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Arcapta (Generic Indacaterol Oral Inhalation)

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Why is this medication prescribed?

Wheezing, shortness of breath, coughing, and chest tightness brought on by chronic obstructive pulmonary disease are managed with indacaterol inhalation (COPD; a group of diseases that affect the lungs and airways, which includes chronic bronchitis and emphysema). Indacaterol belongs to a group of drugs known as long-acting beta agonists (LABAs). Breathing becomes simpler as a result of the lungs’ opening and relaxation.

How should this medicine be used?

A powder-filled capsule containing indacaterol is available for oral inhalation with a specialised inhaler. Typically, it is breathed in once daily. Inhale indacaterol at roughly the same time each day. Ask your doctor or pharmacist to explain any instructions on your prescription label that you are unsure about following. Inhaling indacaterol should only be done as instructed. Use it only as directed by your doctor, neither more nor less often.

Indacaterol pills should not be consumed.

Adcaterol inhalation should not be used to treat COPD attacks that occur suddenly. For use during attacks, your doctor will prescribe a short-acting beta agonist drug like albuterol (Accuneb, Proair, Proventil, Ventolin). Your doctor will likely advise you to quit regularly using this kind of medicine but to keep using it to treat attacks if you were already doing so before starting indacaterol treatment.

Your condition may be deteriorating if your COPD symptoms worsen, indacaterol inhalation stops working as well, you require higher doses of the medication you take for sudden episodes than usual, or if the medication does not help your symptoms. Don’t take more indacaterol doses. Contact your physician right away.

Indacaterol inhalation manages COPD symptoms but does not treat the illness. Even if you feel good, continue to use indacaterol inhalation. Without first seeing your physician, do not cease using indacaterol inhalation. Your symptoms can get worse if you abruptly stop using indacaterol.

Ask your physician, pharmacist, or respiratory therapist to demonstrate how to use the indacaterol inhaler before you take it for the first time. While he or she observes, practise using the inhaler.

Only use the inhaler that comes with your prescription and the indacaterol pills. Never inhale any other kinds of capsules with the inhaler. Indacaterol capsules should not be placed in the inhaler’s mouthpiece. Breathe outside of the mouthpiece.

To release the powder, the inhaler is designed to pierce the capsule. The capsule can, however, fragment into tiny pieces inside the inhaler. If this occurs, the inhaler’s screen should prevent the fragments of capsule from entering your mouth when you inhale the drug. Even though very small fragments of the capsule may get up in your mouth or throat, they are safe to ingest or breathe in. If you are cautious to store the capsules correctly, to keep the capsules in the foil wrapper until you are ready to use them, and to pierce each capsule just once, the capsule will be less likely to shatter.

Keep the capsules in their packaging and take them out right before using. Any capsules you remove from their container but don’t use immediately away should be thrown away. Keep the capsules outside of the inhaler. Handle the capsules with dry hands and avoid exposing them to dampness.

Do not wash the inhaler; instead, keep it dry. Utilize the fresh inhaler that is provided with each prescription refill.

For a copy of the manufacturer’s information for the patient, ask your pharmacist or doctor.

Other uses for this medicine

Ask your doctor or pharmacist for more details if you believe this drug should be used for something else.

What special precautions should I follow?

Before using indacaterol inhalation,

  • If you have an allergy to indacaterol inhalation, any other medications, any of the ingredients in indacaterol inhalation, or milk, let your doctor and pharmacist know right away. For a list of the ingredients, consult the Medication Guide or speak with your pharmacist.
  • You should let your doctor know if you use any additional LABAs, such as arformoterol (Brovana), formoterol (Perforomist, in Bevespi Aerosphere, Duaklir Pressair, Dulera, Symbicort), olodaterol (Striverdi Respimat, in Stiolto Respimat), salmeterol (Serevent, in Advair), or vilanterol (in Anoro Ellipta, Breo Ellipta, Trelegy Ellipta). Your doctor will advise you on which medications to take and which to quit using.
  • Inform your doctor and pharmacist about any additional prescription and over-the-counter drugs, vitamins, dietary supplements, and herbal products you are now taking or intend to use. Incorporate any of the following: aminophylline; antidepressants such doxepin (Silenor, Zonalon), amitriptyline, amoxapine, clomipramine (Anafranil), desipramine (Norpramin), and imipramine (Tofranil), the tricyclic antidepressants nortriptyline (Pamelor), protriptyline (Vivactil), and trimipramine (Surmontil); beta blockers such as atenolol (Tenormin, in Tenoretic), labetalol (Trandate), metoprolol (Kapspargo, Lopressor, Toprol XL, in Dutoprol), nadolol (Corgard, in Corzide), erythromycin (E.E.S., Erythrocin), droperidol (Inapsine), epinephrine (Primatene Mist), disopyramide (Norpace), dofetilide (Tikosyn), flecainide (Tambocor), procainamide, quinidine (in Nuedexta), and sotalol (Betapace); methadone (Dolophine, Methadose); pimozide (Orap), theophylline (Theochron, Theo-24), moxifloxacin (Avelox), methylprednisolone (Depo-Medrol, Medrol, Solu-Medrol), and prednisone (Rayos) are examples of steroids. Your physician might need to adjust the dosage of your drugs or keep a close eye on you for side effects. Indacaterol inhalation may interact with many other drugs, so be sure to let your doctor know about all the drugs you’re taking, even if they don’t appear on this list.
  • Identify your asthma to your doctor. If you are not also on an inhaled steroid medicine, your doctor will advise against using indacaterol inhalation.
  • Inform your doctor if you have or have had had heart or thyroid illness, diabetes, seizures, high blood pressure, an abnormal heartbeat called QT prolongation (which can cause fainting, loss of consciousness, seizures, or sudden death), or high blood pressure.
  • Inform your doctor if you are expecting, intend to get pregnant, or are nursing a baby. Call your doctor if you become pregnant while using indacaterol inhalation.
  • You should be aware that indacaterol inhalation occasionally results in wheezing and breathing difficulties right away. Make a quick call to your doctor if this occurs. Indacaterol inhalation should not be used again unless your doctor advises you to.

What special dietary instructions should I follow?

Keep eating normally unless your doctor instructs you otherwise.

What should I do if I forget a dose?

The missed dose should be taken as soon as you remember. If the next dose is soon due, skip the missed one and carry on with your regular dosing plan. One dosage every 24 hours is the maximum.

What side effects can this medication cause?

Side effects from inhaling indacaterol are possible. If any of these symptoms are severe or do not go away, let your doctor know right once:

  • Cough
  • Unwell throat
  • Clogged nose
  • Headache
  • Nausea
  • Shaking of a body part that is out of your control
  • Nervousness
  • Having trouble falling or staying asleep
  • Muscle pain
  • Bone or muscle ache
  • Increasing arm or leg swelling

Some adverse effects can be very harmful. Call your doctor right away if you encounter any of these symptoms, or seek emergency care:

  • Hives, rash, swelling of the face, lips, or tongue, as well as trouble breathing or swallowing
  • A hammering, rapid, or erratic heartbeat
  • Chest pain

Other adverse reactions from inhaling indacaterol are possible. If you experience any strange issues while taking this medicine, contact your doctor right away.

You or your doctor can submit a report to the Food and Drug Administration’s (FDA) MedWatch Adverse Event Reporting programme online or by phone if you have a serious side event (1-800-332-1088).

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

Keep this medication tightly packed in the original container away from the reach of children. Store it away from light, excessive heat, and moisture at room temperature (not in the bathroom).

Unused prescriptions must be disposed of carefully to prevent pets, kids, and other people from ingesting them. You should not, however, dispose of this medication in the toilet. Instead, utilising a medicine take-back programme is the easiest approach to get rid of your medication. To find out about take-back programmes in your area, speak with your pharmacist or the garbage/recycling department in your city. If you do not have access to a take-back programme, see the FDA’s Safe Disposal of Medicines website at for additional information.

As many containers (such as weekly pill minders and those for eye drops, creams, patches, and inhalers) are not child-resistant and are simple for young children to open, it is crucial to keep all medications out of sight and out of reach of children. Always lock safety caps and promptly stash medication up and away from young children where it is out of their sight and reach to prevent poisoning.

In case of emergency/overdose

Call the poison control hotline at 1-800-222-1222 in the event of an overdose. Additionally, information can be found online at Call 911 right once if the person has collapsed, experienced a seizure, is having difficulty breathing, or cannot be roused.

Overdose signs could include the following:

  • Chest pain
  • A hammering, rapid, or erratic heartbeat
  • Nervousness
  • Shaking of a body part that is out of your control
  • Headache
  • Mouth ache
  • Nausea
  • Dizziness
  • Extreme fatigue
  • Having trouble falling or staying asleep
  • Muscle pain

What other information should I know?

Keep all of your doctor’s appointments.

Inform your doctor and the lab staff that you are using indacaterol prior to any laboratory test (particularly those involving methylene blue).

Do not share your medication with anybody else. Any queries you may have regarding medication refills should be directed to your pharmacist.

You should keep a written record of every medication you take, including any over-the-counter (OTC) items, prescription drugs, and dietary supplements like vitamins and minerals. This list should be brought with you whenever you see a doctor or are admitted to the hospital. You should always have this information with you in case of emergencies.

Brand names

  • Arcapta®
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