cleaning the inhaler to keep it functioning properly.
• Regular Check-ups: Regularly consult with your healthcare provider to ensure the medication is working effectively and to discuss any adjustments if necessary.

If you have any questions about how to use Arcapta or if you experience any issues, consult your healthcare provider or pharmacist for further guidance.

Other uses for this medicine

Arcapta is primarily prescribed for chronic obstructive pulmonary disease (COPD). Its main use is to help manage symptoms and improve lung function in patients with COPD. While its primary indication is for COPD, it might also be used off-label in some cases for other respiratory conditions, but this is less common and should be guided by a healthcare provider.

What special precautions should I follow?

When using Arcapta (indacaterol), consider the following precautions:

• Not for Acute Symptoms: Arcapta is not meant for the immediate relief of acute asthma or COPD symptoms. Always have a rescue inhaler (short-acting beta-agonist) available for sudden breathing problems.
• Not for Children: It is generally not recommended for use in children under 18 years of age unless prescribed by a healthcare provider.
• Use with Caution in Certain Conditions: Inform your doctor if you have a history of cardiovascular disease, high blood pressure, seizures, or thyroid disorders, as these conditions may affect how the medication works.
• Monitor for Side Effects: Watch for potential side effects like increased heart rate, palpitations, or tremors. If you experience severe side effects or signs of an allergic reaction (e.g., rash, itching, swelling, severe dizziness, trouble breathing), seek medical attention immediately.
• Avoid Overuse: Do not use more of the medication than prescribed. Overuse can lead to worsening symptoms or increased risk of side effects.
• Interactions: Inform your healthcare provider about all other medications you are taking, including other inhaled medications, as there could be potential interactions.
• Proper Inhaler Technique: Make sure you understand how to use the inhaler properly. Incorrect use can reduce the effectiveness of the medication.
• Regular Check-ups: Regularly consult your healthcare provider to monitor your condition and adjust the treatment as necessary.

Always follow your healthcare provider’s instructions and discuss any concerns or side effects with them.

What special dietary instructions should I follow?

There are no specific dietary restrictions or instructions associated with Arcapta. However, maintaining a balanced diet and staying hydrated can support overall lung health.

What should I do if I forget a dose?

If you miss a dose of Arcapta, take it as soon as you remember. However, if it is almost time for your next scheduled dose, skip the missed dose and resume your regular dosing schedule. Do not take two doses at once to make up for a missed dose.

What side effects can this medication cause?

Arcapta (indacaterol) can cause side effects, some of which might be more common than others. Common side effects include:

• Respiratory Symptoms:
  • Cough
  • Throat irritation
• Cardiovascular Effects:
  • Increased heart rate (tachycardia)
  • Palpitations
• Nervous System Effects:
  • Tremors
  • Headache
• Musculoskeletal Effects:
  • Muscle cramps
• Gastrointestinal Effects:
  • Nausea

Less common but more serious side effects include:

• Paradoxical Bronchospasm: Worsening of breathing problems, which can be severe. If this occurs, discontinue use and seek medical attention immediately.
• Allergic Reactions: Rash, itching, swelling (especially of the face/tongue/throat), severe dizziness, or trouble breathing. These symptoms require immediate medical attention.
• Cardiovascular Issues: Severe increases in heart rate or blood pressure, chest pain, or worsening of heart conditions.
• Infections: Potential risk of respiratory infections due to the inhalation of the medication.

Always report any side effects to your healthcare provider, especially if they are severe or persistent. They can provide guidance on how to manage side effects or determine if an alternative treatment might be necessary.

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

Storage and Disposal of Arcapta:

Storage:

• Keep Dry: Store Arcapta in a dry place at room temperature, away from moisture.
• Avoid Heat: Keep it away from direct heat and sunlight.
• Children and Pets: Store out of reach of children and pets to prevent accidental ingestion.

Disposal:

• Follow Instructions: Dispose of Arcapta according to the instructions provided by your pharmacist or healthcare provider.
• Medication Take-Back Programs: Consider using medication take-back programs or disposal kiosks if available, to safely discard unused or expired medication.
• Do Not Flush: Do not flush Arcapta down the toilet or pour it down the drain unless specifically instructed to do so.

In case of emergency/overdose

• Symptoms of Overdose: Overdose symptoms may include severe dizziness, rapid or irregular heartbeat, tremors, chest pain, or severe headache.
• Seek Immediate Help: Contact emergency services or go to the nearest emergency room if you suspect an overdose.
• Call Poison Control: You can also contact your local poison control center for guidance.

What other information should I know?

• Regular Use: Use Arcapta regularly as prescribed by your healthcare provider, even if you feel well. This helps to maintain control over your COPD symptoms.
• Monitoring: Regular follow-up appointments with your healthcare provider are important to monitor your response to the medication and adjust the dosage if needed.
• Inhaler Technique: Proper inhaler technique is crucial for the medication to be effective. If you’re unsure about your technique, ask your healthcare provider for a demonstration.
• Emergency Plan: Have an action plan in place for managing worsening respiratory symptoms or emergencies, as advised by your healthcare provider.

If you have any specific questions or concerns about using Arcapta, always consult your healthcare provider or pharmacist for personalized advice.