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Bevespi Aerosphere (Generic Formoterol Oral Inhalation)

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Why is this medication prescribed?

Formoterol oral inhalation is prescribed primarily for the prevention of wheezing, shortness of breath, and difficulty breathing caused by asthma and chronic obstructive pulmonary disease (COPD). It belongs to a class of medications known as long-acting beta agonists (LABAs). LABAs like formoterol work by relaxing the muscles in the airways, thereby opening up the air passages and making it easier to breathe.

How should this medicine be used?

Here’s how formoterol oral inhalation is typically used:

  • Dosage: The dosage of formoterol oral inhalation can vary depending on the severity of your condition and your individual response to the medication. Your healthcare provider will determine the appropriate dosage for you.
  • Usage frequency: Formoterol is usually taken by inhalation twice daily, approximately 12 hours apart. It’s important to use it consistently at the same times each day for optimal effectiveness.
  • Inhaler technique: Follow the instructions provided with your inhaler device carefully. Shake the inhaler well before each use. Breathe out fully, place the mouthpiece of the inhaler between your lips, and inhale deeply and steadily while pressing down on the canister to release the medication. Hold your breath for about 10 seconds to allow the medication to reach deep into your lungs.
  • Rinse mouth: After using the inhaler, rinse your mouth with water without swallowing to help reduce the risk of oral thrush (yeast infection in the mouth).
  • Do not exceed prescribed dose: Avoid using formoterol more frequently or at higher doses than prescribed by your healthcare provider, as this can increase the risk of side effects and may not provide additional benefit.
  • Maintenance therapy: Formoterol is typically used as a maintenance therapy to control and prevent symptoms of asthma and COPD. It should not be used for the relief of acute symptoms or as a rescue medication for sudden breathing problems. If you experience sudden worsening of breathing, use a rescue inhaler as directed by your doctor.
  • Regular follow-up: Attend regular follow-up appointments with your healthcare provider to monitor your response to formoterol and adjust your treatment plan if necessary.

Always consult your healthcare provider if you have any questions or concerns about the use of formoterol oral inhalation or if you experience any side effects while using the medication.

Other uses for this medicine

There are off-label or investigational uses of formoterol that may include:

  • Exercise-induced bronchoconstriction (EIB): Some studies suggest that using formoterol before exercise can help prevent bronchoconstriction in individuals with EIB.
  • Bronchiolitis: Formoterol has been studied for its potential use in treating bronchiolitis, a common respiratory infection in infants and young children.
  • Chronic cough: In some cases, formoterol may be used off-label to manage chronic cough associated with conditions like asthma or COPD.

What special precautions should I follow?

Special precautions should be followed when using formoterol oral inhalation to ensure safe and effective treatment:

  • Regular Monitoring: Your healthcare provider may recommend regular monitoring of your lung function and symptoms to ensure that formoterol is effectively managing your condition.
  • Cardiovascular Effects: Formoterol may cause cardiovascular effects such as increased heart rate, palpitations, and blood pressure changes. Individuals with pre-existing cardiovascular conditions should use formoterol with caution and under the supervision of a healthcare provider.
  • Hypokalemia: Formoterol may cause a decrease in potassium levels in the blood (hypokalemia). Individuals with conditions predisposing them to electrolyte imbalances, such as those taking diuretics, should be monitored closely.
  • Drug Interactions: Formoterol may interact with other medications, including beta-blockers, tricyclic antidepressants, and monoamine oxidase inhibitors (MAOIs). Inform your healthcare provider about all medications you are taking to avoid potential interactions.
  • Avoid Overuse: Formoterol should not be used more frequently or at higher doses than prescribed, as this can increase the risk of adverse effects and may worsen symptoms.
  • Pregnancy and Breastfeeding: The safety of formoterol during pregnancy and breastfeeding is not well-established. Consult your healthcare provider before using formoterol if you are pregnant, planning to become pregnant, or breastfeeding.
  • Rescue Inhaler: Always have a rescue inhaler (short-acting beta agonist) on hand for the immediate relief of acute asthma symptoms or exacerbations. Formoterol should not be used for rapid relief of acute symptoms.

It’s important to discuss any concerns or questions about formoterol oral inhalation with your healthcare provider to ensure safe and appropriate use for your specific condition.

What special dietary instructions should I follow?

Special dietary instructions for formoterol oral inhalation are generally not required. However, it’s essential to maintain a healthy and balanced diet to support overall respiratory health. If you have specific dietary concerns or restrictions, discuss them with your healthcare provider or a registered dietitian.

What should I do if I forget a dose?

If you forget to take a dose of formoterol oral inhalation, take it as soon as you remember. However, if it is almost time for your next scheduled dose, skip the missed dose and continue with your regular dosing schedule. Do not take a double dose to make up for a missed one. If you have any concerns or questions about missed doses, consult your healthcare provider or pharmacist for guidance.

What side effects can this medication cause?

Formoterol oral inhalation, like any medication, can cause side effects. Common side effects may include:

  • Tremor: Shaking or trembling of the hands or fingers.
  • Nervousness: Feeling anxious or jittery.
  • Headache: Pain or discomfort in the head, often described as aching or throbbing.
  • Palpitations: Awareness of the heartbeat, which may feel rapid, pounding, or irregular.
  • Muscle Cramps: Painful contractions or spasms of muscles, typically in the legs.
  • Dizziness: Feeling lightheaded or unsteady.
  • Dry Mouth or Throat: Sensation of dryness in the mouth or throat.
  • Sore Throat: Discomfort or pain in the throat.
  • Nausea: Feeling of discomfort in the stomach with an urge to vomit.
  • Cough: A dry or productive cough may occur, especially when initiating treatment.
  • Bronchospasm: Paradoxical tightening of the muscles around the airways, leading to difficulty breathing.
  • Hypokalemia: Low levels of potassium in the blood, which can cause weakness, muscle cramps, and irregular heartbeats.
  • Increased Blood Pressure: Formoterol may cause a rise in blood pressure, especially at higher doses.
  • Increased Heart Rate: Tachycardia, or a rapid heartbeat, may occur as a side effect.
  • Insomnia: Difficulty falling asleep or staying asleep.

It’s important to note that not everyone will experience these side effects, and some individuals may experience side effects not listed here. Additionally, serious side effects such as allergic reactions, chest pain, or difficulty breathing are rare but require immediate medical attention.

If you experience any side effects while using formoterol oral inhalation, especially if they are severe or persistent, contact your healthcare provider for further guidance. They may recommend adjusting your dosage, trying a different medication, or providing additional treatment to manage side effects.

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

Here’s what you should know about the storage and disposal of formoterol oral inhalation:


  • Store formoterol oral inhalation at room temperature away from moisture, heat, and light. Avoid storing it in the bathroom.
  • Keep the medication in its original packaging and tightly closed when not in use.
  • Keep formoterol oral inhalation out of reach of children and pets.


  • Dispose of expired or unused formoterol oral inhalation according to local regulations or guidelines.
  • Do not flush medications down the toilet or pour them down the drain unless instructed to do so. Proper disposal helps prevent environmental contamination.
  • Consult your healthcare provider or pharmacist for specific instructions on how to dispose of formoterol oral inhalation safely.

In case of emergency/overdose

  • If you suspect an overdose of formoterol oral inhalation, seek immediate medical attention or contact your local poison control center.
  • Symptoms of overdose may include severe headache, fast or irregular heartbeat, chest pain, tremors, nervousness, and difficulty breathing.
  • Be prepared to provide information about the medication, dosage, and timing of ingestion to healthcare professionals.

What other information should I know?

  • Follow the prescribed dosage and administration instructions provided by your healthcare provider.
  • Do not exceed the recommended dose or frequency of use unless instructed by your doctor.
  • Inform your healthcare provider about any other medications you are taking, including prescription, over-the-counter, herbal supplements, or vitamins, as they may interact with Formoterol.
  • Regularly clean your inhaler device as per the manufacturer’s instructions to prevent blockage and ensure proper functioning.
  • Inform your healthcare provider if your symptoms worsen or if you require more frequent use of the medication than prescribed.
  • Attend regular follow-up appointments with your healthcare provider to monitor your condition and adjust treatment as necessary.

Remember, it’s essential to always consult your healthcare provider or pharmacist for specific guidance on the storage, disposal, and use of Formoterol Oral Inhalation, as individual circumstances may vary.

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